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 firstname.lastname@example.org
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 email@example.com
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.
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
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
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
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
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.
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
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
Contact will mainly be by phone, with high
risk provision available at home or in Outpatient Department 2 at East Lothian
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
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
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)
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.
Lothian, at the instruction of the Scottish Government, are cancelling all
non–urgent outpatients’ clinics. This applies to (non-cancer) endoscopy
activity as well.
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.
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.
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
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
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
‘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.’
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
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
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
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.
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.
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.
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.
Shakti Women’s Aid – Forced marriage training for professionals, Edinburgh, 22nd January 2020, 9.30—4pm. The training sessions are designed by Women’s id Scotland Forced Marriage Consortium 2019 (Shakti Women’s Aid, Hemat Gryffe Women’s Aid and Scottish Women’s Aid). Training includes:
Understand the gendered cultural context of forced marriage and its links to Honour-based violence and domestic abuse.
Understand how the Forced Marriage and other legislation, can be used to protect children/adults at risk of forced marriage
Understand appropriate responses to identified risk and disclosure of forced marriage
Input from Police Scotland
Booking through Eventbrite link only. Free to book; £50 charge if fail to attend or notify less than 48 hours of the event. Free event- Lunch/ tea/coffee provided
New NHS Education Scotland E-module “ Developing your trauma skilled practice”. In line with the Trauma Skilled practice level of the Scottish Transforming Psychological Trauma Framework, Developing your trauma skilled practice is designed to:
Increase learners’ understanding of traumatic events and the different ways that people can be affected by them and
Help learners recognise where the impact of trauma might influence their work with people affected by trauma
There are 5 learning units plus assessment and takes 1-2 hours to complete.
The Scottish National Trauma Training Video Series provides short videos on topics such as the national trauma training programme, supporting children and young people to recover from psychological trauma, the window of tolerance (for individuals and for organisations) and the impact of trauma on witnesses. Access these resources here
Access2safety – new social enterprise providing specialist language support in a range of languages including Arabic, Vietnamese, Mandarin & more. Our women are trained in Gender Based Violence, Honour Based Violence, FGM. See www.access2safety.co.uk
Recounting Women is an exhibition of work from
Scottish Women’s Aid’s participatory photovoice project. The project works
with women who have experienced domestic abuse to develop photographs and text
that communicate what they want other people to know about domestic abuse, the
impact it has on their lives, and what needs to change. Work in this exhibition
highlights issues of injustice, homelessness, poverty and isolation identified
by the women who took part in the project. The exhibition is open 24
hours a day. Location: Ocean Terminal (2nd floor), Ocean Drive,
Edinburgh, EH6 6JJ
The Scottish Government has published Recorded Crime in Scotland: 2018-19. The bulletin and associated data tables provide statistics on crimes
and offences recorded and cleared up by the police in Scotland, split by crime
or offence group and by local authority. The latest record crime
stats (see above) show sexual crime at its highest level since records began.
Whilst overall crime has risen by 1%, sexual crimes have increased by 8%.
Reported rape and attempted rape have more than doubled (increasing by 115%)
The Scottish Government / CoSLA: Equally Safe delivery plan: year
two update report
Read the second annual progress
report for Equally Safe, Scotland’s strategy to prevent and eradicate
violence against women and girls, published on 25 November 2019. This strategy
was developed by the Scottish Government and COSLA in association
with a wide range of partners from public and third sector organisations and
was first published in June 2014 – updated version published in March 2016.
If you want to keep up to date with how this programme is progressing, you might like to now that its latest newsletter is now available. Lots of good things happening – try and have a look if you can.