Tag: Health Secretary Jeane Freeman

Dentists: Scottish Government must correct slip of the tongue on access crisis

The British Dental Association Scotland has urged immediate clarity from the Scottish Government, following comments from Health and Sport Secretary Jeane Freeman implying that NHS dentistry should be available at pre-pandemic levels.

Jeane Freeman stated today that “NHS services … should be as available now as they were before the pandemic started.”

While all treatments are now available from NHS practices, the service is operating at a fraction of its former capacity to keep to strict infection control protocols to limit the spread of the virus. The BDA understands practices across Scotland have been overwhelmed with calls following this statement. 

The Scottish Government is currently only providing enough PPE to treat 10 patients per day (or 5 for Aerosol Generating Procedures involving high-speed instruments) covering just 20-30% of pre-Covid patient numbers.

The BDA has called for real commitment to restore pre-pandemic levels of dentistry. Unlike the Northern Irish and Welsh administrations, the Scottish Government has so far made no commitments to help practices invest in ventilation equipment, that can radically reduce or element the ‘fallow time’ gaps between appointments, designed to reduce the spread of the virus.

It is also seeking urgent interim funding to keep the service sustainable and help practices deal with the unprecedented backlog of patients.

Recent official data indicated that between September and November 2020 the number of adults seen by NHS dentists was around a third of the 2018-19 average, before falling to 28% of the 2018-19 average in December 2020. 

In 2020, children and adults from the most deprived areas were less likely to have seen their dentist within the last two years than those from the least deprived areas (73.5% compared to 85.7% of children and 55.9% compared to 67.1% of adults). These inequalities in access between the most and least deprived areas have grown since 2019, particularly in children.

David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said: “Ministers seem to have forgotten that all dentists are operating at a fraction of their former capacity, to keep to strict infection protocols set by their government.

“With severe limits on access emergency and urgent cases need to be at the front of the queue. Sadly, this slip of the tongue has left phones ringing off the hook in practices across Scotland.

“We are facing an unprecedented backlog, and the Scottish Government needs to provide funding and support to restore routine services. As it stands if check-ups recommenced today, we wouldn’t be able to offer appointments for six months.

“Even before the pandemic Scotland’s oral health inequalities were a national scandal. Now that gap looks set to widen, with public health programmes suspended and millions unable to access care.

“Dentists are losing the chance to act on the early signs of decay, gum disease and oral cancers. If we’re ever going to turn the page we need to see real commitment from Government.”

Care home visiting restrictions eased

Care home residents and their family and friends will soon be able to enjoy longer visits together and greater personal interaction, Health Secretary Jeane Freeman has announced.

Updated guidance published by the Scottish Government (below) recommends easing restrictions on visiting in a range of ways, including extending indoor visits from 30 minutes to up to four hours.

Outdoor visits can be extended to include up to six visitors from no more than two households, including children and young people, for up to one hour per visit.

The new guidance also supports increased personal interaction, including hugs or hand holding, as long as strict PPE and infection prevention control measures are met.

These include:

  • personal interaction – visitors can support personal care and daily routine activities, provided this is agreed with the care home and takes place in residents’ rooms
  • touch – enabling contact with loved ones with regular training and supervision for visitors to put on and take off PPE and safety guidelines
  • family pets and therapy animals – during outdoor and indoor visiting, if agreed with the care home, and certain pre-conditions are met
  • gifts and residents’ belongings – can be brought in by visitors, when agreed with the care home manager in advance

These changes will require careful planning by care homes so will be implemented once care homes are satisfied that they can be accommodated safely, alongside existing safety measures such as the weekly testing offered to all care home staff, and sample testing in homes with no cases.

Local PPE Hubs are also in place across Scotland through Health and Social Care Partnerships to support the social care sector with PPE supplies for staff and visitors, in addition to care homes’ existing supply routes.

Health Secretary Jeane Freeman said: “We know how difficult visiting restrictions have been, and it is only natural after six months of lockdown restrictions, that care home residents and their loved ones will want to see and interact with each other as much as possible.

“The Scottish Government has been actively working with Scottish Care and other care home stakeholders on a staged approach to re-introduce visiting in care homes in as safe a way as possible, while COVID-19 remains in Scotland.

“This latest guidance has been developed with input from family members, carers, and clinicians to offer greater flexibility in visiting arrangements, and indoor visiting in particular, as winter approaches. We will continue to actively consider how we can best support visiting in care homes, and protect those who are at most risk from this virus.”

Age Scotland has warmly welcomed the changes to care home visits that will allow families to spend more time in an indoor setting with their loved ones.

Brian Sloan, chief executive of Age Scotland, said: “This has been a long time coming but it will nonetheless be a huge boost for care home residents and their families, who have really struggled with the lack of contact since March.

“Family members can at long last visit their loved ones in care homes for up to four hours, indoors and, where it safe to do so, hold their hand for the first time in almost seven months. The importance and benefits of this cannot be underestimated.

“This is something that care home residents and their families have rightly been crying out for as they grew increasingly concerned about the negative impact it was having on their health and well-being. Their wait has been excruciating.

“We have heard from many families who have been seriously alarmed by the decline in the health of their loved one during lockdown, in part because of enforced isolation to avoid the spread of coronavirus. We have been making the case to the Scottish Government that every effort must be made to resume indoor visiting as the ongoing risk to the person’s health by not doing so is substantial.

“It is essential that increased visits to care homes are now available to everyone wherever possible. With PPE and other protective measures in place, older people in care homes will be able to reconnect with their relatives and feel part of their family again.”

Coronavirus (COVID-19): adult care homes visiting guidance.