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.”

Additional mental health support announced

Additional support to help people look after their mental health and wellbeing during and after the coronavirus (COVID-19) pandemic has been announced by First Minister Nicola Sturgeon.

The support includes an investment of more than £1 million towards the expansion of the Distress Brief Intervention (DBI) programme to help people in distress, and the launch of a new mental health marketing campaign across television, radio, print and online.

The DBI programme, which was previously operating in four pilot areas, will roll-out across Scotland, giving people over the age of 16 who are in emotional distress due to COVID-19 the opportunity to speak to specially trained staff. People who are in distress but do not need clinical intervention will be referred to the DBI programme by frontline staff, including NHS 24.

The first phase of the new mental health campaign will launch this month and provide people with practical advice on coping with the current restrictions. Signposting to existing advice will be included and those who need extra support will be directed to NHS Inform as a key information resource and helplines operated by NHS 24, Breathing Space, SAMH and Samaritans.

The First Minister said: “COVID-19 restrictions have affected all of our lives. People who may never have been affected by mental health issues in the past, are now facing emotional distress due to financial loss, bereavement and social distancing. 

“NHS 24 has experienced an increase in calls, including to Breathing Space, in recent weeks and we anticipate this will continue to grow. It is vital that during this period of uncertainty anyone who requires support for their mental health can receive it.

“Since 2017 more than 6,600 people have accessed the DBI programme and I am pleased that people across the country will now be able to access this support. Early intervention like this is such an important part of how we treat mental and emotional health and the DBI is all about equipping people with the skills and support to manage their own health and to prevent future crisis.

“This £1 million investment is in addition to the £3.8 million we invested last month to increase capacity of our telephone and digital mental health services. This national marketing campaign will equip us all with some practical things we can do to feel better and help us cope until things return to normal.”

The DBI programme, which launched in 2017, currently operates in Lanarkshire, the Borders, Inverness and Aberdeen.

Around £1,038,000 will now be invested in recruiting staff to expand and develop the Distress Brief Intervention programme nationwide.

Funding will be distributed to NHS Lanarkshire and NHS Borders, third sector partners Penumbra, Support in Mind and SAMH, and to Stirling University for evaluation and Glasgow University for training.

The nationwide DBI programme will mean that people in distress related to COVID-19 who have no need for clinical intervention will be either linked directly by phone to NHS 24 by the first responder, or directed to phone NHS 24 if they are able to. Once through to NHS 24 an initial assessment will be made as to next steps, and whether they should then be referred to the DBI programme. If they are referred the distress responder will follow up with a phone call within 24 hours of referral.

Reassurance for students

Prospective university and college students are being reassured that they will receive their results on time, and universities and colleges will assess qualifications as part of the admissions process.

Minister for Further Education and Higher Education Richard Lochhead has written to students emphasising that their educational futures are being protected during the coronavirus (COVID-19) pandemic.

Universities are also being urged to observe a moratorium on changing offers made to undergraduate students.

In a letter to principals, Mr Lochhead underlined the need for a stable Higher Education admissions system while the country collectively responds to the challenges of COVID-19.

Mr Lochhead said: “I understand that many students who have applied to university or college this year will be anxious that school exams cannot go ahead as a result of the impact of COVID-19.

“The Scottish Government took this action to prioritise the health and wellbeing of our children, young people and staff.

“While the protection of life remains our utmost priority, I am absolutely clear that we must ensure that the interests and life chances of our young people are protected, and that they will be rewarded for their hard work.

“Despite the disruption, students will quite rightly have their achievements recognised, and gain the qualifications and awards that they deserve after so many years of hard work.

“I am also confident that institutions will act responsibly, and recognise that our shared priority now must be to ensure the stabilisation of the Higher Education admissions system, which is in all of our interests, whilst we respond to the unprecedented challenges COVID-19 presents.”

The letter to University and College applicants has been published on the SAAS Student Information Scotland website.

Letter to University Principals

14 April 2020

You may be aware of a letter issued by Michelle Donelan, the UK Government Universities Minister, on 3 April informing Higher Education providers in England of the moratorium, until 20 April, on changing offers made to undergraduate students, such as converting conditional offers to unconditional offers or changing entry requirements.

I know you will understand very well that this practice risks destabilising the admissions system, increasing financial uncertainty and volatility for all institutions at a time when universities are already facing significant pressures.

I firstly want to thank you all for not having changed offers to students, or participated in any activity that has led to the moratorium being necessary. I am, however, writing to you in expectation that Scottish institutions maintain this position and observe the moratorium until 20 April, to ensure consistency with English providers.

I am confident institutions will act responsibly and recognise that our shared priority now must be to ensure the stabilisation of the Higher Education admissions system, which is in all of our interests, whilst we collectively respond to the challenges Covid-19 presents.However, I feel it’s important to provide some reassurance to our prospective students about the admissions process at what is an extremely worrying time for them.

I will therefore shortly be issuing a message to reassure applicants that they will receive their exam results in good time for universities to assess qualifications in the usual way; and to remind them that the UCAS May deadlines are being extended by two weeks to give students more time to make decisions about their future.

My purpose in writing to you at this time is to seek your support to ensure our sector continues to act in a way which maintains the stability of the university admissions system and ensures students’ best interests are safeguarded.

I am aware that the sector in Scotland is already working with SQA and my officials to ensure that the admissions process works for this year’s applicants. I would like to commend you for that and my hope is that we can continue to work collaboratively on this matter in the coming weeks and months.

I would like to extend my thanks to all universities and colleges in Scotland for their support in dealing with these unprecedented circumstances.

Yours sincerely

RICHARD LOCHHEAD

Minister for Further Education, Higher Education and Science

National helpline established for those without family or community support

A new national helpline is being set up to provide essential assistance to those who don’t have a network of support but who are at high risk of contracting COVID-19.

The service – which opens today (Tuesday) – will offer help to those who do not have family or existing community support and cannot get online and who are over 70, disabled, require the support of mental health services, are pregnant or receive a flu jab for health reasons.

This service is in addition to localised support already available for people who have received letters advising them to shield themselves. However, any of those in the shielding category who are not yet receiving assistance, who do not have family and cannot get online can access support via this new helpline.

Anyone not in these categories but still looking for support should visit readyscotland.org

The helpline – 0800 111 4000 – will initially operate during core working hours of 9am to 5pm while plans are developed and implemented to extend it to operate for a longer period each day.

Callers will be automatically connected to their local authority who will support them to access the service they need, such as:

  • essential food and medication
  • links to local social work services for vulnerable children or adults
  • emotional support
  • contact with local volunteer groups.

Cabinet Secretary for Communities and Local Government Aileen Campbell said: “The coronavirus outbreak is impacting all our lives but for some it is more than a disruption – it is a severe restriction on their ability to access food, medicine or other essential services.

“This national helpline will allow our most vulnerable, who do not have a network support group, to access the essential help they need.”

COSLA President Councillor Alison Evison said: “These are unprecedented times. Coronavirus is having an impact on all our daily lives – but for many without any support network it is even worse.

“This national helpline and support arrangements will provide reassurance to our most vulnerable citizens. It is there to support those who are at home with nobody around to help them and with no other way of seeking local assistance. It will allow them to immediately access the essential help they need.

“The approach to getting this helpline up and running has been multi-agency and I would like to thank not only Council Chief Executives and their staff for the work they have done, but our other partners, volunteers and the third sector too. I hope it gives many residents, struggling alone in very challenging situations, the reassurance they deserve at this incredibly difficult time.”

Wellbeing Fund is open for bids

Third sector organisations across Scotland are being encouraged to apply for emergency funding to help cope with the effects of coronavirus (COVID-19).

More than 2000 charities, community and voluntary groups, and social enterprises are being offered immediate financial support from the £50 million Wellbeing Fund, which has been established to assist third sector organisations working with people impacted by the pandemic.

Communities Secretary Aileen Campbell announced yesterday that organisations will also be able to submit an expression of interest to access financial support through the website of the Scottish Council for Voluntary Organisations (SCVO).

Ms Campbell said: “Last month, I announced a £350 million package of emergency funding for a wide range of organisations, as communities across Scotland are already adapting their services to ensure they are providing vital support to people who are worst affected by COVID-19.

“This £50 million funding will help to continue that work as well as supporting new services to get people through these difficult times.”

Anna Fowlie, Chief Executive of SCVO, said: “The Wellbeing Fund has already seen much-needed money get to the frontline. Today it is being opened up to an even broader range of voluntary organisations.

The voluntary sector has stepped up in communities across Scotland to provide vital support to people who really need it and it’s great to see the Scottish Government recognise that.

“Scotland has been ahead of the game in understanding the vital role that charities and community groups play in dealing with the impact of Cornonavirus and at SCVO we are pleased to be playing our part.”

Any organisation wishing to submit an expression of interest can do so through the Coronavirus Third Sector Information Hub on the SCVO website here.

The £50 million Wellbeing Fund is part of a £350 million package announced by the Scottish Government to support those most affected by the pandemic, and enable a swift response according to local need.

Of this, £10 million has been allocated for immediate priorities and £7 million committed to support around 2000 charities through small grants.

This leaves £33 million of the Wellbeing Fund now open to bids from third sector organisations.

The Scottish Government is working with Corra, Inspiring Scotland, the STV Appeal and SCVO to allocate the funding.

They will be assisted by Scotland’s network of Third Sector Interfaces (TSIs) – business gateways which provide a single point of contact and support for charities and social enterprises, with an active presence in every local authority in Scotland.

Three organisations make Up Edinburgh’s Third Sector Interface. They are EVOC (Edinburgh Voluntary Organisations Council), Volunteer Edinburgh and Edinburgh Social Enterprise.

Transport community to aid Coronavirus effort

New arrangements are being put in place to tap into the groundswell of support from the transport community to help people with suspected coronavirus (COVID-19) symptoms attend urgent but non-emergency medical appointments.

The Scottish Government and NHS Boards, with the support of Scotland’s business community, have been working to make vehicles and drivers available to COVID-19 symptomatic patients who are well enough to travel but do not have access to a car and are unable to use public transport to reach their local COVID-19 Community Assessment Centre.

These arrangements will also create greater capacity for patients to meet other medical appointments, should that become necessary.  Protocols have been prepared, in line with social distancing guidance, to ensure the safety of patients and drivers.

Health Secretary Jeane Freeman said: “While we are asking people wherever possible to look after themselves at home, when symptoms do worsen or become unmanageable patients may be asked to attend their local Community Assessment Centre. This can be challenging where a person is well enough to travel but has no access to their own transport and is not allowed to use public transport.

“These new patient transport services will be in line with social distancing measures and make it easier for people to get the right help at the right time which will also reduce pressure on hospital admissions.

“The patient driver services are a fantastic example of Scotland pulling together to respond to COVID-19 and I must give thanks to all those who have volunteered their services so far. I am particularly grateful to Arnold Clark for volunteering a fleet of vehicles to our Health Boards, car hire companies for their offers of support, and the taxi industry for engaging so positively with us to secure additional capacity if and where needed.

“So far we have received more than 100 offers of support from businesses across Scotland to help move people and goods, and we are working with health boards to explore and take advantage of these opportunities.”

Arnold Clark Group Managing Director and Chief Executive Eddie Hawthorne said: “We’ve been working hard behind the scenes to keep NHS key workers and the emergency services on the road since our branches temporarily closed on 24 March following the government’s lockdown advice.

“Along with the hundreds of vehicles we have provided free of charge to the NHS and frontline emergency personnel to help them get on with their vital work, we are delighted now to be able to help patients too with this new transport service.

“We are proud of the valiant efforts our employees have made in response to requests from frontline workers across the country. On behalf of everyone at Arnold Clark, I’d like to say a heartfelt thank you to the NHS and all frontline staff for the incredible work they are doing in very difficult circumstances. We are proud to assist them in any way we can.”

Immediate pay rise for social care staff

Social care staff are to receive an immediate 3.3% pay increase backdated from 1 April.

The move, agreed between the Scottish Government and COSLA, means staff will not need to wait for the pay to be backdated at a point later in the year following negotiations, as has happened in previous years.

It is part of a package of measures to support social care workers in recognition of the vital role they are playing during the coronavirus (COVID-19) pandemic.

Social care support workers providing direct adult support will have their pay increased to at least the Real Living Wage rate of £9.30 an hour for all hours worked, including sleep-overs and hours worked by personal assistants.

The Scottish Government will also provide funding to third sector and independent providers specifically to ensure staff receive sick pay if they are off work ill or because they are self-isolating.

In addition, the agreed funding increase to these providers will give them the financial flexibility to increase wages across their organisations, and not just to frontline staff.

Health Secretary Jeane Freeman said: “Scotland’s dedicated social care workers are on the frontline of our national pandemic response. Their work is always hugely valued, and never more so than now.

“The measures we are announcing in partnership with COSLA today will ensure all people providing adult social care receive the Real Living Wage for every hour worked with immediate effect, rather than having to wait until later in the year.

“As well as providing an uplift in pay for all social care workers, this package ensures social care providers have both flexibility to increase wages across their organisations and the necessary funding for sick pay if their employees are off ill or are self-isolating.”

Cllr Stuart Currie, COSLA spokesperson for Health and Social Care, said: “Local Government recognise and value the vital contribution of Scotland’s social care workforce and have made great efforts together to achieve an agreement that confirms the living wage as well as supporting providers where they are experiencing additional cost associated with COVID-19.

“Today’s announcement reflects the key worker status of social care support staff and confirms support for those off sick or self-isolating.”

Andy Kerr, Chair of the Fair Work in Social Care Group, said: “This announcement will provide social care providers the confidence, in these very challenging times, to ensure a very welcome and deserved pay uplift for social care staff working in Scotland.

As well as recognising the importance of their work, today’s announcement also gives reassurance that financial support is available for those who are sick or self-isolating during this unprecedented situation. It also reflects the work we are doing as part of the overall reform of adult social care to build a framework for fair work across the sector.”

A joint letter from Ms Freeman and Cllr Currie was issued to all local authorities setting out details of the package.

This follows their previous letter to local authorities and integrated joint boards to confirm the key worker status of social care workers, and their access to childcare and support where required.

First Minister visits NHS Louisa Jordan facility

The First Minister has praised the dedication of the NHS Scotland staff and building contractors working to establish the NHS Louisa Jordan.

During a visit to the NHS Scotland medical facility at the Scottish Events Campus (SEC) in Glasgow, the First Minister said their efforts will provide reassurance to people across Scotland and if required, ensure that the NHS has extra capacity to treat patients.

Construction work began on turning the SEC into the NHS Louisa Jordan on Tuesday 31 March. Since then:

  • 23,000 square metres of flooring have been laid
  • partitions between the beds have been constructed, creating more than 1,000 bed bays
  • more than 8,000 pieces of medical equipment have been ordered
  • 35,000 metres of network cabling have been laid for the nurse call system
  • 135,000 metres of cabling for lighting and power sockets have been laid
  • a new bespoke system to ensure oxygen supply to every bed has been put in place with 1,400 medical gas outlets.

The First Minister also urged people across the country to stay at home over the Easter weekend to help slow the spread of coronavirus (COVID-19).

The First Minister said: “Everyone involved in establishing the NHS Louisa Jordan deserves our sincere thanks. They are working tirelessly under extremely challenging circumstances to build a unique national facility.

“While I still hope that it will not be needed, the NHS Louisa Jordan will help our NHS to prepare and provide people with reassurance that we have measures in place to help treat people during this pandemic.

“I urge everyone in Scotland to continue to follow the social distancing advice and to stay at home. By following the social distancing measures, they can help to slow the spread of COVID-19, save lives and protect our NHS. If they do this, the NHS Louisa Jordan will not need to open.”

The NHS Louisa Jordan is an NHS Scotland-run medical facility. It will have an initial 300 beds which could expand to hold more than 1,000 patients if required.

Jill Young, former Chief Executive of the Golden Jubilee Hospital at Clydebank, has been appointed Chief Executive of the temporary hospital.

The facility is named after Sister Louisa Jordan, a First World War nurse who died on active service in Serbia in 1915 while providing much-needed care to an area of dire need as part of the Scottish Women’s Hospitals for Foreign Services. Born in Maryhill, Glasgow, Louisa Jordan signed up to the war effort in December 1914 while working as a Queen’s nurse in Buckhaven, Fife.

GP practices and pharmacies open for Easter

Extended opening hours to ensure services available

General practices and community pharmacies will remain open on Good Friday and Easter Monday to help relieve pressure on out-of-hours services this weekend.

GPs will be open to offer treatment for non-coronavirus (COVID-19) related health issues, where it is safe to do so. Community pharmacies have also been requested to remain open where possible to support the wider efforts of the NHS.

Patients with coronavirus (COVID-19) symptoms are asked to check nhsinform.scot/coronavirus first for advice or dial NHS 24 on 111, day or night, if their symptoms worsen or do not improve after seven days.

Health Secretary Jeane Freeman said: “I want to thank all health and social care staff for their continuing extraordinary efforts as we face this pandemic.

“Given ongoing demand on our NHS, I have taken the unusual step of asking GP practices and community pharmacies to remain open on Good Friday and Easter Monday – but only if it is safe to do so.

“Working with the Scottish GP Committee of BMA Scotland, the Scottish Government has agreed an additional £15 million to help GP practices meet the costs of responding to COVID-19.

“Part of this will help to cover the cost of remaining open on Good Friday and Easter Monday and the remainder will help to meet other costs being faced by practices during this difficult time. I have also been clear that the Scottish Government will meet any additional costs incurred by community pharmacies to remain open on these bank holidays.

“As always – if you have a critical medical emergency, whether related to coronavirus or not, phone 999.”

NHS Inform’s coronavirus webpage is still the fastest way for people to get the latest health advice and information.

Stay at home this Easter

People across Scotland have helped greatly in tackling coronavirus (COVID-19) by observing restrictions, most importantly to stay at home.

Ahead of the Easter weekend, the Scottish Government’s National Clinical Director Jason Leitch has asked people to continue to help, while looking after their physical and mental health.

People should only travel for essential reasons such as buying groceries, healthcare, caring responsibilities or essential work.

And he said people should find ways to stay mentally and physically active by walking, running or cycling outdoors once a day for up to an hour close to home or by exercising indoors.

Professor Leitch said: “The best ways of slowing down the spread of coronavirus is staying at home, social distancing and hand washing so I must thank everyone for all they have been doing so far to keep safe and comply with these stringent measures.

“The social distancing guidance has been tough and has seen us all having to adapt to new ways of keeping in touch with friends and family, which is why now more than every it is important for people to exercise and keep mentally and physically active.

“But we need to use common sense. Please exercise at home and, if you are going out for a daily walk, run or cycle, stay at least two metres away from people you don’t live with.

“Do not be tempted to go for a drive for leisure. This is about going for a short walk locally, a run or a short bike ride, not spending time on your favourite sport or hobby.

“If you travel further afield, there is a risk you might come into contact with other people, whether you plan to or not, so please keep this to an absolute minimum. Only use your car to get somewhere if it is unavoidable and please remember that even in these circumstances journeys must be kept short.”

Douglas Cairns, Transport Scotland Operator Manager, said: “We know this is not how people would want to be spending their Easter break, but it’s vital that we all play our part in these difficult times by following the guidance and keeping any travel to essential journeys only.

“Transport operators have cut back their services to focus on providing support to key workers. The only other reasons you should be travelling are to pick up essential supplies, for healthcare or to carry out caring responsibilities.

“You should only be using your car if really need to. The advice is clear so please don’t go for leisure drives even if the weather is good. We must stay at home to help protect the NHS, our families and save lives.”

Stay at home this Easter to protect the NHS and save lives is also the latest message to the public from the UK government in a new campaign to fight coronavirus.

The campaign has been developed to meet the additional pressures of the long Easter weekend where many people typically spend time with family or friends. New organic and paid-for content will be rolled out across social media, print and outside the home.

The new campaign reinforces the importance of staying at home over Easter, and only leaving your house to buy essentials, to do one form of exercise a day, to travel into work, but only where you cannot work from home, and for any medical or social care need. If you need to leave your home for these reasons, you should be minimising time spent outside of the house and ensuring you are two metres away from anyone outside of your household. You should not be visiting friends or family during the long weekend.

A Government spokesperson said: “We understand that people will want to spend time with their friends and families this Easter, and we recognise that we are asking the public to make sacrifices in the fight against this disease.

“Everyone has a role to play in this, and the best way we can protect our loved ones is by staying away this Easter.

“We are at a crucial moment in preventing further transmission of coronavirus, and so it is vital that we continue following the government’s guidance to stay at home, protect the NHS, and save lives.”