This year’s Summer bulletin has now been published online and is available to view.
Summer Bulletin 20COSLA – Updated Provider Sustainability Principles
Letter from Crown Office and Procurator Fiscal Service on Covid-19 deaths
Further to the revised guidance for investigating Covid-19 deaths from the Lord Advocate. The Crown Office and Procurator Fiscal Service (COPFS) have issued a letter with further information on how these investigations will be carried out.
”Letter
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Covid-19 Membership Offers – Training Hub
Covid-19 interim guidance on the wider use of face masks in health & social care
Please see below for letter from the Chief Nursing Officer and the Interim Chief Medical Officer on the Covid-19 Interim Guidance on the wider use of face masks and face coverings in health and social care.
The guidance can be found here.
2020-06-16 COVID19 CNO CMO letter re use of face masks and face coverings Health Boards and Scottish Care FINALCovid-19 interim guidance on the wider use of face masks in health & social care
Please see below for letter from the Chief Nursing Officer and the Interim Chief Medical Officer on the Covid-19 Interim Guidance on the wider use of face masks and face coverings in health and social care.
The guidance can be found here.
2020-06-16 COVID19 CNO CMO letter re use of face masks and face coverings Health Boards and Scottish Care FINALGlasgow Area – Submission of Additional Cost Incurred During COVID-19 Pandemic
Scottish Care responds to Scottish Parliament statement on the use of face masks
Today (23 June), the Cabinet Secretary for Health & Sport made the following statement in the Scottish Parliament regarding the use of face masks:
“Face masks will now be worn in hospitals and care homes for adults by all staff who have contact with patients or residents.
“Outpatient, day case attendances and visitors will be asked to wear a face covering.
“This new measure is designed to reduce the risk of transmission from the person wearing the mask or face covering.
“Guidance on this for Health Boards and employers will issue this week and be effective from 29 June.”
In line with existing PPE guidance, staff will be expected to wear medical grade masks for this wider use. For visitors to care homes, this should be face coverings along the lines of what has been recommended more recently for transport and for entering other areas where physical distancing is more difficult (e.g. supermarkets).
Scottish Care welcomes this announcement, which we first called for on 29 April. We consider it to be one of a number of important measures in protecting residents and care home workers from Coronavirus infection and spread and one which will be increasingly important as lockdown measures are eased.
We look forward to the issuing of guidance around this extended use of face masks in health and care settings. It will be important to consider how professional judgment can be exercised around the wearing of masks when supporting individuals with dementia, those who lip read or who are experiencing significant distress. It will also be important to ensure that care homes can continue to access the number of masks required at a sustainable cost as demands on the supply chain are likely to increase, and we continue to be grateful to the Scottish Government for their PPE support to care services through the triage and hub system.
Scottish Care wants to see the extension of this announcement to health and care staff in the community, including in care at home settings. These individuals are also at greater risk of infection transmission and spread, not least as visiting restrictions across the population ease. They require recognition and consistency in PPE use between themselves and colleagues in other health and care settings and sectors.
Friendship Through the Ages

The Indigo Childcare Group has been working on an intergenerational programme – ‘Friendship Through the Ages’. As part of this, they recently dropped off a selection of artwork from their children and families to Cartvale Care Home.
Residents and the care home manager, Jean were really appreciative of the children’s work. Photos below show residents holding up the artwork to their windows, smiling and waving.
A representative from the Indigo Childcare Group said:
“At The Indigo Childcare Group, we recognise the huge benefits of Intergenerational interaction. We are looking forward to working with Scottish Care through our ‘Friendship Through the Ages’ programme to provide engaging, exciting opportunities for two age groups to come together and create friendships.”

Being the midwives of care in a pandemic: reflections on authentic leadership
The history of any battle is often the narrative of those who are victorious and those who are the powerful. As a result, most of the history which has been written and taught has been at the cost of remembering and recognising those who have really led the struggle and achieved the victory.
The remembrance and story of Coronavirus in Scotland in the last few months should be one about leadership – but not the leadership of the loud and visible, not the narrative of the strident and self-advocating, not even with respect about the decisions of politicians and scientists, but of those who have rolled up their sleeves to do the work of care, those who have sat with the dying and those who have spent themselves in the giving of life and love to stranger and friend alike. They have been the real leaders of this hour.
There has been true and remarkable leadership during Covid19 in Scotland and in my blog this week I want to reflect on that leadership both to recognise it and treasure it.
A long time ago I used to teach theories of leadership in a vain and I fear forlorn attempt to try to teach people about how to better manage group dynamics and inter-personal relationships. I have forgotten most of what I taught – as doubtless my listeners have – but one or two things have stuck with me. One was the concept of maieutic leadership.
Maieutic comes from “maieutikos,” the Greek word for “of midwifery.” It is a style of leadership which strikes me as entirely apposite for the current times.
A midwife is someone who is immensely important during a birth. S/he is someone who provides support, comfort and assurance. Through encouraging word, by physical presence of a holding hand or wept brow, she enables the mother to bring her baby to birth. Despite all the advances in the technology of birthing it is still this essential human accompanying that is the midwife’s greatest gift and capacity. It is not she who does the work, but she who enables life to happen. She is present at all times, like the support of a bridge that enables you to cross from one side of a river to the other, she is the enabler of fulfilment, the supporter of new beginnings, but she leaves the work and autonomy to the individual mother.
A maieutic leader is someone who is such an enabler. She is present to provide structure and support. The task to be achieved is not one that she as a leader needs to do for personal fulfilment but she creates the conditions, through word, action and presence to enable it to happen. Her knowledge rests quietly, her creativity sits silently, her intervention only necessary if it is needed, but throughout she gives assurance by presence and skill.
Who have been the leaders in these past few months?
The women and men who get up every day and leave their families to go to a care home or to work in the homes of others during this pandemic have surely been the real leaders of these times. They may not recognise themselves as such, they may indeed be uncomfortable both with the concept and the recognition, but it is true, nevertheless. I hope we have all of us come to a better sense of appreciation of the human skills, technical abilities and personal humanity of the thousands who work in social care. Before all this they were described as ‘low-skilled’. This demeans their abilities and capacities and it equates knowledge with that which is possessed through academia alone, rather than affirming the emotional intelligence and human capacity of thousands. The work of care is not easy and should not be romanticised. It is raw, dirty, physical and often upsetting. But these women and men have been in the forefront of the struggle against the pernicious virus we have all faced. That is true leadership, often working autonomously, beyond personal energy and frequently without appropriate recognition. They deserve to be known as the true frontline leaders against Covid19.
There is another group of people whose story might often be forgotten, and they are the managers and supervisors of our health and care services. This last week I received messages from quite a few managers which made me aware of the sheer exhaustion these individuals have been working under, especially in care homes. They have been there from the beginning. At the start they dealt with the upset of starting lockdown, they have struggled with the issues of PPE, of infection control, of testing, of staff absence. They have met head on the need to reassure, encourage and enable others despite all the challenges including in many instances the real grief of dealing with multiple deaths. They have worked long hours with colleagues to keep morale up and to ensure that despite the inhumanity of what was expected, that residents were kept positive and as healthy as they could be. They have dealt with the increasing and at times overwhelming demands put upon them by the system through scrutiny, from constant reporting and increased paperwork, from multiple sets of guidance and new requirements. In recent days they have had to manage the very real desire and pain of families to reconnect and to start the preparations for the restoration of visits and contact. These women and men have been amazing and deserve to be seen as leaders against Covid19.
And my last group of people who have been leaders at this time and who might be too easily forgotten are the residents in care homes and people living in their own home, the families and relatives of all who have had to be isolated and sheltered. This has been hell on earth for so many because no matter how we dress it up the response to the virus has effectively meant that people have been shut away from those they love the most. This is changing for many outside our care homes, but the threat and prevalence of the virus has still not led to the decision to formally open up visiting. Every day I speak to someone or read messages from someone who is enduring the agony of separation and becoming more and more frightened about what they might find when they see their relative again. This is achingly hard but the strength of character and resolve, the determination of those families to see change which is safe and speedy, the advocacy of family to uphold the human rights and dignity of their loved ones at a time when policy appears cold and disinterested in the personal, is and has been an act of courageous leadership. This is not an easy time and it has and is taking astonishing strength of resolve and character for residents and families to keep going. I only hope that the end of that particular pain is coming very close. This has been real leadership.
So the true leaders in the fight against coronavirus are not those keyboard warriors who use words to show superiority or to prove a point; they are not those who seek personal advance or popular esteem; not those who score political points but are distant from decision-making; not those who point fingers at those who really are out there fighting. The true leaders over the last few weeks are the same folks who are still today fighting the presence of this virus. They are the frontline workers who are bringing compassion and solace, comfort and assurance, doing their hardest despite all that is hurtful and hard. They are the managers and supervisors encouraging yet more from a drained group of staff and showing their own willingness to muck in and show the way. They are the families and residents who are pulling us all to that point in the horizon of hope which we want to reach soon.
I hope that when the story of this virus is told in months and years to come that we will remember the maieutic leadership of those who care and are cared for. It has been and is leadership of true authenticity, nothing false but completely real. Not loud and brash, but strong and tender; not talking but doing, not draining but affirming.
I hope we can shape leadership in the rest of society and in all our relationships. It will be a future worth living in and working towards if it is one where those who uphold others, who wipe tears away in aloneness, who use a word of quiet to encourage, an arm to uphold a weakened spirit, where their maieutic skills become the norm.
To all who lead today. Thank you
Donald Macaskill

