NHS Lothian ‘welcomes’ publication of Scottish Hospitals Inquiry interim report into New Sick Kids delays

NHS LOTHIAN has welcomed the publication of the Scottish Hospitals Inquiry Interim Report into the delayed opening of the Royal Hospital for Children and Young People and Department for Clinical Neurosciences.

The planned opening of the new building at Little France was halted in July 2019 when final safety checks revealed that the ventilation system within the Critical Care area did not comply with national standards.

Jim Crombie, Deputy Chief Executive, NHS Lothian said: “Patient safety was always our driving force in commissioning a first-class hospital building so we know that the discovery of a ventilation problem just days before it was due to open caused shock and significant concern for our patients, their families and our staff.

“We once again reiterate our sincere and unreserved apology to them all for the resulting delay to the transfer of patient services to the new facility. I am particularly sorry that patients and their families were let down at a time when they were already worried and vulnerable.”

Lord Brodie, Chairman of the Inquiry, acknowledged the huge operation that was put in place within hours to reschedule thousands of patients who were due to attend the new hospital and prevent families and patients from turning up to the wrong building in an emergency.

A total of 2255 appointments required to be rescheduled immediately – 1586 in paediatrics and 669 in DCN were affected.

The report found there had been no wrongdoing or attempts to conceal information.

Lord Brodie also noted the positive organisational culture in NHS Lothian and said there were a variety of channels through which concerns could have been raised, as well as whistleblowing policies.

But that it was a “lack of clarity” around technical building standards led to the issue around ventilation and the delay.

Mr Crombie added: “Lord Brodie has identified our failure to provide a clear design brief at the outset as critical to events as well as weaknesses in governance and understanding between contractual partners.

“We are sorry for these failures and also deeply regret that opportunities were missed by all parties over the course of the project to detect and rectify errors in the design of the ventilation regime.

“The report acknowledges the changes that have been put in place in NHS Lothian and the new guidance introduced since 2019 to ensure that lessons are learned and similar events can be prevented in the future.

“Finally, I’d like to thank the relatives of patients affected by the delay who took part in the Inquiry for their important contributions.”

You can read the full report on the Scottish Hospitals Inquiry website

Full report here: https://ow.ly/mZRH50V9tK9

Our pandemic accommodation was unsafe, asylum seekers tell research team

Study suggests relocations took place with little consideration of people’s needs and adversely affected their health and wellbeing

Asylum seekers who were moved to temporary accommodation during the Covid-19 pandemic have faced unsafe conditions, mobility restrictions and a lack of communication from service providers, according to a new study.

Edinburgh Napier researchers said the asylum seekers’ accounts – in which they likened their hotel-type accommodation to detention centres – “pointed to a provision that was inattentive towards their needs, vulnerability and wellbeing.”

The study, which focuses on accommodation in Glasgow, is particularly critical of a “mothers and baby” unit in the south of the city, which was opened last October.  Mothers, who were moved there by Home Office accommodation contractor Mears Group who run the facilities, criticised the cramped and noisy living conditions, unsuitable furniture and inadequate washing facilities.

The report authors call for an independent assessment of the facility to be carried out as a matter of urgency, and say no more families should be moved there until this has taken place.

Other recommendations in the interim report include calls for risk assessments for individuals in advance of any relocation, the minimising of stays in hotel-type accommodation, a review of limits on travel luggage, and the lifting of restrictions requiring residents to stay ‘on-site overnight’.

Edinburgh Napier researchers carried out the study, funded by the Economic and Social Research Council, as part of UK Research and Innovation’s response to Covid-19. They worked with migrant-led grassroots organisation Migrants Organising for Rights and Empowerment (MORE) to explore the impact of the pandemic on those placed in temporary accommodation in Glasgow.

Around 350 asylum seekers were moved from their settled flats into various hotels in the city centre following the outbreak of Covid-19 in March last year, which Mears Group claimed was an attempt to curb the spread of the virus. 

Researchers spoke to more than 50 asylum seekers and followed closely the lives of 14 participants of varied ages and backgrounds from December 2020 to June 2021, during the ‘second wave’ of the virus in the UK, through weekly online meetings. 

Accommodation for asylum seekers during the pandemic has long been a controversial topic. A mass outbreak of Covid at the repurposed Napier military barracks in Kent last winter and a mass stabbing at the Park Inn Hotel in Glasgow the previous June sparked debate and criticism of the government’s handling of asylum housing from parliamentary select committees.

The interim findings of the new Edinburgh Napier study suggest relocating asylum seekers to hotel-type accommodation had a negative impact on their health and wellbeing, and that they found social distancing almost impossible in their new environment.

Individuals living in hotels also faced a number of restrictions. They were unable to cook their own food or have visitors, had their weekly allowance withdrawn, and were told they could not spend nights away from the accommodation. The food served was said to be of poor quality, and it did not reflect their religious or cultural backgrounds.

The Glasgow-based mother and baby unit, the only such facility in the whole of Scotland, was reportedly noisy – with doors frequently banging and staff knocking, and had small beds, insufficient room ventilation and furniture which was unsuitable for breastfeeding. One mum told of her humiliation when the driver taking her to the unit told her she had too many belongings for a “destitute” asylum seeker.

The report said relocations to temporary accommodation took place with little consideration of people’s needs and with no consultation with asylum seekers themselves. There were cases of people being given less than 15 minutes to get ready for their move, and of individuals being threatened with deportation if they resisted.

Dr Taulant Guma, Principal Investigator and lecturer in Edinburgh Napier’s School of Applied Sciences, said: “While issues around asylum accommodation have received a significant amount of media and public attention since the start of the Covid-19 outbreak, little attention has been paid to the experiences and perspectives of asylum seekers themselves, who are directly and mostly affected by these housing arrangements.

“As a collaboration with a grassroots organisation, our study offers a unique and in-depth insight and understanding into the day-to-day realities of asylum seekers’ housing experiences during the pandemic.

“In the context of the current Afghan crisis and discourses of ‘warm welcome’, our findings offer a timely reminder of the cold realities that may await Afghan asylum seekers and refugees once they are relocated to their accommodation across the country.”

Robert Makutsa, Community Researcher with MORE, said: “The asylum accommodation system is broken because the level of duty of care that is required does not need to be met. Think about it; what legal action can an asylum seeker raise against Mears or the Home Office in their failure to adhere to the accommodation provision? None. 

“Their lives are defined and controlled by their agents and often it is us, migrant led organisations and grassroots groups, who put pressure on Mears when asylum seekers make complaints.”

Report reveals impact of coronavirus on poverty in Edinburgh

City council leader Adam McVey has outlined the measures the Council will take following a report from the Edinburgh Poverty Commission into the impact the Covid-19 pandemic is having on residents in the city.

The interim Poverty and Coronavirus in Edinburgh report has taken testimonies from people directly affected by the pandemic focussing on areas such as jobs, people’s incomes, housing, homelessness, the cost of living, health and social isolation.

Leader Adam McVey pledged the Council will do everything it can to support those most in need and welcomed the report which will inform the future direction the Council takes in tackling poverty in the city.

He said: “I welcome that this report recognises the work done by the Council, partners, third sector and volunteers across the city to respond positively and quickly to deliver lifeline services including vital food and medical supplies for citizens affected by the coronavirus measure that have been put in place.

“Today’s report contains important findings with vital and timely testimonies on the real impact that lockdown is having on people’s lives. While we have all been affected by the ongoing situation, it is clear from this report that this pandemic has been particularly challenging for those who were already in or at risk of poverty in the city.

“We’re absolutely committed to making sure this evidence shapes our continuing response to this emergency over the coming months, as well as the planning for how we will rebuild the city when this crisis has passed.

“It’s so important that while we look to address the additional hardship and pressures this crisis has brought, we also build on the renewed sense of community and collaboration we have witnessed across the city.

“As we plan for Edinburgh’s recovery, we will continue to be ambitious and make sure our responses are guided by our long-term commitment to boosting sustainability, tackling poverty and improving residents’ wellbeing.

“We will continue working with the Scottish and UK Governments to secure the right level of ongoing financial support to allow us to rebuild and create a fairer city for all going forward.”

In specific response to the actions the Commission has put forward, the Council will:

  • continue to deliver compassionate support directly to people in the most need during this period of emergency – this includes support for essential food supplies and medicine deliveries to people self-isolating and offering critical support to people in vulnerable situations through our Resilience Centres
  • make sure the support mechanisms set up by UK and Scottish Governments reach everyone in Edinburgh who needs them – we’ve already processed over 4,600 applications for Scottish Welfare Fund support, distributed nearly £600,000 in crisis payments to citizens and directed £61m in government grants to organisations in Edinburgh to help employers and the self-employed
  • make sure safe and secure housing options continue to be available for those people in temporary accommodation and rough sleeping who have been housed through emergency measures during this crisis, and
  • make sure that the city takes a co-ordinated and joined up approach to responding to and recovering from this crisis.

In the coming weeks the Council will publish its first plans for how the city will adapt and rebuild from this crisis throughout the rest of this year and beyond. A key element of this recovery programme will be ensuring that the twin targets of being fair and green for all lie at its heart.

The council will continue to encourage partners who are invested in the prosperity of the city work with them to achieve a ‘fair and green economic recovery’ which will include the work of both the Edinburgh Poverty Commission and the Edinburgh Climate Commission.

The final report by the Edinburgh Poverty Commission and their findings will be published in the autumn.

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