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.

Update from the Violence Against Women and Girls (VAWG) Delivery Group

East and Midlothian Public Protection Office has just issued a great list of upcoming training events and online resources. There’s lots here to support all our practice, so please do have a look.

Elected Member briefing note:  Violence Against Women is a Public Health Issue from The Improvement Service.

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. 
  • If you are registered with Turas Learn, Developing your trauma skilled practice can be accessed here.  It is simple and free to register an account with Turas Learn here.  See our website and Twitter account for 12 trauma resources for each of the 12 days of Christmas!  From:  Dr Sandra Ferguson, Associate Director Psychology, Lead for National Trauma Training Programme, NHS Education for Scotland.

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%) since 2010-11.

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.

BBC item – research by Dr Jane Monckton Smith: patterns of domestic killings, describing an eight-stage pattern.

Article: Re-tangling the concept of coercive control: a view from the margins and a response to Walby and Towers. (2018). Rebecca Barnes and Catherine Donovan.

Gender edit of protection Scotland’s future: The government’s programme for Scotland 2019/2020, Engender Scotland

‘Information for Adult Survivors of Childhood Abuse’ Animation Film, which has been produced following extensive consultation with survivors/survivor support services and with funding from Scottish Government.