Impact of pandemic not felt equally across society, says COSLA

The impacts of COVID-19 have not been felt equally across society, COSLA said today (Monday).

Commenting, COSLA’s Community Wellbeing Spokesperson Councillor Elena Whitham said: “The simple truth is that the impacts of the virus have not been felt equally across society.

“Our Blueprint outlines the steps needed to overcome inequalities which increase the chances of contracting COVID-19, and the longer-term impacts of both the disease and the measures that have been taken to control its spread.   

“We are working hard to ensure our recovery will be fair, inclusive, and address existing inequalities. Everyone should be able to realise their human rights as we fight poverty and discrimination.  

“In relation to my portfolio within COSLA  – Councils are working to improve housing stock.  We need good quality homes for everyone and for people to be able to live in well-connected, sustainable communities.  We don’t want a return to rough sleeping and will prioritise supporting those who are homeless so that their needs are met.  

“Marginalised groups need to be empowered, not left behind.  This includes supporting migrants at risk of destitution, those effected by the economic crisis and working with Gypsy/Traveller communities to ensure that they have access to safe accommodation and their rights are protected.  

“The value of Local Government can be seen in our response to COVID-19. Local Government must now be at the forefront of the recovery and renewal process. To do this we must be empowered and supported to deliver what local communities need.” 

David J Kennedy

Head of Media and Communication
COSLA
T: 0131 474 9205 M: 07788452710
E:  davidk@cosla.gov.uk
Twitter:  @COSLA
www.cosla.gov.uk

Care Inspectorate report to the Scottish Parliament on inspections, 14 October 2020

The Care Inspectorate has laid before the Scottish Parliament a report of inspections it has carried out in care services in the past two weeks.

This report covers inspections we have completed since those detailed in our previous report to parliament on 30 September 2020.

In order to robustly assess the arrangements put in place by care services to respond to the COVID-19 Pandemic, Care Inspectorate inspections place a particular focus on infection prevention and control, personal protective equipment and staffing in care settings.  

This enables inspectors to focus on these areas while also considering the overall quality of care and impact on people’s wellbeing.  

The Parliamentary report is in addition to the normal process of publishing full inspection reports.  

For each care service inspected, inspection reports will be published by the Care Inspectorate in due course.

To meet the timescales imposed by legislation, the report to Parliament outlines high-level findings following oral feedback to care providers.

In due course and following normal publication protocols, the Care Inspectorate will publish more detailed individual reports on each inspection.

The report is available here: https://bit.ly/3dorKtD

Young people detained for mental health treatment – self harm is a key characteristic

The Mental Welfare Commission today published a new report analysing the detentions of young people aged 16 and 17 for mental health care and treatment in Scotland, and found self harm to be a key characteristic, particularly with young women.

There has been a rising number of detentions in this age group, and the Commission sought to understand better the characteristics and presentations of those young people detained for their care.

The new report analysed all detention forms for 16 and 17 year olds in Scotland over a five year period from 2014-15 to 2018-19. This amounted to 608 detentions under the Mental Health Act over the five years, relating to 402 young people.

There are two ways those detentions can take place. Most of the young people (421) were detained using short term detention certificates, which last up to 28 days and are the usual route into hospital care under the law as there are more safeguards. Emergency detention certificates, which allow for a person to be held in hospital for up to 72 hours while their condition is assessed, were used in 187 cases.

  • Numbers of 16 and 17 year olds being detained in Scotland under the Mental Health Act have risen from 106 in 2014-15, to 173 in 2018-19 – the five year period cover by the report.
  • Information reviewed included the reason for the detention and any other underlying mental health conditions noted on the detention forms. Key findings are:
  • Over the five-year period, 60% of detained patients displayed self-harming behaviours (suicidality or deliberate self-harm). This was higher in those detained on emergency detention certificates (EDCs) compared to short term detention certificates (STDCs) (74% and 53%, respectively).
  • There has been a rise in the proportion of detentions in which self-harming behaviour is reported over the last five years.
  • There has been an increase in detentions in which self-harming behaviour was reported in girls, whilst detentions reporting self-harming in boys decreased.
  • Most (81%) of the emergency detentions occurred during out-of-hours (weekends and 5pm-9am on weekdays) and 38% of STDCs occurred out-of- hours.
  • Only 51% of emergency detentions had consent of a mental health officer (MHO).
  • Most detentions related to concerns about the patient’s own safety, though boys more often presented as a risk to themselves and to other people compared to girls.
  • Psychotic symptoms/disorder was the most common presentation in all detentions (40%), with a higher proportion among boys than girls (54% and 32%, respectively).
  • Mood disorder/difficulties was described in 35% of patients, with an equal distribution in boys and girls (35% and 35%, respectively).
  • Substance use (confirmed or suspected) was indicated in seven percent of detentions, higher among boys than girls (12% and 4%, respectively).

Dr Arun Chopra, medical director, Mental Welfare Commission, said:

‘Mental illness in young people can be short term, or can be the start of a prolonged period of difficulty. It can disrupt education, the development of friendships and the transition into adulthood, significantly affecting both the young person and their family or carers. Getting the right help early can make a major difference.

‘We conducted this analysis because we knew that detentions of young people were rising, and we wanted to understand better the characteristics and presentations of young people who are so unwell that they need treated under the law. Our analysis does not attempt to say why the detentions are increasing, but it does give information on these two key issues.

“We now aim to share these findings and hope they might be a helpful contribution for young people, those important to them and the services and clinicians working with them, in considering who might be supported by developing intensive treatment services in the community and alternatives to hospital admissions.

“I am really glad to say we have a meeting later this month with clinical leads where this report, and the experience of family and carers, will be discussed.”

Personal experience from a parent

While the report contains detailed research information, the Commission is very aware that each detention relates to an individual. The detention of a young person can be traumatic for that young person and for their family. The Commission sought comment from the parent of a young person who was detained for treatment. That parent, whom we quote anonymously, found the experience very difficult, both due to her daughter’s ill health, and also due to the experience for family in dealing with the system and the way they were treated by professionals.

The parent welcomed the report, but also said:

“Our daughter struggles with bipolar disorder and anorexia. Sadly, as parents we have supported her through multiple crises, with hospital admissions for her eating disorder and serious near fatal overdoses during the years of her adolescence.

‘At our most terrified and vulnerable, we have felt utterly alone, despite “on paper” multiple services and agencies involved. Even if we were invited into the room, it often felt “token”, being brought in at the end of a consultation, for example to arrange a review date, after the real discussion had already taken place. Of course we understood and respected our daughter’s need for confidentiality, but there felt no true or meaningful connection with us as her family: we were so aware of every change in her behaviours or moods. Over time, this left us drained, exhausted and took its toll on our own mental health, at the very point we needed support to keep some strength and resilience.

‘If I could distil down something constructive and pour it into all the services we’ve been through, it would be this – we desperately want to get things the best they can be, not waste precious energy battling nor trying to be heard. Your “patient” is our whole world: we’re living this; we’re probably exhausted, scared, at our most vulnerable, and juggling other family or work commitments too. Please connect with us as human beings and take time to listen to what we have to say.

A link to the full report can be found here

ELHF is looking to spread some Christmas cheer

As the official charity for NHS Lothian, Edinburgh and Lothians Health Foundation, provides Small Grants funding of up to £5,000 for NHS Lothian staff to take forward projects that will directly benefit patients, whether in hospital wards and departments or community health services.

You can also apply to this round of funding if you are looking to spread some Christmas cheer and provide some Christmas and New Year festivities for your patients. Funding can be used to support patient-related Christmas activities such as providing a modest individual gift or Christmas party food or decorations. Please note that the purchase of alcohol, tobacco or non-Christmas related items are not permitted.

The deadline to apply is Sunday, 1 November 2020.

Find out more about the funding criteria and how to apply for one of our small grants by visiting our website – https://www.elhf.co.uk/grant-seekers/small-grants/

Still got questions? Why not get in touch? Drop us an email at elhf@nhslothian.scot.nhs.uk

If you work for the partnership on a council contract, you can make nominations on behalf of patients too. If you can email your nomination to me at elhscp@eastlothian.gov.uk, I will get an NHS colleague to take your nomination forward for you.

A conversation with the people of Scotland

From The Alliance

As you may know, the Cabinet Secretary, through the Mobilisation Recovery Group, has invited the ALLIANCE to lead on engagement work with people and communities across Scotland to ensure remobilisation efforts have a core person-centred focus across the whole system. 

The Mobilisation Recovery Group was set up as an advisory group under Re-mobilise, Recover, Re-design, The Framework for NHS Scotland to generate key expert, stakeholder and system-wide input into decisions on resuming and supporting service provision, in the context of the COVID-19 pandemic.  

The COVID-19 pandemic has tested Scotland’s public services like never before, but it also presents an opportunity to redesign services with citizens and what matters to them at the heart. We want to ensure lived experience and the perspectives of all people across Scotland are heard in this conversation. The topics that the Cabinet Secretary would like to be discussed are around experience, priorities and future services. 

To achieve this, the ALLIANCE is hosting 5 local events in partnership with Healthcare Improvement Scotland on the following dates: 

We would be delighted to be joined by you and would be grateful if you could share these events amongst your networks.   

Alternatively, we are also holding an open call for health and wellbeing experiences during the COVID-19 pandemic and comments on how people want to access health and care support and services as we respond to, and look beyond COVID-19. More guidance on how to submit experiences and comments is detailed on the ALLIANCE website. 

PS – If you are a part of a group and would like help to set up your own engagement meeting on Zoom or Teams, please email me at elhscp@eastlothian.gov.uk

Happy Allied Health Professionals Day!

Please take a minute to join in a day of collective action. The first ever AHPs Day was held in October 2018 to celebrate, appreciate and recognise the extraordinary work of the AHP workforce.

If you don’t know who counts as an AHP, here’s a list – art therapists, diagnostic radiographers, dietitians, drama therapists, music therapists, occupational therapists, orthoptists, paramedics, physiotherapists, podiatrists, prosthetists and orthotists, speech-and-language therapists and therapeutic radiographers.

Thank you to all our AHPs for everything you do. 🙂

An invitation to engage on Integration Joint Boards becoming Category 1 responders under Schedule 2 of the Civil Contingencies Act 2004

From Alison Macdonald. East Lothian IJB Chief Officer

I wanted to share this communication from Scottish Government with you. I hope you will take the opportunity to share your views on this. Thank you. Alison.

Today the Scottish Government has launched a consultation to ensure that there are no unintended or unexpected consequences to Integration Joint Boards becoming Category 1 responders under Schedule 2 of the Civil Contingencies Act 2004. It is for this reason that I now write. As a valued partner I would like to encourage you to consider sharing your views by responding to the consultation by the closing date of 2 November. I would also ask that you share the consultation more widely within your networks or to those who would have an interest. The consultation can be accessed from the attached link:

https://consult.gov.scot/health-and-social-care-integration/consultation-to-amend-the-civil-contingencies-act/

I would like to thank you in advance for taking the time to consider the consultation and for sharing your views. Should you have any issues accessing the consultation or would like to receive this in a different format please get in contact.

Thank you.

Consultation IJBCCA team

Integration Policy and Support
Governance, Evidence and Finance Division
Directorate for Mental Health and Social Care
DG Health and Social Care
St Andrews House
Regent  Road
Edinburgh EH1 3DG
E-mail: ConsultationIJBCCA@gov.scot

Violence against women and girls update

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By Veronica Campanile, Violence Against Women and Girls Coordinator

Dear VAWG wider network

Here is the September information list –  I hope this is useful for you all and please do share on as you feel appropriate.

East Lothian and Midlothian

ANAM CARA –  Online support for women in Midlothian and East Lothian.

We are going to be running a 6  week Virtual Taster Workshop Courage Over Fear”  on 9th November .

We will be posting  videos on Self Awareness, Self-Compassion and Resilience on our Facebook page and hopefully onto our website. This workshop will give women a taste ofthe topics we cover on our Virtual 10 Week Workshop and our to Face 2 Face Workshops.  If you have anyone that would benefit from accessing this Workshop please complete the self-referral form on our website www.anamcara.scot or contact Fiona – fiona@anamcara.scot. Once we receive a referral my colleague Julie will contact the woman direct to give them more information on the work we do and how to access our Virtual Workshops.  Any new referrals received after the 5h November will be placed onto our waiting list.  When they have completed the 6 week workshop women will be offered the opportunity to access all our other social media services along with our Befriending Service. They will also be given the opportunity to  access our next Virtual Workshops and attend our Face2 Face Workshops (when things get back to some normality)

Violence Against Women and Girls Partnership

Our VAWG Partnership is working with the Covid 19 Supplementary VAW Guidance (below) to inform the Public Protection risk analysis and medium & long-term action required improve gender equality and tackle VAWG across both local authority areas. If you would like to comment get in touch. Meanwhile please use the guidance to inform any recovery planning you are involved in. 

Scotland

COVID 19: Supplementary National VAW guidance updated 18 September 2020

Download Guidance

Executive summary

Key updates include:

  • Additional information on heightened risks to women, children and young people experiencing VAWG during lockdown and other social restrictions to inform strategic planning and response through the next months;
  • How collaboratively working with specialist VAWG services now schools have re-opened can support the trauma and wellbeing needs of children and young people to be met;
  • How undertaking a strategic needs assessment will support linked learning being embedded in wider recovery and renewal planning; 
  • Highlighting how women have been disproportionately affected by the pandemic and how the use of equality and human rights impact assessments tackle gender inequality, including prioritising a shift towards preventing VAWG in policy and practice as local authorities look to ‘build back better’.
  • Coronavirus (COVID-19): domestic abuse and other forms of violence against women and girls during Phases 1, 2 and 3 of Scotland’s route map (May 22 to August 11, 2020) published 18 September 2020. The report presents qualitative evidence on the impact of COVID-19 restrictions on people experiencing domestic abuse and other forms of violence against women/girls. It is intended that the suggested actions in the guidance can be used to respond to the trends outlined in this research paper.

COVID-19: Supplementary National Child Protection Guidance updated  31/08/2020-

Download: . It includes the following changes:

  • Updated to acknowledge the relaxation of restrictions, and the need for planning for local lockdowns.
  • Updated arrangements regarding the organisation of Children’s Hearings.
  • Paragraph removed, as the guidance on shielding has been paused.
  • Minor changes may be made to the guidance and not always shared via email. To ensure that you are using the most up to date version, please access via the website.

More information from Fiona Marshall, Child Protection Unit, Care, Protection and Justice Division, Directorate for Children and Families, Scottish Government. Email: fiona.marshall@gov.scot

Scottish Government – Equally Safe: A consultation on challenging men’s demand for prostitution, working to reduce the harms associated with prostitution and helping women to exit

Opened 11 September – closes 10 December. Any individual or agency can respond. 

Children in Scotland is hosting a meeting of the Voices Forum

Children in Scotland, in partnership with the Supporting the Third Sector Project, Wednesday 28 October from 10am–12pm. This meeting of will cover the Scottish Government’s UNCRC Incorporation (Scotland) Bill. The meeting invites local organisations and local strategic partners to develop their understanding of the proposed Bill and to offer opportunities to discuss the impact of incorporation. Hear from experts in Children’s Rights and organisations who have already taken a rights-based approach to Children’s Services Planning.

Register: https://www.eventbrite.co.uk/e/children-in-scotland-voices-forum-tickets-122673149693

Contact Vicky Wan, Project Manager vwan@childreninscotland.org.uk

Scottish Government Domestic Abuse Bill, Scottish Housing News

The police and courts could gain the power to remove suspected domestic abusers from victims’ homes under proposed new legislation.  Justice secretary Humza Yousaf announced that the Scottish Government’s Domestic Abuse Bill will be considered “within weeks” and if passed would let police ban suspected abusers from entering the property. Officers would then be able to apply to the courts for protective orders preventing the return of the alleged abuser for up to two months.

NHS Feeling Good App

In times of uncertainty, more restrictions and bad news, it can sometimes be hard to find something to smile about.  The unpredictability and not knowing can be draining because as humans we generally like certainty.  The more uncertain you feel the more important it is to dial up on what makes you smile, gives you light and laughter.  The NHS Feeling Good app is proven to help people with feeling more positive and confident during difficult times no matter what their situation. 

Scottish Women’s Aid Report – Crisis and Resilience: the impact of a global pandemic on domestic abuse survivors and service providers in Scotland

Scottish Women’s Aid have published a report on the impact of COVID-19 on domestic abuse, women, children and young people, and services. It highlights some key additional challenges, stemming from COVID-19, relating to refuge provision and the criminal justice system, as well as addressing specific child rights issues facing children and young people experiencing domestic abuse. The report is available here.

Cedar blog series on Children and young people: domestic abuse recovery and COVID-19 – Blog 3 published

The National Cedar Project are running a six-month blog series from July-December 2020. This blog series aims to raise awareness about domestic abuse recovery work, highlight good practice in supporting children and young people affected by domestic abuse, and illustrate the importance of recovery work as we transition to the “new normal”. The third blog has now been published on Domestic abuse, trauma and education. Please share with your networks. Contact: laura.james@improvementservice.org.uk

Public Health Scotland report: Taking a human rights approach to recovery from COVID-19

On behalf of a multi-agency, cross-sector group, Public Health Scotland has just published a report outlining how adopting a human rights based approach to planning the response to, and recovery from, COVID-19 can help support the most marginalised and excluded in our communities and help prevent further increases in inequality in Scotland. Read the report here and the launch statement here.

Safe Lives Survivor Consultation results and latest Safe at Home in Scotland briefing

Safe Lives ran a brief online consultation between August-September for people experiencing domestic abuse during Covid-19. A report summarising the responses of this consultation can be accessed here. Safe Lives have noted that although it can be difficult to reach those currently experiencing abuse safely, the responses provide a valuable insight into what it is like to experience abuse during a pandemic.   You can also read the latest briefing from the September Safe at Home in Scotland session, which focused on the housing needs of those experiencing domestic abuse during Covid-19 and beyond.

Young Scot – That’s Not OK resource for young people

Young Scot and Scottish Government have launched a new resource developed in partnership with Rape Crisis Scotland and Scottish Women’s Aid. This resource – called #ThatsNotOK – provides young people with information about different forms of gender-based violence, healthy relationships and consent, and signposts where they get additional support. Link to That’s Not OK resource.

UK and International

Visible people – tackling gender mainstreaming in the Nordic states, LGIU

Patrick Jowett explores how Sweden, Finland and Denmark have successfully worked to take a gender mainstreaming approach to policymaking and the transformative nature of these strategies at a national and local level.

If It’s Not A Hell Yes, Then It’s A Conversation

This short animated film is about consent for and by LGBTIQ+ young people. The film was created in partnership with Project Indigo and Lily Ash Sakula … If It’s Not A Hell Yes – YouTube

British Red Cross:

In the Coronavirus pandemic the British Red Cross support line 0808 196 3651 will be offering emotional and practical support to those people impacted by the Coronavirus pandemic that need it most.  The support line aims to provide support for the most vulnerable individuals who are at risk of further health and well-being issues as a result of isolation, including practical support to access food or medication where appropriate. The main target groups are:

  • People high on our Vulnerability Index plus:
  • BAME people disproportionately impacted by Covid19
  • anyone at risk of further health & well-being issues as a result of isolation
  • people with no recourse to public funds
  • people with insecure immigration status
  • people who may not be receiving help from anywhere else
  • people who would benefit from signposting to other internal & external resources including the Hardship Fund and other partner organisations.

Global: UNDP data shows failure to protect women from impacts of Covid-19

Recent data from the COVID-19 Global Gender Response Tracker illustrates that the majority of countries are not providing sufficient protection for women from the economic and social fallout of the pandemic. Just 25 countries have introduced special measures to tackle domestic violence, support those who have had to undertake additional unpaid care work, or strengthen women’s economic security. Such measures may include cash transfers to women, childcare support, or helplines and shelters to counter the surge in violence against women and girls. The head of the UN gender empowerment agency has said that countries are “failing to provide sufficient social and economic protection”.  Modern Diplomacy

Learning opportunities

National MARAC Development Training Online

Whilst in-person training is still on hold, we’re pleased to announce a series of online workshops this autumn. The cost of the training workshop is £45 per person. This includes two 2,5-hour online training sessions delivered by experts, all training materials, and an opportunity to network with professionals from within the sector. The sessions will be through Microsoft Teams.  For more information and to apply here – or use the links below.

Contact: Jenny Smith, Marac Development Officer – Scotland, SafeLives, 07729 637 645, Jenny.Smith@safelives.org.uk  

Safe and Together free learning

  • Listen to our FREE Partnered with a Survivor Podcast  When Culture, Religion & Domestic Violence MeetSystems often fail domestic survivors who are from religious communities. In the United Kingdom and other places, Muslim survivors can face racism from outside their community and intense pressure to conform to community norms around male entitlement and family honour. 
  • What Faith Leaders Need to Know About Domestic Violence available as a FREE course on our Virtual Academy.  Presented in partnership with the Hartford Seminary, David Mandel and Ruth Stearns Mandel of the Safe and Together Institute speak on how faith leaders can best be allies to those living with domestic violence, coercive control, and child abuse.
  •  Honour – STV Player (2 episodes)Honour tells the heartbreaking true story of Detective Chief Inspector Caroline Goode’s passionate search to discover the fate of missing 20-year old Banaz Mahmod, the young Londoner murdered for falling in love with the wrong man.

Veronica

Veronica Campanile
Violence Against Women and Girls Coordinator
East Lothian and Midlothian Public Protection Office
Room F28 Brunton Hall
16 Ladywell Way
Musselburgh EH21 6AF
Direct tel: 01620 827475 
Mobile: 07540 101 227
EMPPO Tel: 0131 653 5150
vcampanile@eastlothian.gov.uk
https://emppc.org.uk

COVID-19 Family Support in Haddington and Lammermuir

Haddington Community Council have been successful in securing further funding to support local families who are experiencing difficulties during the pandemic. Funding has enabled the Community Council to set up the HCC food voucher and clothing grant scheme for local families. For a referral form and further information please contact Pat Lemon at patbarracuda8@aol.com or 07483 911391.