Graduate Diploma in Integrated Community Nursing – Deadline 24 July

There are 200 funded places available in this year’s intake of the new 2-year part-time work-based Graduate Diploma in Integrated Community Nursing (GDipICN) which is designed for nurses working at level 5 of the Career Framework for Health (Agenda for Change Band 5 equivalent).

NES has commissioned two universities to deliver the programme; Queen Margaret University (east and north regions) commencing in September 2020 and the University of the West of Scotland (west region) commencing October 2020.   See Appendix 1 for NHS Boards associated with each region.

It is expected approximately 150 places will be allocated to nurses from district nursing teams, 50 places to nurses from care home and prison healthcare settings and 40 places to nurses working in general practice.

More information about the programme is available at:

https://www.nes.scot.nhs.uk/our-work/community-nursing-graduate-diploma/

Due to an oversight we would like to confirm that this course is open to all RN’s(Registered Nurses) not just registered general nurse as noted. Therefore any nurse registered nurse can apply.  

Below is a letter from Jane Harris, the Head of Programme detailing more information on funding. There is also a spreadsheet for providers to complete with details of all individual nurses who require funding.

Completed spreadsheets must be returned to [email protected]  by 24th July 2020.

Collective Care Future: share your COVID-19 workforce experiences

Fourth theme: workforce - what has your experience of working in social care during COVID-19 been?

This week the survey is focused on the theme of ‘Workforce’.

In this theme we are interested to explore the impacts of COVID-19 on many different aspects of work in social care. 

The survey has 4 sections: workforce impacts; staffing levels, recruitment & induction; skills, training & confidence; and future workforce.

If you would like to see the questions in advance to help you complete the survey fully, you can download a PDF of the survey here - download survey questions.

You can also download Word copies of the survey to complete by hand or to distribute to others - download Word survey questions.

We would appreciate your support in circulating the survey as widely as possible across your networks, including to any individuals who access care and support and their families who may like to share their experiences.

If you don’t feel that you have had direct working experience with the independent care sector during the pandemic but you would like to be involved in the second phase of the programme, please let us know at [email protected] and we will be in contact in due course.

Thank you to those who have participated in or circulated the Care Futures surveys so far. If you haven't done so yet, you can still access the surveys here: https://scottishcare.org/care-future-surveys/

Should you go to A&E? – Stakeholder Toolkit

People are being asked to continue following the public health guidance issued during the first phase of the coronavirus (COVID-19) pandemic by using their local pharmacy, GP practice, local minor injuries unit or NHS 24 to get advice and help when they need medical care.

A new public information campaign titled Should you go to A&E? launches 15 July to ensure people continue to get the right care from the right place.

The campaign will run from 15 July – 6 August 2020.

This campaign is the first in a series of communications planned for the coming months to explain how health and social care services are remobilising following COVID-19.

20-21 - Coronavirus -Stakeholder Toolkit - NHS Remobilisation - Final - 17 July 2020

Launch of the Health and Social Care Workforce Wellbeing line – 20 July

The Scottish Government is funding a national mental health wellbeing helpline to support health and social care workers in Scotland. This will be available 24 hours a day, seven days a week.

Trained practitioners at NHS 24 will offer callers a compassionate and empathic listening service based on the principles of psychological first aid, as well as advice, signposting and onward referral to local services if required.

This support line is available at 0800 111 4191.

For more information please click here.

Health and Social Care Workforce Wellbeing line within NHS 24’s Mental Health Hub

Highland Senior Citizen Network – Highland Hello

Highland Senior Citizen Network (HSCN) has produced a short trailer for their Highland Hello Films. A ‘Highland Hello’ is an initiative created by HSCN to allow people to share experiences and keep in touch during the Coronavirus lockdown.  

You can view this video here.

 

Dementia-proofing future care

(Text of an article published in Caring Matters Magazine, July 2020)

Dementia as we all know is a crippling illness. It robs people of so much in their life not just their memory. It creates a world narrowed down in on itself where routine and familiarity, pattern and predictability become all the more important. It is a world where loss of function and ability has to be matched by caring support, maintaining relationships and adapting communication.

Lockdown has forced change upon most of us. In the care sector it has brought about undeniable challenge and trauma not least in our care homes which have witnessed the distress of deaths at a rate of frequency that we have been left silent in its wake. In our communities the stripping away of packages of support by councils and the ending of contracts by private individuals have left many individuals, organisations and staff vulnerable.

There will be time and space for much reflection on our pandemic response and actions as a whole society, as politicians and scientists, and as health and social care systems. But I hope that at its core that such a reflection includes the experience of those living with dementia. Statistically we know that over three-quarters of those who have died as a result of Covid19 have been individuals over the age of 75, and that a sizeable majority of these have been individuals living with dementia and frailty. 

The story of Covid19 in our country is the story of dementia. Have we acted in a manner that has protected the most vulnerable or have we been expedient and mis-calculating in our efforts to protect the majority at the expense of the life and care of those with dementia? It may be too early to answer that but personally I consider our response to those with dementia has been wholly inadequate if not deadly.

We live in a country which enshrines human rights as the basis of our interactions one with the other. Even in times of national emergency and crisis we agree that there are fundamental behaviours and actions which are necessary to take, and which underpin our response. Conversely we acknowledge that there are approaches and decisions which are deemed unacceptable because of their contravention of the basic rights which we have come to hold as fundamental to what it means to be human and who we are as a community and nation. For people living with dementia upholding their human rights should be the barometer of the care and support they should ordinarily expect. So, any human rights analysis of our response to Covid19 should explore the impact of our actions for those people living with dementia.

In that regard how have we done? Have we enabled the preservation of life at all costs or has there been an expeditious decision taken to prioritise some more than others? Has the overt policy and practice focus of preventing the NHS from collapsing resulted in a failure to adequately support the very social care systems (especially care homes) which are the mainstay of support for people with dementia? Have we so focussed on the need to reserve resource for the acute sector that we have drained local authorities of the abilities to adequately resource people being supported at home? Have we included and involved older people living with dementia at key points of decision-making and our Covid19 response, for instance in decisions around shielding?

Life in a care home under lockdown, with enforced isolation and social distancing has been viewed through the strict lens of infection prevention and control. But have we given enough serious focus to how it is possible to undertake such measures in settings which are non-clinical, non-institutional and personalised to enable them still to be familiar and homely?

Life for anyone receiving care and living with dementia during this pandemic has been brutal and hard, emotionally empty and traumatic. I am not using hyperbole but stating fact as I see it. We have instructed workers and providers to ‘isolate’ individuals whose very agitated behaviour often results in them needing to be active; we have expected from people who are confused and distressed a compliance which is wholly unreasonable; we have put our staff in masks in the midst of a community for whom recognition and remembrance are fundamental requirements of assurance and comfort, leaving many terrified by appearances. We have stopped using common spaces for people whose routine and pattern of behaviours have meant being in the same space and place, alongside the same people and doing the same activities had become for them the boundary of safety in their confused and conflicting worlds. And perhaps worst of all we have restricted visiting of family and friends, except in a few instances, which has meant for everyone their loss of the relational, of touch, physicality and presence.

The shame of so much of our Covid19 response as a society is not the shame of the care sector but an indictment against some politicians and strategists, against a fundamentalist approach to infection prevention and a failure to embed humanity and person-centredness in our implementation of lockdown measures. Covid19 has brought a challenge undoubtedly but it has shone a light on the failures of our care and support for people with dementia.

I believe that as we reform and reshape ourselves moving out of our immediate response to the pandemic and into a stage of restoration and reform that we need to do much better in the future than we have to date. We have to be better at balancing the human right to a quality of life with dementia over and against the right to the preservation of life. Our care homes hold in care the lives of thousands living at the end of their days, the vast majority with dementia. They do not have weeks, months and years for us to continue to deny them relationship and encounter, memory and engagement. In the future we cannot accept the frequent long-term imprisonment of citizens in the name of their own protection without their willing articulated agreement. Initial protection measures were undoubtedly proportionate and reasonable to achieve the legitimate aim of the wider preservation of life. Every week that has passed, with witnessed deterioration and disintegration of life, with increasing numbers wasting away not from the virus but from the experience of protection, has brought a toll which cannot be acceptable. We have to find a better approach than the adoption of the imperatives of a model of infection control and prevention developed for the clinical, antiseptic environment of a cold hospital ward into the spaces and places people are encouraged to call their own home. A care home is not an institution and we need to develop non-institutional responses. We cannot rip up carpets, remove personal possessions, strip rooms of individuality, replace comfort with clinical compliance – simply in the name of protection. Life is more than existence – it has to be about quality, meaning, purpose and individuality.

Coronavirus will be with us for some considerable time. We have to ensure that our ongoing response to its threat is based on an understanding of human dignity and not solely one of scientific dictate.

Dr Donald Macaskill

The essence of hope: the dangers of Covid19 optimism.

 

Hope is not optimism,

which expects things

to turn out well,

but something rooted

in the conviction

that there is good

worth working for.

 

– Seamus Heaney

 

Hope is one of these intangible commodities. If we lack or lose it we diminish our abilities both individually and collectively to achieve and to continue. It is an emotion which has been very present in a lot of the conversations and exchanges which I have had this week.

Hope was there when with others I attended the NHS Mobilisation meeting chaired by the Cabinet Secretary. It was a hope that through deliberate and focussed action we could begin to restore NHS and social care services to where they had previously been, learning lessons from the pandemic response and ensuring that we are as prepared as possible for the coming winter. It is a hope not based on day-dreaming but solid hard work which through a cautious ending of lockdown and opening up of society means that we will meet the current and future challenges of Covid19 with as much preparedness as possible.

Hope was there when I spoke to a manager who had to deal with the family of a co-worker who had died as a result of Covid19. It was there when I spoke to the family themselves. It was a hope that tomorrow would be better, that they would slowly be able to put back together the shattered pieces of their lives and find a new way of living without the strong presence of their loved one. It was a hope which they desperately needed to pull them through into their future  because right now they are drowning in the emptiness of loss and the pain of grieving.

Hope was there when I read a beautiful pain full letter from a mother unable to hug and hold her adult daughter because she lives in a residential home and is subject to the current restrictions on visiting, including the wearing of PPE and social distancing. The mother’s poignancy was the hope that the time would come soon when they could be properly together as once they had been in an intimacy of touch and belonging.

Hope was there when with so many others I was moved by the hundreds of stories which flooded Twitter and Facebook on Wednesday during Care Home Day as folks took time to share stories of amazing compassion and care; as they reminded us all that care homes are places of life and vibrancy, places where individuals are enabled to life to their fullest and when the time comes to end their days surrounded by dignity and solace. There was a real sense on Wednesday of a hope that sometime soon we will return to something like normal and that sounds of laughter and song, of banter and memory will fill the silence that has enveloped so many care homes. But in doing so without forgetting the pain and sadness of the last few months and with a desire to hold in fragile memory those who have been lost.

Hope is an essential requirement to enable all of us to find the energy to deal with challenge, whether professional or personal. I recognise that there are countless thousands who need to believe that there is hope. I know that too many have lost their jobs and their sense of self and personal worth as a result of this pandemic. I know that too many have been deeply scarred by the effects of lockdown on their mental health and wellbeing. I know that there are countless families who will never be the same because they have lost someone to the virus. I know too that there are thousands who fear for the future because they run a business or work for an organisation and are uncertain about how or when they can get back to ‘business as usual.’

So, hope is an essential commodity to enable life to flourish and for purpose to have direction.  

But and it is a big but – that hope has to be grounded in some degree of reality. Hope has to be rooted in truth and grounded in carefulness. As the poet Heaney says it is a hope that has to be worked for. So, it was with a sense of real despair I heard yesterday some of the words of Boris Johnson, the Prime Minister. I am deeply concerned that by suggesting that ‘It will all be over by Christmas’ that he is in danger of echoing the mistakes of those of a previous generation who thought that resolution and restoration would result with a quick victory over an enemy in 1914 and that all would be well by Christmas.

Covid19 will not be over by Christmas. We will live with it for many years to come. We will have to live with its pernicious ability to destroy lives and shatter love. But with discovery and ingenuity we will discover how to control and lessen its harm and how to heal those whom it hurts. But we are not there.

A false hope is a dangerous illusion because it prevents caution and fosters reckless action. Anyone who has lived through the hell of these last few months in the care home sector, who is still not able to freely see and be with loved ones, will know the huge sacrifices that have been made by so many. We risk throwing all that away, we risk the escalation of danger, should we be deluded into thinking that things are about to be sorted and solved. Hope has to be rooted in sense rather than expediency, lives matter more than anything and we cannot use them as the vehicle for populism. Hope has to be worked for.

So, I end the week with hope. It is a hope grounded in the knowledge that by safe and slow steps we are edging forward as communities and as a nation. It is a hope that we will support one another through the days ahead in a way that affirms our humanity, recognises the pain of others and upholds those who are most in need of support. It is a hope that by collective support and cautious planning rather than naïve rhetoric we will meet the challenges of the autumn and winter ahead.

For one thing I am sure of is that Covid19 has changed us all in ways which are unimaginable.

“The world is indeed full of peril, and in it there are many dark places; but still there is much that is fair, and though in all lands love is now mingled with grief, it grows perhaps the greater.” 

― J.R.R. Tolkien, The Fellowship of the Ring

Bereavement Charter Webinar – 30 July

Dear colleague,

You are invited to the first webinar to support the implementation of the first Bereavement Charter for adults and children in Scotland on Thursday 30th July between 15:00 and 16:30.

Chair: Dr Donald Macaskill, CEO of Scottish Care

Guest speaker: Mr Derek Feeley, former CEO of the Institute for Healthcare Improvement and of NHS Scotland

The aims of the webinar are to:

  1. Encourage buy-in to and support for adopting the Bereavement Charter within organisations
  2. Establish if/build a consensus for making the case to Scottish Government for national leadership and resourcing of infrastructure for bereavement support, especially reflecting anticipated growth in need due to Covid-19

To register and receive further information please reply to [email protected]

We look forward to meeting you there.

Camphill Scotland and Partners respond to post-Brexit plans for social care workers

The UK Government’s decision to exclude care workers from the proposed new fast-track Health and Care visa is reckless and will have far reaching impacts on both the health and care sectors across the UK, and on those people who rely on quality, human-centred care.

Camphill Scotland along with 50 partner organisations from across the UK including the ALLIANCE, SCVO, the Association of Camphill Communities, Scottish Care, Disability Wales, the Northern Ireland Council for Voluntary Action and UNISON, have raised serious concerns regarding post-Brexit impacts on the health and social care sector for some time. Brendan O’Hara MP lodged Amendment NC1 to the Immigration and Social Security Co-ordination (EU Withdrawal) Bill on their behalf, which was debated and subsequently defeated on 30th June by 344 votes to 247 votes.

The amendment called for an independent evaluation to determine the full impact of the ending of freedom of movement and of the introduction of a points based immigration system on the care, support and safeguarding for disabled adults, children and young people, and people with long term conditions or other support needs.

The announcement made by the Home Secretary earlier this week confirms the worst fears of the partnership of 50 organisations, and leaves the care sector confused and concerned as to how they will retain and recruit skilled, committed staff. Carers continue to be undervalued despite the incredible work they do and the positive life changing impacts they can have on the people who they care for and support.

Emma Walker, Director, Camphill Scotland said:

“This is a devastating blow to the care sector and the people who depend upon it most. The points-based immigration system places Camphill communities and care providers across the UK in a vulnerable position. Many questions remain unanswered but one thing is certain, and that’s the detrimental impact this decision will have on care provision.

For Camphill communities and other organisations who have international voluntarism embedded into their working practice, it’s a double-whammy. Cost of care will increase and the connections between our international volunteers and those that they work with will be lost.

Despite statements to the contrary, it is clear that the incredible commitment and work shown by our carers during the coronavirus pandemic has gone unnoticed by those who have made this decision. Clapping for carers each week is deeply insulting if the next act of government is to announce the curtain call.”

Professor Ian Welsh OBE, Chief Executive, Health and Social Care Alliance Scotland (the ALLIANCE) commented:

“Dedicated and committed social care workers provide invaluable support that enables disabled people and people living with long term conditions to enjoy their right to independent living and participate equally in – and contribute to – Scottish society. By excluding care workers from the proposed new fast-track Health and Care visa, the UK Government demonstrates a lack of understanding of the skilled and vital role played by the social care workforce.

This decision further perpetuates the lack of parity between health and social care, and underlines even more the need for an independent evaluation of the impact of the Immigration and Social Security Co-ordination (EU Withdrawal) Bill on the health and social sectors, as called for by the ALLIANCE, Camphill Scotland and 50 partners.”

Dr. Donald Macaskill, Chief Executive, Scottish Care said:

“It is a matter of the deepest regret that the Home Office has failed to take into account the representations made by the care sector in Scotland. The failure to recognise the distinctive social care needs of Scotland both in terms of its ageing population and workforce and the shortage of workers in Scotland in general is a matter of incalculable folly.

To initiate such dramatic restrictions on the ability of social care providers to recruit from outwith the United Kingdom and to fail to identify social care in the Shortage Occupation List beggars belief in the midst of a global pandemic.”

Alison Thomson, Chair of trustees, Tigh a’Chomainn Camphill remarked:

“The international volunteers that support our Camphill Community and many others across the UK provide a unique and very valuable support network to the vulnerable adults that we support. Over the last few months they have shown their true colours through their dedication and commitment to our Community. Despite pressures to return home they remained in the country and have played a key part in ensuring the good health and wellbeing of everyone at Tigh a’Chomainn Camphill.

Their efficacy speaks for itself – to date we have had no cases of Covid-19, and our care metrics indicate that despite the immense uncertainty people supported by Tigh a’Chomainn Camphill remained well and in good spirits. Good care must include health and social care. We call on the government at Westminster to reverse its decision and include all health and care workers in the health care visa scheme.”

Camphill Scotland, ALLIANCE, SCVO, the Association of Camphill Communities, Scottish Care, Disability Wales, the Northern Ireland Council for Voluntary Action, UNISON and our partners totalling 50 organisations across the UK will continue to pursue the issues raised by Amendment NC1 to the Immigration and Social Security Co-ordination (EU Withdrawal) Bill with Peers of all parties and groupings in the House of Lords.

Care Home Day 20

Here are some pictures and videos from last year’s Care Home Day that we would like to share: