COVID-19 Clinical Consumables Survey

Dear Members,

Scottish Care have been asked by NSS to undertake a risk analysis on the supply chain for clinical consumables  to support contingency planning for the Coronavirus outbreak.  We hope this will help us to identify pathways and procurement opportunities to ensure stock is both available to and best value for the social care sector.

We urgently need you to complete the questionnaire. Please let us know which of the following clinical consumables are hard to source or access, or you are experiencing substantially increased costs in relation to purchasing.

Full list of clinical consumables (click here)

Scottish Care speaks out on new immigration plans

Scottish Care is extremely disappointed with the publication of the UK Government’s immigration plans. Whilst there are merits in the Australian Points based system the Government has failed to utilise the flexibility and regionalism options to the benefit of social care and Scotland.

Scottish Care has consistently highlighted the demographic challenge of an ageing population and workforce which Scotland faces.The care sector is dependent upon the tremendous skills and contribution of our migrant workforce. Faced with already critical shortages we need an immigration system which works. These proposals do little to address our significant concerns.

Dr Donald Macaskill CEO commented:

“Yet again we have a set of proposals which treat the critical role of frontline care as unskilled. This is offensive and these proposals are damaging. To presume anyone can simply do the job of compassionate and dignified care is deluded.”

“The salary thresholds, the language and qualification requirements are wholly unrealistic and simply don’t speak to the reality of social care.”

“These proposals have been developed by those who have failed to listen to the concerns of employers. They are likely to result in significant damage to the care sector in Scotland unless they are changed.”

“Instead of a progressive immigration policy which is aimed at enhancing the economic s and social well-being of our country we have presented here a system which will do irreparable damage and will impact on the lives of thousands of ordinary Scots who will see the loss and diminution of critical care services.”


Media links

Good Morning Scotland

The Guardian

Third Force News

Scottish Care comments on the Scottish Budget

Before the Scottish Budget Scottish Care had in an Open Letter (https://scottishcare.org/open-letter-to-finance-secretary/ ) called upon the Finance Secretary to recognise the significant fiscal contribution of social care to the whole Scottish economy. We appealed for an increased budget of between 3-5% to address the chronic underfunding of public social care services in Scotland. We are therefore immensely disappointed that the pleas of many across the sector have fallen on deaf ears and that the increased funding  which has been announced will only be in the region of £69million. This is swallowed up completely when the increases in the Real Living and National Minimum Wages are taken into account. There is no funding for sustaining the sector to meet increased challenges.

Scottish Care agrees with COSLA (the local government association in Scotland) who have highlighted that the Budget whilst announcing £495m extra for councils also makes £590m worth of Government commitments which they have to carry out. Effectively local government which is already on its knees is facing a £95m shortfall.

Scottish Care Chief Executive Dr Donald Macaskill commented.

The Scottish Budget is another huge disappointment. There is a critical gap between the political rhetoric that the Government cares for and supports social care and the reality of a funding package which does absolutely nothing to address the problems facing the sector. That reality is a critical and worsening workforce shortages, rising costs, increased levels of need and demand and an urgent need to invest, . The social care sector for older people in Scotland is teetering on the brink. This budget far from throwing it a necessary lifeline  pushes us closer to the edge.”

Nursing ‘kinship’ tartan to be launched on International Nurses’ Day

Students from the University of Edinburgh has designed a new tartan inspired by the national uniform for nurses in Scotland, using colours typical of the uniform. 

The design is intended to be used as a symbol of identity, kinship and solidarity for nurses.

The tartan design will be launched on Tuesday 12 May 2020 as part of International Nurses Day to mark the 200th anniversary of Florence Nightingale’s birth. 

Find out more here

Scottish Care Workforce Focus Group – 19 Feb

I would like to invite you to attend one of our Scottish Care Workforce focus groups that we are holding in February around current issues and challenges facing Managers and Supervisors working within social care.  The feedback that is provided from you, our members, at these focus groups will then form the basis for the next workforce event that we will be having in April, details to follow.

The next focus group is being held in Edinburgh on the 19th February 2020 between 2:00pm-4:00pm at the Randolph Hill Group, 31 Dunedin Street, Edinburgh, EH7 4JG.

Please can anyone interested in attending contact me at [email protected] to book a place.

As always your feedback and assistance is hugely appreciated and will be used to inform our research which will then be compiled into a Scottish Care workforce report for care providers and major stakeholders within the care sector including Scottish and local government to help to drive positive policy changes.

We will also be asking care providers to share their own stories of working as Managers and Supervisors in social care and the many demands and challenges that are currently being faced.  I would ask where possible Managers of services bring Supervisors and Team Leaders with them to this focus group so that we are hearing directly from front line workers.

Thanks

Caroline Deane

Workforce Policy & Practice Lead

Workforce focus group agenda Social Care Managers and Supervisors challenges

News release: New research on the implementation of SDS for older persons care home

New research by Scottish Care, the representative body for Scotland’s independent social care services, indicates that there has been a failure in the implementation of the Social Care (Self-directed Support) Act for older people accessing nursing and residential care home provision. Scottish Care argues that this poses potential equality and human rights issues in their latest report which will be launched at a round table discussion event at Glasgow Caledonian University on Wednesday 12th February.

The Future of Self-directed Care in Scotland Round Table’ is hosted by Glasgow Caledonian University in collaboration with SIKE (Social Innovation Knowledge Exchange, an Eramus+ project), the University of Stirling and Scottish Care. This round table discussion seeks to collate insights from key stakeholders in order to generate a Briefing Paper for policymakers in government and local authorities on future directions in self-directed care in Scotland.

The report titled ‘Rights at home: the Scottish care home sector and Self-directed Support’ highlights the importance of measuring the extent of self-directed support for older persons care homes. However, statistics show that most individuals accessing care and support in care homes in Scotland are not been given their full rights under the self-directed support legislation:

  • 98% of care homes surveyed stated that none of their residents are in receipt of an SDS package.
  • 25% of care home residents were believed to had been given an assessment which identified personal outcomes under the SDS Act
  • 09% of the potential total of care home residents were in receipt of an SDS personal budget
  • 1% of care home residents in the survey were given the choice of available SDS Options

Dr Donald Macaskill, CEO of Scottish Care commented:

This research makes for sad and disturbing reading. It is quite clear that older adults in Scotland who find themselves moving into a care home are being denied their full rights under the Self-directed Support Act which is the main way people get social care and support in Scotland today. Five years on from the Act commencing older Scots are not being given the choice and control that others have. They are being treated as second-class citizens. This is wholly and utterly unacceptable and all stakeholders involved including national and local Government together with providers need to act on this as a matter of real urgency.

The unequal and discriminatory treatment of individuals on the grounds of service and age in the implementation of Self-directed Support where there is no justifiable and legitimate reason for this treatment is effectively a breach of the human rights of the individuals involved.

The Good Work Plan – Upcoming Employment Law Changes for April 2020

The Good Work Plan is coming on 6 April 2020 and is set to be the biggest shake-up of employment law in a generation.

Notable changes include:

  • An increase in the holiday pay calculation period;
  • Increased protection for agency workers;
  • A written statement of particulars of employment from day one.

Find out more by clicking here and reading this range of guidance from preferred supplier, Citation.

Brand-new guidance: defining employment status

The issue underpinning the Good Work Plan changes coming into effect in April is that of defining employment status. Citation’s Head of Employment Law, Gillian McAteer, outlines some common misconceptions.

Free guides and resources for Scottish Care Members

Scottish Care members are free-to-access Citation’s most popular relevant resources:

Citation’s complete archive of free guides and resources can be accessed here.

Got any questions or looking for HR & Employment Law support?

Please call 0345 844 1111 to speak to a friendly advisor or leave your details here.

Citation also offers Scottish Care members preferential rates on their HR & Employment Law services including 24/7 advice line, dedicated local consultant, and full documentation – including contracts of employment and templates.

Just let them know you’re a member of Scottish Care when enquiring, using the contact details above.

UWS Care Home Placement Pilot Meeting – 11 February

The University of the West of Scotland (UWS) are proposing a care home placement pilot around their campus areas (Ayr, Lanarkshire, Paisley and Dumfries). This includes care home providers that don’t currently support students but are keen to. This pilot will help support independent care home providers to become ready to support students. 

 Tom McEwan (Practice Learning & Partnership Lead – School of Health & Life Sciences, UWS) kindly hosted a webinar for us which discussed this pilot project, and provided an update about the new NMC standards for student nurses which will go live from September 2020, as well as their new Pre-Reg Nursing Programme. A recording of this webinar and Tom’s presentation slides can be found here.

For those who are interested, there will VC meetings on Tuesday 11th February across the 4 different university campus. There will be a morning session at 10:00am – 12:00pm and an afternoon session at 1:00 pm – 3:00pm in the following rooms.

Ayr Campus: Room CR1 

Address: University Avenue, Ayr KA8 0SX

Dumfries Campus: Room W12 

Address: Dudgeon House, Bankend Rd, Dumfries DG1 4ZN

Lanarkshire Campus: Room 2.1.10 

Address: Stephenson Place, Hamilton International Technology Park, South Lanarkshire, G72 0LH

Paisley Campus: Room P121 

Address: High St, Paisley PA1 2BE

Please contact [email protected]  or [email protected] to register your attendance by Thursday 6 February.

A reminder from the Care Inspectorate for services to submit their annual return by 14 February

Each year, we ask services to complete an annual return. This gives us important information that helps us plan, inform and carry out our inspections.  We also share some of the information with other organisations, such as the Scottish Social Services Council and the Scottish Government, and we use it to produce several statistical publications that you can view on our website.

Annual returns opened online on Friday 3 January and are closing soon, on Friday 14 February.

The annual return is available for services to complete through our online eForms system. All service types must complete their annual returns electronically. You can access this here: https://eforms.careinspectorate.com/

All services registered before 1 October 2019 must complete an annual return. If your service registered on or after 1 October 2019, you should still try to complete an annual return this year.  Although it’s not mandatory, we will still be able to use any information supplied.  The information you put in will automatically appear in the next annual return and you will then only need to enter any information that has changed.

Remember – even if your service is inactive, you must submit an annual return.

If you have any questions about the annual returns, please read our frequently asked questions here or if you need advice you can call us on 0345 600 9527.

Nurse Empowerment Blog by our National Workforce Lead for Nursing

How do we empower nurses today?

Nursing has long been seen as a challenging profession but viewed by many as a vocation for the dedicated and the selfless, which relies on nurses being professional, self-aware and motivated educators to lead change. Being caring and compassionate were integral to the role, as was the ability to follow instruction, which for some led to ritualistic practice for a number of years.

The development of nurse education led to evidence-based practice through nursing data and research, which has been key to empowering nurses to influence change, resulting in service improvements and better quality of care, and recognition of the need for nursing to be part of a life-long learning process.

Nursing empowerment is a structural process which supports shared team goals and ability. This is  supported by open communication and positive leadership which has the desired outcome of motivating staff to work to the best of their ability which will improve achieving outcomes and  creates the capacity to utilise resources and to provide support, opportunity, and information.

Research shows that empowering nurses allows for better decision making, job satisfaction, reduces stress and improved outcomes for patients. Subsequently when nurses are in a position to influence, they are less likely to suffer from ‘burnout’ as they feel listened to and are empowered to work to the top of their job descriptor.

Within the care sector nurses should not only be empowered but expected to work with a high degree of autonomy, and to act as an advocate for the residents, as they can’t always do this for themselves.

According to the RCN ‘One of the most important principles of safeguarding is that it is everyone’s responsibility ’.This requires strength of character to challenge other professionals, who may often hold more senior roles, to ensure the views of the residents are upheld, and more importantly no harm ensues. The quality of care is reliant on nurses measuring risk and harm and being educated and skilled to act appropriately to ensure safe practice.

This is particularly important within the independent care sector to ensure that despite some residents being frail and having cognitive deterioration, that they are still given the opportunities for improvement and achieve a level of stability through preventative programmes

Research would indicate that a move to an inclusive approach empowers residents through self- determination and autonomy although this does require the nursing staff to think differently and be more innovative.

The World Health Organisation (WHO) defines patient empowerment as “a process through which people gain greater control over decisions and actions affecting their health” and should be seen as both an individual and a community process.

This is evident within interventions such as the Care About Physical Activity (CAPA) programme and meaningful activities used with care home nursing, which show that empowerment initiatives provide both a process and an outcome. Research is limited in this field however if empowerment is present for staff then residents may benefit in a way that promotes an awareness of self-ability that can influence goal setting, with the potential to improve quality of life.

So how do we empower our nurse today?

Education, alongside a determination to provide quality care within a positive culture of change has brought nursing to where it is today, but it is through positive leadership that we will harness our nurses to be empowered today and into the future.

We know that disempowerment can be related to deficient leadership interventions. Some nurses may feel that managers are insensitive to their staffing needs, don’t support employee well-being, and don’t invest enough in training or career or professional advancement. This is fundamental to ensure successful recruitment and to retain staff in this field. Many nurses leave their positions because of negative experiences with heavy or unrealistic workloads, as well as a feeling of being unheard and undervalued.

On the other hand, several studies have indicated that when staff rate their managers then they feel that they’re listened to, and more likely to get, and be involved in the decision-making process. This is an indicator of positive leadership. Therefore if our managers’ behaviours support a team -based approach, then this will ultimately impact on empowering our nurses.

Creating supportive environments where staff have the psychological safety to speak out, to have an opinion and ultimately grow, is also a reflection of positive leadership. This should not be underestimated as highlighted within this recent article: https://t.co/9aHI8UPvsb?amp=1

Creating a positive culture that provides access to appropriate training and development will provide staff with the necessary knowledge and skills to carry out their role efficiently and effectively .This will boost self -awareness, give staff a voice, and the ability to be confident to act as a representative across a variety of arenas. It will continue to challenge staff to find solutions and promote nurse led initiatives.

This needs however to be done as a systemic organisational approach, as even when positive changes are adopted where staff are not consulted about these changes in advance then the changes can still be perceived negatively by staff.

Through this visionary intelligent leadership approach a supportive culture will exist that expects staff to question, to take risks and to have the permission to ensure transformational change.

Ultimately the message to our nurses is one that continues to push the boundaries for excellence, promotes our new nursing standards, ensures advocacy for our most vulnerable adults and doesn’t lose sight of our ability to care.

 

Jacqui Neil

National Workforce Lead for Nursing, Scottish Care