IJB Chair Councillor Fiona O’Donnell has issued this statement to the East Lothian Courier
‘We have seen the benefits in East Lothian of the integration of health and social care. That joining up of services will also be vital as we brace for the challenges of Covid-19. Social care workers are caring for our most vulnerable citizens in their homes and in our care homes. The work they do is vital, to keep people safe and well, and to try and prevent admissions to hospital. For some people requiring care, the social care worker will be the only person who enters their home. The social care workforce will also be key to getting people back home when they have recovered from Covid-19.
‘It was deeply moving to take part in the applause for NHS staff and carers on Thursday at 8pm. It is so important that those who are working so selflessly for the greater good know how much we appreciate them.
‘Here in East Lothian we have also seen local shops and other businesses showing their appreciation with initiatives such as free coffees and priority in accessing shops. That appreciation has to include social care workers too. I ask every shop in East Lothian to make sure that is happening here. Health and social care workers are all deserving of that.’
The Scottish Council for Voluntary Organisations is committed to support the voluntary sector through the coronavirus pandemic. SCVO has set up this bulletin to share important information with its partners.
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.
This gift was given to a member of the East Lothian Health and Social Care Partnership Homecare Team in Haddington this morning. The staff member was leaving Tesco when a little girl approached her and gave her the gift.
ELC will be providing free school meals from Monday and we are actively planning how we provide childcare for key workers. Please bear with us as we put these plans in place. Thank you to everyone working round the clock to support us.