The courage to be kind

The Carnegie UK Trust is pleased to publish The courage to be kind: Reflecting on the role of kindness in the healthcare response to COVID-19, a report that draws on a number of personal experiences of working in the NHS in Scotland during the pandemic, and considers what these might mean for health and social care renewal.

At the start of 2020 there was a gathering momentum to conversations about the role of kindness and compassion in health and social care in Scotland. When COVID-19 happened, the healthcare system entered a period of rapid transformation in which many of the previously insurmountable ‘barriers’ to kindness appeared to fall away. In this context, it felt important to capture what was happening.

The courage to be kind draws on a series of reflective conversations, conducted between April and September 2020 with five medics working in different parts of NHS Scotland.

The conversations reflected on what can be achieved when there is a common purpose, and when work is underpinned by relationships and collaboration. But alongside the opportunities presented by changes in practice and a renewed focus on wellbeing, there was concern that these may be lost amidst a focus on remobilising and ‘getting back to normal’.

The voices in this report offer a particular perspective. But the depth of reflection, and the clear message about the need to ease some of the pressure in the system in order to ensure the wellbeing of staff and patients is one that resonates with many other conversations and is relevant and urgent right across the health service.

At the end of a year that has demanded so much from our health service, we hope that this report adds to our collective understanding of the impact of COVID-19.

As we look to develop this work, we would really value your thoughts and reflections, which you can share withben.thurman@carnegieuk.org or by joining the debate on twitter @CarnegieUKTrust.

Best Wishes,

Sarah

Sarah Davidson
Chief Executive
Twitter: @CarnegieUKTrust
www.carnegieuktrust.org.uk

For regular updates on all of the Trust’s projects and activities click HERE to subscribe to our bi-monthly e-newsletter.

Carnegie United Kingdom Trust

Health and Social Care staff reflect on impact of pandemic

Survey reveals pride in service and achievements, despite challenges

Health and Social Care staff feel a strong sense of pride in their work, a new survey has found.

The survey found that despite concerns about challenges in both their work and personal lives, staff expressed satisfaction with their lives and the majority of health and care staff continue to say they would recommend their place of work to others.

The Everyone Matters Pulse Survey, which was carried out in September  saw responses from across all of Scotland’s 22 Health Boards and 30 Health and Social Care Partnerships, with more than 83,000 staff members taking part.

The survey heard about the impact of the Covid-19 pandemic on staff and their loved ones, with one in four stating they were supporting a vulnerable relative while, prior to the schools going back, one in four had school aged children at home. One in six had a family member who had been furloughed.

The survey also heard accounts of a range of measures for wellbeing support put in place around the country and staff’s appreciation of this. Initiatives included comfort zones and wellbeing packs, e-cycles so staff could travel to work without using public transport and online huddles and blogs.

Cabinet Secretary for Health, Jeane Freeman said: “We all owe a huge debt of gratitude to our health and social care workers, which is why we announced a £500 ‘thank you’ payment for NHS and care staff.

“The challenges that have been faced in our emergency response have been substantial and Health and Social Care staff have continued to remain our biggest most valuable asset in delivering excellent care and quality services.  As such, now more than ever, it has been vital that we hear from staff about their experiences of work during this period. 

“I have been deeply affected by the stories of some of those who have experienced change and hardship in their role and personal life. Like many of us this year, NHS and care staff have had personal worries and difficulties, but they have  continued to go above and beyond in the face of these challenges to ensure that fellow colleagues and the people that they care for feel supported, safe and recognised, throughout the pandemic period. 

“The commitment and pride felt across the service is truly remarkable.  I expect senior leaders and managers across health and social care to reflect seriously on this report, and show appreciation and value for the efforts made by staff and their achievements.”

Read the report along with staff stories received as part of the survey.

The 2020 Everyone Matters Pulse Survey commenced on 1 September and closed on 23 September 2020.  All 22 NHS Boards and 30 Health and Social Care Partnerships (HSCPs) took part and a total of 83,656 respondents participated in the survey, accounting for 43% of the Health and Social Care Partnership workforce.

The Everyone Matters Pulse Survey was carried out by Webropol Ltd, an independent company commissioned by the Scottish Government. 

Debt, dole, worry: Student midwives facing triple whammy threat

Many student midwives are struggling under the weight of financial concerns, poor mental health and an unpredictable job market, according to new findings by the Royal College of Midwives (RCM).    

Student midwives in England, who must pay tuition fees and take out maintenance loans to cover living costs, will have, on average, a debt of £41,000 when they qualify. Even for those who receive a training bursary, the financial future is bleak.

A staggering 91 per cent of student midwives in Scotland, Wales and Northern Ireland said their training bursaries were not enough to live on.   

Gill Walton, Chief Executive of the RCM, said: “Our student midwives should not be facing a triple threat of debt, worry and an unpredictable job market  Unlike other students, the demanding nature of their course mean they have little opportunity to seek part-time work to supplement their income.

“They have a longer academic year, they work nights, weekends and bank holidays, and are often on-call to go in a at a minute’s notice.  They show incredible dedication to their chosen career and there is an overwhelming case to give them better financial support, and to ensure they get jobs in our NHS when they qualify.”   

The pandemic’s impact on student midwives cannot be underestimated. The RCM found that 96 per cent of student midwives reported having mild or moderate mental health problems since the pandemic began.

Our survey shows that by the end of July just 36 per cent of students in their final year of midwifery training had been offered a job in the NHS. At the same time, midwifery educator numbers are not keeping pace with the rise in student midwife numbers, potentially leaving students less supported throughout their training.   

Gill Walton added: “Throughout the pandemic student midwives have made enormous efforts, working in our maternity services while also continuing their studies. At the same time the pandemic has disrupted midwifery education heavily.

“Some UK governments and institutions are doing better than others, but most are selling our student midwives short. They need to step up and ensure we continue to have the best educated, best prepared new midwives in the world. They are the future carers of mothers, babies, and families and we must invest in them.”   

Staff pic being displayed in National Portrait Gallery’s ‘Hold Still’ Exhibition

In the midst of the pandemic, nurse Lindsay Macdonald reassures little Hannah as she carries her to the operating theatre at the Royal Hospital for Children in Glasgow. This moment was captured by Lisa Miller, photographer with NHS Greater Glasgow and Clyde’s Medical Illustration team.
 
It has been selected as one of 100 photos to be displayed in the National Portrait Gallery’s new exhibit: Hold Still which captures a collective portrait of the UK during lockdown and the pandemic over the past six months. Lisa’s photo was chosen out of 31,000 submissions.
 
Lisa Miller, photographer NHS Greater Glasgow and Clyde’s Medical Illustration team, said: “I took this shot during the height of the pandemic and it shows that in the middle of what was and still is a scary time for everyone, the comfort of a nurse to a young patient.
 
“I’ve been working in our hospitals throughout the pandemic and have been able to capture moments no one else has been able to. We’ve had to wear full PPE which has made it hard to focus and frame the images through the viewfinder of the camera properly but I’ve been able to expand my skill range and take portraits alongside medical photographs.”
 
Lisa was only allowed to submit one photograph to the National Portrait Gallery and after much deliberation sought the opinion of her mum because she would look at the image from a mother’s perspective.
 
She added: “We’re always in sensitive situations, dealing with patients so it’s important to build up a rapport with them to make sure they feel safe and comfortable.”
 
Lisa has also been shortlisted for a Sky Arts TV photo competition, with another photo of Lindsay.

The National Portrait Gallery exhibit is available to view online: Hold Still.
 
Nurse Lindsay said:  “The picture was taken during a time, right in the middle of lockdown and staff were all adjusting to new ways of working.  At that time we were not using the anaesthetic rooms to put children under an anaesthetic and parents were not able to come with children into theatre.  Because seeing staff wearing the full PPE could be quite scary for some children, especially young children who can’t see your face. 
 
“That day I was going to meet the patient at reception and bring them to theatre.  That way everyone who was already in all the PPE could stay in the theatre room and cause as much little distress for the child before she went to sleep.
 
“I still remember Hannah, she was such a lovely little girl.  I was walking up the corridor to theatre with her in my arms, as she wanted to be there rather than on the trolley. Lisa was also there waiting to go into theatre when she took the photo.
 
“As a nurse I believe the patient feeling safe and happy is crucial to our role, as they are going into an unknown place with people that are complete strangers to them.  I am a parent myself and I completely understand that when parents are handing over the most precious thing in the world to them, they have to believe and put their trust in us that we will absolutely take care of them and make sure that they are in safe hands.”
 
Lisa has also been shortlisted for a Sky Arts TV photo competition, with another photo of Lindsay.
 
The National Portrait Gallery exhibit is available to view online: Hold Still.

NHS workers call on government to show its appreciation for them

Early pay rise of at least £2,000 to every NHS worker is needed

Health staff across the UK – including nurses, paramedics, cleaners, domestics and porters – have embarked on two days of campaigning to urge the government to give an early, significant pay rise of at least £2,000 to every worker in the NHS.

Staff in UNISON branches based in NHS hospitals, ambulance stations and clinics will be using social media and taking part in socially distanced events to press home the message that health workers deserve much more than applause for their efforts during the pandemic.

Health workers know the public backs an early NHS pay rise, but now want to see the government show its appreciation for staff by bringing forward the pay rise due in April.

UNISON’s pay claim – delivered to Downing Street last month – would see every NHS employee receive an increase of at least £2,000 by the end of the year.

This early wage increase – equivalent to around £1 an hour extra for all staff – could give ailing local economies a much-needed boost as workers spend the extra money in their pockets on the high street, says UNISON.

With the arrival of autumn, and the increasing rates of infection, UNISON believes now is the perfect time for the government to show the high regard in which ministers say they hold NHS staff.

UNISON head of health Sara Gorton said: “Infection rates are rising in care homes and out in the wider community, and hospital admissions are on the up.

“The pressure on staff is beginning to build again, as the NHS tries to open services shut earlier in the year and deal with the backlog of cancelled appointments and operations.

“That’s why now would be the perfect time for the Prime Minister and Chancellor to show they can do more than clap for NHS staff, and demonstrate their appreciation in a much more practical way.

“Boris Johnson’s pie in the sky plans for any time, any place, anywhere ‘moonshot’ testing would cost a mindboggling £100bn. An early pay rise for NHS staff would be a tiny fraction of that and would make a huge difference to individuals and the services they help provide.

“Investing in the NHS and its incredible workforce is a must for the government. It would help the health service tackle the mounting staff shortages that were already causing huge problems even before the virus hit.

“An early pay rise would also be the country’s best way of saying a heartfelt thank you to every single member of the NHS team.”

Letters: Caring for our older people

Dear Editor

The NHS, in all it’s forms, has been invaluable for people. This is understood: we would all be in deep trouble without it.

It is hard to believe organisations see the provision of health services as a means to make huge profits. One of the biggest dangers for the NHS is countries like the USA.

The importance of the people to own and control the NHS has been a tremendous lesson for all. It is now unthinkable to most that it should be otherwise.

This example of how to benefit society must now be extended to what is called the ‘care sector’. It, too, should be a publicly-owned extension of the NHS, not owned by private cmpanies or a business dependent on grants from local councils.

Every elderly person is exactly that, and must be treated with respect, not as an afterthought on some idea of ‘can we afford the cost?’ We can and must afford it!

The now elderly people need care and attention, love and respect for all they have done for us.

A. Delahoy

Silverknowes Gardens

Happy birthday, NHS!

This weekend marks the 72nd anniversary of the NHS. Last night we lit up Scottish Government buildings in blue to mark the occasion. Join us in clapping to show our support for our staff across health and social care at 5pm today #NHSScot72

PM Boris Johnson said: This year has seen the NHS gallantly respond to the greatest challenge it has ever faced and rightly receive unprecedented support.

Week after week, we saw people take to their doorsteps, line the streets, lean precariously out of rainbow-bedecked windows to clap their hands and bang their saucepans to show their appreciation.

I am proud to be once again clapping for our heroic NHS staff, alongside Anne-Marie Plas who launched this inspirational initiative.

I am also celebrating today with staff from St Thomas’ Hospital who, quite simply, saved my life.

As we mark seventy-two years of the NHS, I want to say how thankful I am of this world leading institution.

As Prime Minister, I have given the NHS a £34 billion funding increase, the biggest in decades, and made sure it has every penny it needs to cope with coronavirus.

I’m immensely proud that the organisation built by Beveridge, Bevan, Willink, Godber, and so many others, has grown into the spritely seventy-two year old we see today.

And Royal approval:

Happy 72nd Bithday, NHS: you’ve never been more needed.

First Minister slams UK’s ‘shambolic’ air bridge process

Statement given by the First Minister Nicola Sturgeon at the media briefing in St Andrew’s House, this afternoon (Friday 3rd July):

Good afternoon, and welcome to today’s briefing. I want to start by providing my usual update on the most recent Covid-19 statistics for Scotland.

ICU painting captures pandemic for future generations

In fifty or a hundred years from now a stunning picture may give our descendants a glimpse into the pandemic of 2020.

Proudly hanging just outside the Intensive Care Unit of Glasgow Royal Infirmary, it depicts three NHS colleagues on the frontline in the fight against Covid-19.

The Chief Nurse for NHSGGC’s North Sector is John Stuart. He said: “Glasgow Royal has such a long and distinguished history of being a respected teaching hospital.

“It is world renowned and has as a proud history in the East End. It’s been there through World Wars, major incidents and other outbreaks – and it’s been there for Glaswegians throughout this pandemic that none of us will ever forget.

“I wanted to capture the enormity of this and approached Glasgow artist and musician Robert Miller with the idea of creating a piece of artwork, which people can look back on. I just felt we needed to capture the dedication of our amazing staff in a way that would last for future generations.

“I had been happy to pay for the picture but Robert kindly offered his services for free – even covering the framing himself.”

The picture – which is 5ft by 4ft – now takes pride of place outside the ICU where many patients have been treated for Covid-19 over the past two and a half months.

John added: “We are so grateful to Robert for creating such a beautiful picture. I think it perfectly captures our staff – anaesthetist Dr Kathryn Puxty, Physiotherapist Helen Devine and Senior Charge Nurse Suzi Madden – and will serve as a symbol of the dedication of all the staff who served in NHSGGC and gives them their place in history.”

Robert videoed himself making the painting and created a time-lapsed video accompanied by the tune “Voice of an angel”, sung by his wife May Miller.

https://we.tl/t-kOMeQ8CKYA

Robert said: “I was honoured when John asked me to create a painting to mark the work of his staff in the pandemic. The Royal has such a special place in the hearts of Glaswegians and its amazing staff have been at the heart of the city’s response to the pandemic.

“The staff are all wearing masks in the picture so it was more important for me than ever to capture their eyes well. I hope people like it and they take a minute to think of the enormity of the situation we’ve been facing. Who knows how long it will hang there, but it’s been good to be part of marking the dedication of our amazing NHS. We are truly lucky.”