National study highlights Edinburgh housing provider’s tech success

Major research praises housing specialist for sector innovation

A LEADING housing specialist has been recognised in a national research project for its technology advances in Scotland’s social care sector.

Blackwood Homes and Care has been praised as a leader in adopting new social care technologies, according to a major report published by Strathclyde University’s Fraser of Allander Institute.

The research project examined fresh-thinking and technology adoption across Scotland’s housing, health and social care sectors with the aim of better understanding the potential for innovation clusters, the role of public investment and capacity for innovation in the key sectors.

Despite the research reenforcing sector-wide challenges, Edinburgh-based Blackwood and its bespoke tech solutions were included as a case study of what is possible within tech-enabled care, despite the challenges faced by the sector.

Simon Fitzpatrick, Chief Executive at Blackwood said: “We are constantly striving to find new ways to improve the lives of the people we support. Receiving recognition and awareness for it always motivates us to keep pushing boundaries and leading the way.

“The research study by the Fraser of Allander Institute is an extremely valuable piece of work for the sector that we’re thrilled to be positively featured in. It’s very rewarding to be recognised.”

One tech solution mentioned in the report is Blackwood’s CleverCogs technology, a specially designed tablet-based system, which has delivered measurable improvements in quality of life and efficiencies in service delivery, despite major budgetary constraints.

Many Blackwood properties feature its CleverCogs technology which is personalised and links users to care and health services, home automation, local information, entertainment and video access to family and friends. The CleverCogs digital system lets users customise it to suit their life.

Emma Congreve, Deputy Director at the University of Strathclyde’s Fraser of Allander Institute said: “We were asked by the Scottish Government to analyse the current social care innovation landscape and the potential for further development of tech solutions for those who draw on care.

“Blackwood homes provided an example of an organisation that has been able to take forward significant technological innovations. As our report stated, based on our research with others in the sector, this was an exception rather than the rule.”

The report, which was released late last year, also noted Blackwood’s strategy of close collaboration with residents and technology partners to develop solutions tailored to their needs – noting the crucial role of innovation-focused leadership in driving progress and cultural change.

Blackwood is now renowned as Scotland’s most tech-focused housing specialist, deploying cutting-edge technology to help its customers to live independently. With 600 staff across Scotland, the charity’s headquarters are in Edinburgh.

Simon added: “Making change is a team effort of course, so it’s fantastic to see our co-design approaches with customers and partners held up as an example model.

“The report does an excellent job of highlighting the hurdles the housing and care sector is having to jump in Scotland at the moment and it can be difficult to continue to innovate new forms of tech-enabled care while combatting challenges like funding or labour shortages.

“Despite that, it only gives us more fuel to continue that fresh thinking to allow people to live as independently as possible.

“Our customers are at the heart of everything we do and we owe it to them to explore every opportunity that technology offers to enhance the quality of their lives. It’s rewarding that Blackwood is setting the standard in that.”

As Scotland’s most tech-focused housing provider, its Blackwood House design guide – developed in partnership with architects Lewis and Hickey – is the gold standard for accessible housing.

Over the next five years Blackwood aims to build 400 such homes, that can adapt to tenants’ future needs. Each can be adapted to include a host of benefits such as lift access, remotely controlled automated functions, and digital care and housing systems.

The housing specialist puts customers at the heart of everything it does, and their satisfaction is critical to Blackwood’s success. As a modern, supportive employer it also provides individuals with pathways towards achieving long and rewarding careers in roles that make a positive difference.

For more information, visit: https://www.blackwoodgroup.org.uk/

Health and social care in Scotland: Share Your Views

What are the key issues in health and social care in Scotland? What works and what doesn’t?

Do you have any questions or issues you’d like to raise with Michael Matheson MSP, the Cabinet Secretary for NHS Recovery, Health and Social Care?

Your suggestions will help inform the Health, Social Care and Sport’s scrutiny of The Scottish Government so please get in touch.

https://engage.parliament.scot/group/29266

🎙️ Your Voice Matters in Shaping Health and Social Care!

Ever wanted to put your question to the Cabinet Secretary for NHS Recovery, Health, and Social Care? Here’s your chance!

Michael Matheson MSP will appear before the Health, Social Care and Sport Committee on 12th September, and the Committee want to hear from you.

Whether you’re part of the public or work in health and care, submit your relevant questions on topics such as the NHS recovery from the pandemic and be part of scrutinising the work of government.

Clare Haughey MSP, Convener of the Committee, says, “This is a great opportunity… your suggested questions may help to inform our scrutiny of the Scottish Government’s approach.”

📝 Consultation is open to all – click the link to submit your question today: https://engage.parliament.scot/group/29266

(Only questions related to the Cabinet Secretary’s areas of responsibility will be considered.

Facemasks no longer recommended in social care

Guidance relaxed in line with latest clinical advice

Social care staff and visitors are no longer being advised to wear facemasks at all times under new guidance published today (7 September).

The recommendation has been lifted due to a sharp drop in coronavirus infections and a reduction in severity of illness, which has been driven by Scotland’s successful vaccination programme which has so far seen more than 12 million Covid-19 vaccine doses administered in Scotland.

Care home residents and their loved ones will benefit from these more relaxed visiting arrangements. Masks and face coverings in social care may still be worn if recommended in certain situations, such as a local outbreak of COVID, or if staff deem it necessary. Staff and visitors remain free to wear one if they choose.

This guidance balances the risk of harm from COVID-19 with the impact masks can have on communication, mental wellbeing and rights and choices of those working in and using social care services.

Social Care Minister Kevin Stewart said: “Our phenomenally successful vaccination programme has driven down infections and saved the NHS from untold pressures.

“Removing the need for facemasks in social care settings including care homes is the latest step in our path to recovering from the pandemic.

“This will make communication and relationships easier in care settings, benefiting mental health and promoting the rights and choices of those working in and using social care.”

 Read the new guidance for face mask use in social care settings.

Persistent understaffing of NHS a serious risk to patient safety, warns Westminster committee

‘We now face the greatest workforce crisis in history in the NHS and in social care’

The NHS and social care face the greatest workforce crisis in their history, compounded by the absence of a credible government strategy to tackle the situation, say MPs in a new Health and Social Care Committee report.

In the NHS, persistent understaffing poses a serious risk to staff and patient safety in routine and emergency care.

The Workforce: recruitment, training and retention report outlines the scale of the workforce crisis: new research suggests the NHS in England is short of 12,000 hospital doctors and more than 50,000 nurses and midwives; evidence on workforce projections say an extra 475,000 jobs will be needed in health and an extra 490,000 jobs in social care by the early part of the next decade; hospital waiting lists reached a record high of nearly 6.5 million in April.

The report finds the Government to have shown a marked reluctance to act decisively. The refusal to do proper workforce planning risked plans to tackle the Covid backlog – a key target for the NHS.

The number of full-time equivalent GPs fell by more than 700 over three years to March 2022, despite a pledge to deliver 6,000 more. Appearing before the inquiry, the then Secretary of State Sajid Javid admitted he was not on track to deliver them. The report describes a situation where NHS pension arrangements force senior doctors to reduce working hours as a “national scandal” and calls for swift action to remedy.

Maternity services are flagged as being under serious pressure with more than 500 midwives leaving in a single year. A year ago the Committee’s maternity safety inquiry concluded almost 2,000 more midwives were needed and almost 500 more obstetricians. The Secretary of State failed to give a deadline by when a shortfall in midwife numbers would be addressed.

Pay is a crucial factor in recruitment and retention in social care. Government analysis estimated more than 17,000 jobs in care paid below the minimum wage.

separate report by the Committee’s panel of independent experts (Expert Panel) published today rates the government’s progress overall to meet key commitments it has made on workforce as “inadequate”.

Health and Social Care Committee Chair Rt Hon Jeremy Hunt said: “Persistent understaffing in the NHS poses a serious risk to staff and patient safety, a situation compounded by the absence of a long term plan by the government to tackle it.

“We now face the greatest workforce crisis in history in the NHS and in social care with still no idea of the number of additional doctors, nurses and other professionals we actually need. NHS professionals know there is no silver bullet to solve this problem but we should at least be giving them comfort that a plan is in place.

“This must be a top priority for the new Prime Minister.”

Urgent action needed to address critical issues in delivery of social care

Action is needed now to change how Scotland’s social care services are delivered so that it meets the needs, and improves the experience of, people relying on care and support, say Scotland’s spending watchdogs.    

The joint briefing by the Accounts Commission and the Auditor General for Scotland says fundamental issues and threats to the future sustainability of Scotland’s social care system need to be addressed. The pandemic has exacerbated long-standing challenges, highlighting the precarious situation of many vulnerable people who rely on social care or support.  

Over £5 billion a year is spent on delivering social care services, yet some services are at near crisis point. There needs to be a shift in how this money is used, with a far greater emphasis needed on preventative care that meets the needs of individual people. Service users do not always have a choice or say about what support works best for them. Nor are carers getting all the support and advice they need, despite existing legislation.  

Now the Scottish Government, together with its partners, must listen and bring together the views and experiences of service users and carers. This will support the delivery of their long-held ambitions for social care. 

The 200,000-strong workforce is under immense pressure and feels undervalued. There is a high vacancy rate and a continuing problem of recruiting and retaining this workforce into roles which often have low pay and poor conditions of employment. At the same time demand for social care services continues to increase. 

Commissioning social care services tends to focus on cost, rather than quality or outcomes. Worrying limitations in social care data has created major gaps in the information needed to inform improvements.  

William Moyes, Chair of the Accounts Commission, said: “There are significant problems with the delivery of social care services. These services are vital, yet we have a workforce that’s not adequately valued or regarded.

“Staffing shortages are a major issue across the sector and not all people’s needs are being met. Too often a focus on costs comes at the expense of delivering high quality services that aren’t at the heart of the needs of individuals. The additional funding to achieve this will be significant. Not taking action now presents a serious risk to the delivery of care services for the people who depend on them.

Stephen Boyle, Auditor General for Scotland, said: “We cannot wait another five years until the planned National Care Service is in place. Action must happen now, and at speed, by the Scottish Government.

“There must be clear timescales for delivery, demonstrating that lessons have been learnt from previous reforms of health and social care services. This will create a strong foundation for the government’s vision to create a National Care Service.”

COSLA’s Health and Social Care Spokesperson, Councillor Stuart Currie, responded to the Audit Scotland report on social care: ‘The Audit Scotland report sets out many of the challenges that Local Government has consistently highlighted for many years now.

“There is an urgent need to address these challenges – many of which have been exacerbated by the pandemic – by working with our partners across Scottish Government, in the third and independent sector, and most importantly, people with lived experience.  

“We agree with Audit Scotland  that Social Care reform cannot wait for a National Care Service to be implemented. Local authorities are central to delivering the right care at the right time in the right place.

“Local Government recognises that we cannot stand still if we want to create meaningful change for our communities. We continue to work with Scottish Government to progress our shared commitments outlined in our Joint Statement of Intent so that we can now begin to implement much of the reform that was called for in the Independent Review of Adult Social Care.

“Fundamental to these shared commitments is a recognition that through empowering people, valuing our workforce and embedding a human rights-based approach in social care, we can begin to deliver real solutions for our local communities, unpaid carers, and our workforce.”

Social care crisis must be addressed, says Royal College of Emergency Medicine

Commenting on the latest Urgent and Emergency Care Daily Situation Report 2021-22 that shows nearly one third of patients who were in hospital for 21 days or more were fit for discharge, Dr Katherine Henderson, President of the Royal College of Emergency Medicine, said: “These data reflect the deepening social care crisis.

“We currently have the highest number of long stay patients (21 days or more) since winter 2017-18. Last week, on average, 6,500 beds were occupied by patients who are fit for discharge, and only one in 10 of these patients were able to be discharged daily (on average). All these patients will want to return home and to their communities, but they are unable to because there isn’t the support to aid them upon their discharge.

“There must be a system-wide effort and focus on discharging patients, but such effort will only translate to meaningful action if the government address and take urgent steps to resource social care. Freeing up these beds would help alleviate system pressures, particularly those on Emergency Departments, and promote vital flow throughout the hospital.”

The latest Urgent and Emergency Care Daily Situation Report 2021-22 for the week 10 – 16 January 2022 show:

  • As a daily average 17,541 patients stayed in hospital for 21 days or more
  • As a daily average 6,495 of these long-stay patients were fit for discharge, this is equal to nearly one in three
  • On average only 656 patients were discharged daily, equal to just one in 10

Joint pledge to ensure essential support for social care prioritised

Support for social care is to be intensified as a national priority alongside the NHS and emergency services, as staffing pressures and increased demand reflect the extent and nature of the spread and effect of Omicron.

As a result of staffing availability due to Covid,  the Scottish Government and COSLA, working with local partners across the public services in Scotland, have agreed a joint approach to maximise social care support to ensure people receive the care they need, dignity and human rights are upheld, and to avoid further pressure falling on the NHS.

Some local public services report that pressure is very significant with some health and social care partnerships being asked to prioritise capacity and identify staff who can be deployed to sustain and maintain support for some of the most vulnerable people in society. This may mean some other services are temporarily paused or reduced to redeploy capacity and expertise.

Deputy First Minister John Swinney said: “In order to protect life preserving services, and protect the vulnerable, local authorities and public services will prioritise what they deliver in the weeks ahead as a result of staffing availability due to Covid.

“That may mean some services being closed for a period or operating on reduced hours or service levels. This will free up resources to make sure we can deliver core, essential services. As soon as demands and resources allow, any affected services will resume normal operation.

“People across public services and critical national infrastructure are working hard to keep essential services going. In a lot of cases they are already being asked to be flexible to cover for absent colleagues.

“I am grateful to everyone who is helping us through this difficult period. The Third Sector has a huge amount to offer while the private sector and employers can contribute, either by releasing staff who can help in this effort,  or by supporting carers leave for family and friends who might need it.

“Local public services are delivering national priorities and programmes such as testing and vaccination programmes, delivering business grants, self-isolation grants and support, and much more.

“They have played a key role throughout the pandemic in supporting vulnerable people and key workers. That partnership between local and national government is, and will remain, essential.”

COSLA President Alison Evison said: “Once again, no matter the ask, councils along with other public services will rise to the challenge in terms of providing an appropriate local response. As the sphere of government closest to our communities across Scotland, once more Local Government will play our part in the Covid response. 

“Where pressures on staffing levels are identified, help and support for those most vulnerable as well as the life and limb services in our communities will be prioritised.  As it has been throughout the pandemic, Health and Social Care and keeping people safe will be front and centre of local prioritisation.”

Scottish Government and Cosla Joint statement  on social care support

Omicron variant: Social care staff urged to get Covid booster

Support available to ensure care workers can get vaccines and boosters

Care home staff and those working in social care are being urged to get the booster vaccine in the fight against the spread of Omicron variant.

Scottish Government financial support is available for adult care providers who incur additional costs if employees are vaccinated in working time – so staff can do so without losing earnings or having to take annual leave.

Health Secretary Humza Yousaf thanked staff for their efforts but said the new Omicron variant of COVID-19 made it more important than ever that care workers get their COVID-19 booster vaccinations, test themselves regularly and maintain infection prevention measures.

Rates of uptake of the booster vaccine are currently lower among social care staff, with 47.7% of frontline social care workers and 54.8% of care home staff having had their booster, than they are in other sectors such as frontline healthcare workers (72%).

Mr Yousaf said: “I want to thank everyone working in social care who has taken up the offer of vaccination, and has had a booster jag. But I want to encourage every single social care worker to get themselves vaccinated.

“Even if you’ve been double-vaccinated, we know your immunity against COVID-19 wanes over time. Getting your booster is even more important with the emergence of the Omicron variant. Please do so as soon as possible.

“I’m very grateful to all our social care workers for their continued resilience and ongoing commitment during what I know continues to be a very difficult time. I know staff are likely to be feeling particularly fatigued after more than 20 months of the pandemic and I want to thank you all for supporting each other and working together as we continue to navigate through this.

“However we know that the rate of take up among those working in care homes and social care is not as high as in other sectors. It is crucial, especially for those working with some of our most vulnerable citizens, that you get your booster if you have not already done so.

“Getting vaccinated is vital in protecting you, those you care for, and your friends and family.”

An online booking portal for health and social care workers can be accessed at: www.nhsinform.scot/campaigns/vaccinations-for-health-and-social-care-workers

Views sought on the best way to introduce ‘Anne’s Law’

The public are to be asked for their views on the best way to support people who live in adult care homes to maintain connections with family and friends.

A five-week consultation is to be held on introducing Anne’s Law – to ensure people who live in adult care homes have rights to be able to have direct contact with people who are important to them in order to support their health and wellbeing.

The Scottish Government is seeking to explore a range of legal and practical considerations in order to make sure  any changes brought in are effective. These include how the new legislation will affect the competing rights and needs of others, including other care home residents and staff.

The consultation follows a commitment made by the Scottish Government in the Fairer, Greener Scotland: Programme for Government 2021-22, which was launched on 7 September, to deliver Anne’s Law. It builds on a  programme of work to enable people living in adult care homes to maintain family and friendship connections.

This includes strengthening the Health and Social Care Standards and a consultation was launched on 16 September seeking views on ways to do this.

Social Care Minister Kevin Stewart said: “Social connections and meaningful activity are important for the wellbeing and quality of life of people living in adult care homes. For many residents, family members or friends also play a vital role in their care, complementing the support provided by care home staff.

“The Scottish Government is committed to bringing in Anne’s Law to  ensure people who live in adult care homes have rights to see and spend time with those who are important to them.

“It is important that we hear views and suggestions on the proposals to achieve this so that we do it in the best possible way.  We want to hear from as many people as possible to help shape the proposals – including people who live in adult care homes, their families and friends, care home providers and staff and a wide range of other stakeholders.”

Anne’s Law is named after Anne Duke who lives in a care home in South Lanarkshire.

Anne’s daughter Natasha Hamilton, from Care Home Relatives Scotland, said: “We are very pleased to hear that the consultation for Anne’s Law is getting underway. The pandemic has caused great suffering for residents and relatives and has really taken its toll on people’s mental and physical wellbeing.

“We have always believed that even during outbreaks, nominated carers such as husbands, wives, parents , sons and daughters should be enabled to spend time with their loved ones just as staff do.

“We sincerely hope legislation can be enacted that recognises the importance of family life for people in care and the need for personal connection and touch.”

 Anne’s Law: proposals for adults living in care homes to maintain family and friendship connections  – Scottish Government – Citizen Space (consult.gov.scot)

Seen something? Say something

National Adult Protection Day 2021

The local body responsible for co-ordinating the safety and well-being of adults in Edinburgh is backing the fourth national Adult Protection Day today (20th February 2021).

Edinburgh’s Adult Protection Committee is hoping to raise awareness of how some adults are harmed or abused. It is encouraging people to act on their gut feeling and say something when they see anything that points to an abusive situation to someone they know or come across.

Harm and abuse can take many forms; physical, psychological, financial, sexual harm, neglect and self-harm but there are usually signs and clues that indicate something out of the ordinary might be happening.

Through the Edinburgh Adult Protection Committee, City of Edinburgh Council, NHS Lothian, Police Scotland and local voluntary sector organisations, are committed to working together to tackle abuse of vulnerable adults.

Jackie Irvine, Chief Social Work Officer at City of Edinburgh Council said: “Everyone has the right to feel safe. However, for some people, a disability, health condition or impairment can prevent them from being able to keep themselves from harm. 

“It’s not always easy to tell if an adult is in trouble, but there are signs and situations to be aware of. For example a person may have unexplained cuts and bruises or refuse to talk about their injuries.

“They may be failing to look after themselves or their property, or are confused where their money has gone, or giving money to people they know for reasons that might concern you. They may constantly be having people – friends or strangers – ‘hanging out’ at their house.”

Anne Neilson, Chair of the Adult Protection Committee added: “We all have a responsibility to look out for people in our communities. If you’re concerned an adult is at risk of harm, or something feels wrong, it’s right to have it checked out. 

“Of course we understand that sometimes members of the public may not want to get involved, intrude  on privacy or  subject another person to unfair accusations. But the process can be simple – you can send an email or anonymous phone call and it will be checked out and any support needed will be given. It may be a false alarm, but there’s no harm in being sure.”

Find out about the types of harm we can help with and if you are worried about an adult at risk of harm you can contact the social work service Social Care Direct on 0131 200 2324