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

Happy Care Home Day 2020!

Today is national Care Home Day in Scotland.

This year’s theme is “Care Community”, which is appropriate given how well all care homes in East Lothian have worked together to keep residents and staff as safe as possible during the past few months.

There is a real sense of community in care homes in East Lothian and they have all gone the extra mile to make sure that resident and families can stay in touch. And, I’d like to thank all the community groups and business who have been so supportive and donating iPads, food, toiletries and even handcream for staff.

They demonstrate how much communities care about their local care homes and all the people in them.

But most of all, I would like to thank staff, residents and relatives for making the best of a very difficult situation.  They have supported each other throughout and have continued to try to get the most out of life under lockdown. Whether it’s making videos, having VE day parties, singing, baking or just cheering each other up when the going was a bit tough, they have shown that taking a positive approach can make such a huge difference.

It’s lovely to see all the gazebos going up in care home grounds now that we have been able to open up restricted visiting. I know those reunions after so long apart mean an awful lot. I’m looking forward to the day when we can open up visiting a bit more, which will come if all of us in the community can remember to continue sticking to the guidelines and keep the infection rate down across Scotland.

So, thank you, residents, staff, families and communities for all your support and Happy Care Home Day 2020. You have done a fantastic job in a really challenging time.

Alison

Alison Macdonald
Chief Officer
East Lothian Health and Social Care Partnership

Unison letter to Nicola Sturgeon

If you have seen today’s letter from local authority unions in Scotland to Nicola Sturgeon, you will probably want an update about our approach in East Lothian.

As you know, I and the other IJB Chief Officers have been working closely with the Scottish Government to address issues with the supply of PPE. If you have any concerns, please speak to your line manager as soon as you can.

Testing of frontline staff is underway and will be rolled out to those who need it – I will keep you up-to-date with developments.

We are following national guidance on key workers and working closely with East Lothian Council to make sure that you get the recognition and support you need, for example, with childcare.  Councillor O’Donnell is also putting out a message to local businesses to try to ensure that social care staff receive appropriate recognition.

I know that these are very challenging times and I really appreciate the work you do and want to make sure that you are as safe as you can be.

Again, if you have any concerns, please speak to your line manager straight away or you can email my direct at myvoice@eastlothian.gov.uk

Alison

Dealing with our frustrations offline

I know we all have our frustrations to bear, but can I ask that if you have an issue with anything work-related, your deal with it offline and through the appropriate channels, for example, your line manager. Or you can always email me direct at myvoice@eastlothian.gov.uk

Please don’t try to resolve things on social media. We should always be respectful towards our partner organisations and remember that we are all in this together.

Nuff said.

Alison

Briefing 20 March 2020

East Lothian Health and Social Care Partnership COVID-19 Response

IJB meeting arrangements

We cannot convene East Lothian Integration Joint Board and Audit and Risk Committee meetings because of current public health restrictions. Therefore, in line with current guidance that we should have procedures for a decision-making process in place, we will:

  • Hold a virtual IJB meeting on 26 March 2020 by Skype – details to follow
  • Thereafter, update members with a weekly briefing.

Current position

All ELHSCP decisions follow advice from the Chief Medical Officer (CMO), Health Protection Scotland (HPS) and NHS Lothian Public Health. We are also consulting with all other Health and Social Care Partnerships, COSLA, NHS Scotland and the Scottish Government. Guidance changes regularly in response to the developing situation and may contradict/supersede current standards or legislative requirements. We have to be equally responsive.

ELHSCP cannot guarantee that service expectations and conditions will be satisfied always but we will strive to do the best for the people who use our services and our staff.  We will also ensure that our providers are not financially compromised during this difficult time. 

Key actions taken by ELHSCP services

Whole-system ELHSCP actions

  • Self-isolating staff are using appropriate technology to continue adjusted working where able.
  • We are moving towards cluster working, prioritising early discharges, prevention of admissions, and community crisis intervention.
  • We are reviewing staffing across all sites. Staff hours are being increased, where possible, and staff are being brought in from non-essential areas to carry out any required roles within their professional capabilities.
  • We are assessing availability of stocks to ensure adequate supplies for use in essential clinical areas.
  • We are focusing on critical response and, where possible, reviewing and priority-rating health and social care requirements. 
  • Workers will mainly be contacting service-users by phone and making home visits only where absolutely essential.

Adult Services Practice Teams

  • The Duty Team are the first point of contact but locality crisis teams will deal with emerging demands. We are setting up three (east, central and west) locality crisis teams, staffed by Occupational Therapists, Social Workers and Community Care Workers.
  • The Support Plan Broker Team (responsible for sourcing and purchasing care) is being augmented with Community Care Workers and administration staff.
  • The Care Home Assessment and Review Team will continue to be based at East Lothian Community Hospital.

Primary Care

  • ELHSCP will agree coordinated activity and share resources with Practice Managers as need arises.
  • ELHSCP teams are mobilising to create multi-disciplinary support in primary care.
  • Work is underway to increase use of on-line prescription requests.
  • All practices will have received personal protective equipment (PPE) by 18 March 2020.

Mental Health and Substance Misuse Services

  • We will focus on those clients needing a critical response. 
  • Contact will mainly be by phone, with high risk provision available at home or in Outpatient Department 2 at East Lothian Community Hospital.
  • The Monday afternoon Substance Misuse Service (SMS) drop-in clinic at East Lothian Community Hospital will continue to support our most chaotic and vulnerable service-users.
  • We are accepting referrals as normal, with teams screening/triaging on a daily basis.

Adult Resource Centres and Day Provision

  • We are suspending the provision of day facilities temporarily. This covers ‘day care’, ‘day hospitals’, the Adult Resource Centres and commissioned day services run by the Third Sector.
  • We have arranged with day centre staff and others to provide support to and monitor service-users to offset the effects of closure.
  • We intend to phase the withdrawal of day services so by Monday 23 March 2020, all day care opportunities will be suspended, apart from those for very high risk service users, whom we will support in our facilities.

East Lothian Integrated Rehabilitation Service (ELIRS)

  • All community Occupational Therapy and Physiotherapy patients have been priority-rated and non-urgent cases cancelled. 
  • Only urgent MSK patients will be seen in the MSK departments by a reduced staff. 
  • All other staff (including administrative posts) will be deployed to ward or community work.
  • We are providing appropriate training to support staff redeployed into community and ward areas. 
  • All staff are being directed to produce personal resilience plans and risk-assess where needed.

East Lothian Community Hospital (ELCH)

ELHSCP has been instructed to provide extra capacity for acute-sector patients.

  • 44 beds are being established in Ward 6.  Equipment is being sourced for these.
  • Belhaven Ward 3 and Edington will also be cleared to provide additional bed spaces.

NHS Lothian, at the instruction of the Scottish Government, are cancelling all non–urgent outpatients’ clinics. This applies to (non-cancer) endoscopy activity as well.

Team spirit, flexibility and determination to put our service-users first is what will see us through

I wanted to say that I know we are in for a challenging time with COVID-19 and thank you in advance for the enormous effort you I know you will put in.

We have taken part in a lot of emergency planning exercises, rehearsing all kinds of disasters, and we have coped really well in actual emergencies like the ‘Beast from the East’, albeit this is a different challenge that will last significantly longer and could affect us on a personal level as well as in our professional roles. Team spirit, flexibility and determination to put our service-users first is what will see us through.


We will keep you up to date with the rapidly changing situation. We are already working closely with our providers to ensure that their business continuity planning is able to meet the specific risks that COVID-19 presents to the services they provide, too.

Please stay safe, stay well (if you can) and know that East Lothian Health and Social Care Partnership and our service-users and their carers appreciate every ounce of the effort that you put in for them.

Thank you.

Alison

Crookston and the Abbey get fantastic Care Inspectorate reports

I don’t know if you saw the article in the Courier this week about The Abbey’s glowing Care Inspectorate Report – https://www.eastlothiancourier.com/news/18220292.care-home-staff-praised-helping-residents-vote-election/

You might also be interested in a press release we issued this week about Crookston’s equally glowing report this week – I have cut and pasted it in for you below. Before you read on, I just want to add my own thanks to staff at all three of our Care Homes for the fantastic work you do.

Here goes …

Crookston Care Home gets ‘Very Goods’ from the Care Inspectorate

The Care Inspectorate carried out an unannounced inspection of Crookston Care Home in December 2019 to check how well Crookston supports people’s wellbeing and plans their care and support. The answer is very well indeed.

Inspectors reported that people were happy with their care and support. Relatives told them that the home keeps them well informed about their loved one and staff were always kind towards them when they visited.

‘No matter what time of day or night we visit, we always find staff being attentive to our relative,’ said one family.

Residents have a say in decisions about the care and support which affect them, including end of life. They also choose where and how to spend their time and participate in a range of activities. During the inspection, several female residents went to Crookston’s own hair salon, which turned into a real social event for the women involved. The inspectors noted that staff in different units engaged in small-group activities with residents.

Mealtimes were very calm and relaxed and residents enjoyed their meals. Staff sat with residents at mealtimes, making meals more of a social experience. The inspectors commented that meals were of a good quality and people spoke highly of them.

They found that care plans were regularly reviewed and updated, and involved input from relevant professionals, and that as well as considering best practice, care plans make clear resident’s preferences and wishes. They were able to see residents’ health improving as a result of the support that they received. They also commented on a section within care plans relating to physical activity which they thought was useful for identifying how individuals could stay as physically active as possible.

East Lothian Integration Joint Board Chair Fiona O’Donnell says:

‘I am visiting Crookston soon to thank the team in person and I can say that Pauline and her team really deserve their “Very Good” rating. They look after the people who use the home with great affection and respect and are very supportive of relatives too.

‘They are also very innovative, pioneering work with Rempods in East Lothian – people might have seen these reminiscence rooms for people living with dementia when they received backing on Dragon’s Den. Crookston was also part of an award-winning intergenerational project last year with Sanderson’s Wynd Primary.

‘They are a fantastic team and they do very good work. All I can say is congratulations, thank you and keep on doing what you are doing – it’s great.’

Interim management arrangements for East Lothian Health and Social Care Partnership

General Managers

The title Group Service Manager has been replaced by General Manager. This is in line with other HSCPs and describes more accurately the role of the senior managers responsible for our services.

Myself and Iain Gorman Head of Operations (Deputy to Chief Officer) and the General Managers have discussed and agreed the following for an initial period of six months.

Chief Officer Alison Macdonald will continue to line manage:

  • General Manager Acute and Ongoing Care – Lorraine Cowan
  • General Manager Rehabilitation – Lesley Berry
  • Interim General Manager Strategic Integration – Paul Currie
  • Interim General Manager – Planning and Performance/COVID Budget Holder – Laura Kerr

Head of Operations Iain Gorman will line manage:

  • General Manager Adult Social Work – Rona Laskowski
  • General Manager Statutory Services – Trish Carlyle
  • General Manager Adult Community Services/Mental Health and Learning Disabilities – Gillian Neil
  • General Manager Planning and Performance – Laura Kerr
  • General Manager Strategic Integration – Paul Currie

Professional Leads

The professional leads – Chief Nurse, Chief Social Work Officer, Clinical Director and lead AHP – will continue to report directly to the Chief Officer in line with the agreements in the Scheme of Integration

Reporting arrangements to General Managers

There will be no changes to current reporting arrangements for HSCP teams who report to the relevant General Manager.

Social Work Pathway

There is an out standing commitment to reviewing the social work path way and we are committed to progressing this work, reporting to Core Management Team (CMT) and the Strategic Planning Group for information.

The review of the social work pathway will need to be completed by early June

Revising the management structure
A revised management structure is being considered to accommodate these new ways of working; this is yet be finalised. This has led us to make a choice to have interim arrangements in place to ensure that when we, with you, have worked through any new arrangements the management structure can adapt to accommodate.

A number of options need to be considered in relation to the work around Adult Protection, Community Justice, Mental Health and Learning Disabilities.

Trish will continue in the post General Manager – Statutory Services:

  • Justice social work services
  • Community Justice
  • Carers though this will transition into the social work area at a later date anticipated following the procurement arrangements for carer services
  • SDS to be mapped into the customer journey with Rod continuing to have an operational lead
  • SW lead developing SW Governance arrangements

Rona will assume the post General Manager – Adult Social Work:

  • Assessment and Review
  • Social Work Journey
  • Care Home Team
  • Duty Team
  • SDS

In the interim there will need to be shared management put in place for some elements but we will keep you updated as things change.

Deadline looms from ELHF small grants applications

The Edinburgh and Lothians Health Foundation (ELHF) understands that sometimes the smallest changes can make the biggest difference to a patient’s experience, be it a more relaxing waiting area, better equipment, activities to improve wellbeing, or better access to information. Our Small Grants provide funding for bright ideas to support staff in improving the patient experience across NHS Lothian.

Members of staff can apply for project grants all year round, and in order to make our support go further, we encourage applications up to £5,000 maximum, to ensure we can help as many teams and departments as possible.

To apply for a Small Grant please go to: http://www.elhf.co.uk/grant-seekers/small-grants/ or contact the Grants Manager on 0131 465 5850 to discuss your project before beginning an application. Past funded projects are also listed on our website at www.elhf.co.uk

The next Small Grants funding round deadline is Friday 1st February 2020.

WANT TO NOMINATE SOMEONE FOR A SCOTTISH SOCIAL SERVICES AWARD?

The 2020 Scottish Social Services Awards will open for nominations on Monday 13th January 2020.

This year the awards are merging with the Scottish Association of Social Work awards.  The new partnership will see categories introduced for a Social Worker and Student Social Worker of the Year.

Other changes also include updated categories about ethical practice from the Scottish Social Services Council and leadership in social work from Social Work Scotland.

To mark the merger the ceremony will take place at a new venue in Edinburgh. Finalists and guests will be invited to a special evening event due to take place at The Hub on Edinburgh’s Royal Mile from 6pm on Wednesday 3 June 2020.

The full list of categories and entry guidance can be viewed at www.sssa.scot alongside some handy hints and tips and former winning entries.

People have until the 21st February 2020 to enter or nominate an individual or team for an award.