Involving carers in discharge planning

Health and Social Care Scotland has introduced a practical guide for health and social care practitioners involved in discharge planning from hospital

It says that carers should be treated as equal partners in the care of those they care for. They can play a significant role in helping people with health and social care needs return home after a hospital admission. They know the people that they care for better than anyone else and can provide information about the person’s needs and circumstances beyond medical conditions or physical needs. This means discharge planning can be more comprehensive and may reduce the likelihood of the person being readmitted to hospital.

If care is planned without the input of the carer, an opportunity has been lost. Therefore, engagement and co-operation with carers is an essential part of good patient care. If you would like to ready the full document, you can find it here – https://www.edubuzz.org/almac/2020/02/18/involving-carers-in-discharge-planning/

You might also find this video interesting – https://vimeo.com/362951019

Gender Based Violence and Learning Disability Workshop

20th February 2020
14.00- 16:30
Esk Room 2
Brunton Hall
Musselburgh

Image from the national Sexual Harm campaign

This workshop is to raise awareness of the Intersection between Gender Based Violence and adults aged 16yrs+ with Learning Disabilities. EMPPO are holding this workshop in support of Adult Support and Protection Day and 1 Billion Rising to end Violence Against Women and Girls. The workshop will include a number of presentations from specialists in this field, including Kevin Campbell, Senior Health Improvement Officer, NHS Scotland who will speak to the forthcoming Gender Based Violence and Learning Disability Guidance for practitioners.

Booking a place

To book a place, please e-mail emppo@eastlothian.gov.uk with the information below

  • Training course (name & date)
  • Participant’s full name
  • Job Title
  • Service/Team
  • Organisation/Agency Name
  • Email address
  • Line Manager full name & e-mail address

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
  • General Manager Performance and Planning – Bryan Davies

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

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.

The NHS Scotland Management Training Scheme

Would you like to make a difference?

Would you like to be part of something bigger?

The NHS Scotland Management Training Scheme puts trainees on the road to developing the skills and confidence to lead the NHS in Scotland through its transformation into an ever more efficient, successful and professional service.

Could it be a new move for you, or someone you know? Apply now!

  • And ignore the myths – we’ve heard a few!
  • “I need to be a recent graduate” Not true! There is no graduation time limit.
  • “I need to be a young graduate” Not true! There is no applicant age limit.
  • “I need to have a medical qualification” Not true! You need a 2:2 in any subject.
  • “I can only apply once” Not true! Some of our trainees made several attempts before they were successful; we salute their grit and determination.

So…what’s stopping you?

You need at least a 2:2 (in any subject), and the passion, energy, commitment and confidence to lead in the NHS in Scotland. This year, there are six posts: four in General Management and two in Finance Management.

General Management Trainees

You’ll work across a range of Health and Care services in your host Board and across Scotland, as well as gaining an introduction to the role of general managers across the service. You’ll work in a real management post giving you an opportunity to build your knowledge and skills in this complex environment. You’ll get the chance to work and learn alongside some of NHS Scotland’s top leaders and clinicians. You’ll also gain a fully funded masters level qualification.

Apply now!

Finance Trainees

You’ll experience a range of Health and Care services in your host Board and across Scotland, as well as gaining an introduction to the role of financial managers across the service. You’ll work in a real financial management post giving you an opportunity to build your knowledge and skills in this complex financial environment. You’ll get the chance to work and learn alongside some of NHS Scotland’s top leaders and clinicians. You’ll also gain a fully funded CIPFA qualification.

Apply now!

Still not sure? Have a listen to one of our 2019 trainees, Rachel Tardito, talking about why she selected the Scheme.

A Message to all NHS Lothian Staff from Tim Davison, Chief Executive

Dear Colleagues

I want to let you know that later today I will be announcing my intention to retire in the summer after a career in the NHS that has spanned 37 years, 26 of those at Chief Executive level.

It has been a huge privilege to have played my part in the leadership of one of Scotland’s best loved public services and to complete my career with 8 years at the helm of the NHS Board serving Scotland’s capital city and the surrounding Lothians. I am looking forward now to having time to pursue my many outside interests and to handing the baton of responsibility over to my successor to take NHS Lothian forward into the new decade.

I would like to thank my board, my leadership team and everyone in NHS Lothian for your  unfailing support in what many recognise is a pretty demanding and often unforgiving role. I wish you all future success and happiness’.

With very best wishes,

Tim Davison

New phone number for Harbours Medical Practice

Now, when you phone the Harbours Medical Practice, you will be given options to direct you to the most appropriate help.

This should mean more appointments and less waiting time to see a GP.

Patients ringing the surgery may be directed to a team of Advanced Nurse Practitioners and Mental Health Specialists.

Some patients may be seen at Musselburgh Primary Care Centre.

Routine and Nurse appointments should be more available.

You can find more information at https://harbourspractice.co.uk/news.aspx

New East Lothian Council Chief Executive start date

Monica Patterson’s appointment as the new Chief Executive of East Lothian Council will take effect from Monday, 3 February.

It was announced in December that Monica, currently Depute Chief Executive (Partnerships and Community Services), was the preferred candidate to succeed Angela Leitch, who left the council in November.

Meanwhile Alex McCrorie, who replaced Angela Leitch as Chief Executive on an interim basis, will resume his substantive role as Depute Chief Executive (Resources and People Services) from 3 February until his retirement on 30 April.

In resuming his substantive post, Alex will also – following the recent departure of Fiona Robertson – provide leadership to Education and Children’s Services, supported by Chief Operating Officers Lesley Brown and Judith Tait. The process to appoint a successor to Fiona Robertson will be announced in due course.

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.

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.