Care home and hospital visiting

Visits to people in hospital and care homes to continue with additional protection measures

Visitors to hospitals and adult care homes are being asked to take an LFD test before every visit under new guidelines.

Adult care homes and hospitals should continue to support visits for residents and patients, however new recommendations set out that visits should be in line with the rules for the general public brought in to control the spread of the Omicron variant of Covid-19.

The guidance stresses that residents in adult care homes should continue to have opportunities to connect safely with their loved ones, if the protective measures to support safe visiting are maintained.

Under new guidelines no more than two households should meet with a resident at any one time inside the care home and residents are asked to avoid larger gatherings when visiting friends and family outwith the care home.

Staff testing has increased to daily and all visitors should test before every visit. As before named visitors can still be supported  to visit residents in care homes with a controlled COVID-19 outbreak if the local Health Protection Team has agreed this can happen. Essential visits in circumstances such as distress or end of life should be compassionately and generously supported at all times.

Hospital visiting must continue to be prioritised, with appropriate precautions and protections. These include asking all visitors to use an LFD test ahead of visiting, and for no more than two people to visit a patient at any one time, on wards where there is no current active outbreak. Where an active outbreak is being managed, hospitals should allow essential visits only.

Health Secretary Humza Yousaf said: “We are clear hospital visiting must continue, with appropriate precautions and protections in place. We are also mindful of the imminent Christmas period and what this means for patients, staff, visitors and communities.

“Our expectation is that every patient in hospital in Scotland over the Christmas and New Year holiday period should be able to benefit from the support of at least one visitor and, wherever it is safely possible, two.

“These additional measures, in recognition of the rapid spread of the Omicron variant, are on top of existing infection prevention and control measures. As has always been the case, we expect protections such as hand hygiene, face coverings and distancing to continue to be maintained.

“The additional protective measures for adult care homes aim to balance the current Covid-19 risk and the need to keep people safe in line with clinical advice provided about the risks of Omicron variant of COVID-19 at this time. 

“Anyone who visits a hospital or care home should undertake an LFD test before every visit in order to keep patients and residents safe. However the additional measures in care homes and hospitals are based on the principle that, using all the protective measures, people living in care homes or being treated in hospitals should continue be supported to see and spend time with those important to them.

“It is vital that everyone works together to enable people to see each other in the lead up to and over the Christmas period so that everyone can spend time with one another safely and with confidence.

“I want to take this opportunity to thank all health and social care staff who have worked tirelessly to enable people, whether patients or care home residents, to stay connected with their loved ones. Their contribution has been immense.”

Named visitors now permitted to visit care home residents during Covid-19 outbreaks

New guidance will allow care home residents to choose a friend or relative as a ‘named visitor’ who will be able to visit them, even during a managed Covid-19 outbreak.

This is a change to current practice where most homes suspend routine visiting until outbreaks are over. It will allow those living in care homes to continue to have meaningful contact with loved ones, and balance the need for continuing infection prevention and control measures in care homes with the wider wellbeing of residents.

The change will apply to one named visitor when a care home is in a controlled Covid-19 outbreak, and a guidance note has been issued to support care homes to plan for this in consultation with their local Health Protection team.

Revised guidance from Public Health Scotland issued last week has already set out that residents should be able to receive visits from a nominated person even while they are self-isolating as a precaution (i.e. after hospital stays; after being close contacts of a COVID-19 case if fully vaccinated).

Meanwhile Social Care Minister Kevin Stewart has reaffirmed the government’s commitment to introducing ‘Anne’s Law’, to enable people who live in care homes to choose a person or persons to support them in their health and wellbeing, as called for by Care Home Relatives Scotland. A consultation on how best to implement this will be published shortly.

Minister for Mental Wellbeing and Social Care Kevin Stewart said: “Throughout the pandemic, our overriding priority in care homes has been to safeguard and protect staff and residents from infection – but at times that meant that residents were cut off from their loved ones, which we know has caused anguish and distress for many.

“The proposal for a named visitor will provide continuity of meaningful contact for care home residents in managed COVID-19 outbreak situations, helping to protect residents’ wellbeing in parallel by allowing visiting in a safer way, rather than automatically suspending routine visiting during an outbreak.

“We will further strengthen residents’ rights in adult residential settings through the introduction of ‘Anne’s Law’ and a consultation setting out our aspirations for Anne’s Law and seeking views on how best we might make it work in practice will be published shortly.”