Dumfries & Galloway Health & Social Care

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Grateful thanks for support shown for stretched health and social care system

GRATITUDE is being expressed for the support shown to the region’s health and social care system in the face of major challenges.


It follows a request to communities to take actions which can support the system, and for families and loved ones of hospital in-patients to help facilitate a speedy discharge.


Dumfries and Galloway Health and Social Care Partnership Chief Officer Julie White said: “We’re very grateful to everyone for the responses we’ve seen after we highlighted the very serious pressures being felt right across health and social care in Dumfries and Galloway.


“Even just being aware of the pressures and being prepared for and understanding our current limitations is of help and appreciated.”


Mrs White added: “As we noted, staffing pressures are a fundamental aspect of the current pressures right across our system.


“Although we have sizable numbers of people needing treatment in hospital, we simultaneously have seen significant increases in the number and complexity of people who require support to remain in their own homes and to return home from hospital. Recruitment challenges are limiting our ability to meet this increased need.


“This is despite recent success recruiting to Dumfries and Galloway Council’s in-house Care and Support Services (CASS), where the enlisting of 32 staff equated to a further 784 hours of care provision – supporting the care at home visits in our region which now total 80,000 every single week.


“As a consequence, you will hopefully be aware of the concentrated and ongoing recruitment activity aimed at bolstering our care at home services – supported by the increase in pay for this sector announced by the Cabinet Secretary for Health and Social Care.


“As that work continues, we are recruiting health and care support workers to help support care at home services, and we have multi-disciplinary teams reviewing people’s needs and identifying new and alternative ways of meeting those needs.


“We’re evolving our ways of working, developing models which will look to safely maximise hospital discharges and looking at options for how people requiring long-term care can be supported in the interim until that longer term arrangement is in place. Thanks to our Community Nursing Teams, our STARS team, social care teams and the staff deployed from our empty cottage hospitals, we are now supporting more than 100 people at home who would have otherwise been delayed in hospital awaiting packages of care.


“Huge credit and appreciation needs to be voiced for the many thousands of unpaid Carers in our region, as without them our health and social care systems would simply not be able to function. The pandemic has led to an increasing number of people becoming Carers as well as adding to the huge impact that caring has on those who were already caring.

“This current situation may mean that there could be added requests made of families and Carers at this time and we acknowledge the added pressure this may cause. It is important that Carers are considered as partners alongside our health and social care teams and made aware that there is support available to them via local organisations like D&G Carers Centre and others who can provide ongoing information, advice and support to anyone caring for a relative or friend.


“Technology continues to evolve, and we are looking to harness developments there which can help across all of health and social care. The use of technology to support people to be as independent as possible at home will be a key feature of our work this winter.


“Meanwhile, we are reconfiguring our approaches so that we have Mountainhall Treatment Centre now supporting the flow of patients out of DGRI, and staff being deployed to where they can help people to safely return to their homes as soon as possible – which is the central ethos of our Home Teams way of working across our communities.

“And very significantly, work is taking place with the region’s third sector partners around the role they currently, and could in future, play in supporting people to live in their own homes. I am also very grateful to our Police Scotland colleagues and our Scottish Fire and Rescue Service colleagues who are offering their support to help with things such as welfare checks on our most vulnerable people, and the ongoing vital work carried out by the Scottish Ambulance Service.”


All of these actions are being supported by an increase in funding received from the Scottish Government.

However, Mrs White warns that money in itself is not the solution to the challenges still weighing very heavily across the region’s health and social care system.


Mrs White said: “The bottom line is that this is about people. It’s about increases in the number of people in our region who need treatment and support, as our population continues to age.

“It’s also about challenges in finding the staff and volunteers from our working age populations to meet those needs.


“And it’s about how everyone accesses health and social care, how we maximise the existing resources, and how we help look after ourselves and each other to try and make certain that our systems work to ensure everyone gets the right level of care, in the right place, at the right time.”

‘Serious’ situation in region’s health and social care sparks community call

A VERY serious situation now exists across the health and social care system in Dumfries and Galloway – currently experiencing the greatest pressures in living memory. 

Direct requests are now being made to families and loved ones of hospital in-patients to provide whatever support they can to facilitate a speedy discharge, and help address major pressures. 

Julie White is Chief Officer of the Health and Social Care Partnership and Chief Operating Officer of NHS Dumfries and Galloway, and she said: “We are in an unprecedented situation. 

“Never in the living memory of health and social care services in Dumfries and Galloway have we been faced with such pressures. Not with the move to the new DGRI back in 2017, not in the worst of any winters… this is a whole new level of pressure. 

“And we can’t promise that it’s not going to get any worse. 

“Our fundamental issue at the moment is the volume of people who genuinely require our help and support and finite staffing resource available to meet those needs. We are doing our best to recruit more staff to support us but the pressure is immediate. 

“So today we are not just looking for the ongoing support of our incredible staff and volunteers, but also from our communities. 

“To families and friends of loved ones currently in our care, anything you can possibly do to help support the return of that person to their home environment will assist us in ensuring we are then able to help others. 

“Get in touch with our teams, guide our approaches, suggest ways in which we can accelerate their return home. 

“For the wider community, anything you can do to help support us at this time will be met with immense appreciation. Help us by following guidance which sets out where to seek the most appropriate source of help if needed, but, if it is needed, please do come forward. Please continue to be tolerant and understanding as we make some really difficult decisions to manage this unprecedented demand. 

“To be clear, we will always be here to provide treatment and care – but the limits of what we are able to do continue to be stretched to new degrees, and I am extremely concerned about how much further these resources can stretch.  

“As noted, we can’t guarantee that this current situation won’t worsen still, but right now we want everyone to understand just how difficult things are, to help in any way they can, and ask them to be as supportive and polite as possible to the amazing staff and volunteers who remain professional and caring – no matter how difficult and testing the circumstances.”  

Extreme pressures facing region’s health and social care system

EXTREME pressures are currently challenging the health and social care systems across Dumfries and Galloway. 

Urgent meetings have been taking place among clinical and care managers, as they work to address both the pressing short-term issues and the prospect of very serious challenges heading into the winter months. 

In a bid to try and manage the current pressures which include increased demand and staffing shortages exacerbated by the pandemic, a decision has been made to scale back elective clinical procedures scheduled to take place at Dumfries and Galloway Royal Infirmary over the next two weeks. However, urgent and cancer procedures will go ahead. 

A bid to convey the scale of the challenges facing everything from care at home services to hospitals comes as Dumfries and Galloway Health and Social Care Partnership Chief Officer Julie White delivers a sober message to its incredibly hard working and resilient staff and volunteers. 

In her message, Mrs White said: “It’s been an incredibly difficult 18 months for everyone, where we’ve all felt the impact of COVID-19 in just about every aspect of our lives. Right now, significant pressures are facing our Health and Social Care Partnership as we head into the most challenging winter period ever faced.” 

Addressing the current challenges, Mrs White said: “For a number of years the health and social care partnership has faced the dual challenge of increasing demand against the backdrop of difficulties around recruitment to the workforce. 

“The pandemic has only served to accelerate this problem. Many people have avoided seeking help because of COVID, have been confronted with delays, or have been isolating at home – becoming weaker or more frail.   

“As has long been the case, recruitment to jobs within the area remains a challenge, but encouraging, innovative approaches are being driven forward which do provide hope for an improved situation going forward. 

“However, right now we’re in a position where problems stored up during the pandemic are really biting. 

“Staff across the whole of the health and social care system are incredibly stretched, and we’re desperately short on the care staff who can help support people in the environment that’s right for them – such as the comfort and familiarity of their own home. 

“I was incredibly heartened to see the announcement this week that pay for care at home staff is set to increase. These carers are the largely unsung heroes of our communities, providing support, help and comfort to so many of the most vulnerable people in our region. 

“We desperately need more people to embark into this as a career which should see them better rewarded and celebrated. We are currently in the process of developing a far-reaching recruitment aimed at significantly increasing care at home capacity. 

“However, in the short term, we face real challenges providing care and support to our population in a system that has been radically changed by the consequences of managing the pandemic.” 

  • A request is being made for people to first and foremost understand and appreciate the enormity of the challenge facing the health and social care system. 
  • Beyond that, an ask is being made to understand that difficult decisions have been taken to address the pressures across the system, including for example the decision to scale down elective procedures, decisions in extremis to have two patients within a limited number of rooms within DGRI, to maximise capacity within cottage hospitals as staffing allows, and decisions to place people in alternative NHS and care facilities whilst awaiting support in their own home. 
  • Getting to this stage in the pandemic has relied on the region’s communities supporting services, and being tolerant and patient as we adjust systems to respond to the greatest need. Whilst we recognise that delays to treatment or disruption to care will lead to frustrations, please appreciate that this is also felt very acutely by the staff seeking to provide treatment and care. Civility and support in all circumstances is greatly appreciated. 
  • Finally, an invitation is being extended to help maximise the provision of treatment and care. Anyone with a loved one requiring care who can offer help or suggestions as to how we best meet the needs of their loved one is encouraged to take up a conversation with that person’s Social Work representative. 

Mrs White said: “I have never seen health and social care systems in our region under so much pressure, and unfortunately this level of pressure may continue for some time to come. 

“We really want everyone to have an insight and understanding as to just how challenging things have become through a combination of factors fuelled further by the pandemic. 

“Our responsibility is to the people of Dumfries and Galloway, and whilst the situation remains extremely challenging we are investing significantly in order to address the workforce challenges in particular to ensure that we are in the best position to meet people’s needs. 

“Anyone requiring help should not be deterred from coming forward, but to try and ensure they pursue the most appropriate means of help in the first instance from a range of options – be that a visit to their community pharmacist, visiting the NHS Inform website, contacting their GP practice, calling NHS 24 on 111 or dialling 999 in the case of an emergency.” 

Dental practices under great pressure

Although restrictions around COVID-19 have now been eased thanks to the vaccination programme, health and social care services are busier than ever.

Major adaptations were required in areas such as dentistry in order to address safety risks posed by the coronavirus, and many of these restrictions remain in place while work is undertaken to tackle a considerable backlog of treatment.

NHS Dumfries and Galloway Manager for Dental Services Julie Hunter said: “Dental Practices across Dumfries and Galloway are experiencing high volumes of demand for NHS care. 

“Due to lockdowns and safety measures limiting the numbers of patients that can be seen daily, practices are finding themselves with very large backlogs of patients requiring appointments. 

“So while dental practices in Dumfries and Galloway are open, a priority is being given at present to dental problems that are emergency or urgent in nature.

“The backlog of patients owing to the COVID-19 pandemic and the continuing additional measures required to deliver safe care for patients may result in longer waiting times for routine care.

“While every effort is being made to reduce these backlogs, it means that some practices may not be in a position to offer new patient registration appointments.

If you are already registered with an NHS dental practice, then the practice is required to provide care for you in an emergency or if you have an urgent dental problem. You should make contact with your dental practice as early in the day as possible. 

If you are registered with a practice, please contact the practice directly who will advise when you can expect to be seen.

However, emergency dental support is available for anyone not able to access help.

In the case of an emergency on a Monday to Friday:

  • 8am – 6pm Call the Dental Helpline – 0845 6026417
  • 6pm – 8am Call NHS 24 – 111

On a Saturday or Sunday:

  • Call NHS 24  – 111

Draft IJB Annual Accounts for 2020/21 out for consultation

The Unaudited Draft Dumfries and Galloway Integration Joint Board (IJB) Annual Accounts for 2020/21 are now out for public consultation. 

The IJB was established as a body corporate by order of the Scottish Ministers on 3 October 2015 as part of the establishment of the framework for the integration of Health and Social Care in Scotland under the Public Bodies (Joint Working) (Scotland) Act 2014.  

The IJB has responsibility for the strategic planning and delivery of a defined range of Health and Adult Social Care services for the residents of Dumfries and Galloway.  

The Draft Annual Accounts for 2020/21 opens with an overview of the key messages in relation to the objectives and strategy of Dumfries and Galloway Integration Joint Board (the IJB) and its financial performance for the year ended 31st March 2021.  

It also provides an indication of the risks and challenges which may impact upon the finances of the IJB in the future. 

The Draft Annual Accounts for 2020/21 can be read by visitinghttps://dghscp.co.uk/useful-documents/ 

Any comments should be sent to the email address katy.kerr@nhs.scot by the end of July 29 2021. 

How to access GP services during COVID-19

COVID-19 has affected every aspect of health and social care, including how we access services delivered through GP practices.

Please watch this short animated film about arrangements in Dumfries and Galloway, and how you can access help from your practice, with accompanying translations below in multiple languages…

 

Koronawirus (COVID-19) zmienił sposób, w jaki wiele usług zdrowotnych jest świadczonych.
Nie wszystkie przychodnie lekarza ogólnego pracują w ten sam sposób, ale jeśli pacjenci muszą skontaktować się ze swoją przychodnią, z jakichkolwiek powodów, istnieje kilka ogólnych sposobów, aby uzyskać dostęp do usług.
W wielu przypadkach najlepiej skontaktować się ze swoją przychodnią telefonicznie. Personel będzie w stanie odebrać telefon, odpowiedzieć na pytania oraz udzielić informacji. Wszystkie podane informacje są poufne. W przypadku problemów ze zdrowiem pacjent uzyska pomoc w ich rozwiązaniu.
Oprócz kontaktu telefonicznego niektóre przychodnie oferują obecnie system eConsult. Oznacza to, że pacjenci będą mogli wysłać do nich e-maila, w którym opiszą swój problem. Wiadomość e-mail zostanie przetworzona przez ten system i szybko rozpatrzona.
Przychodnie medyczne zmieniały i rozwijały się już przed COVID-19, oferując usługi wielu profesjonalistów. Dzięki temu, że istnieją farmaceuci, pielęgniarki wyspecjalizowane w zdrowiu psychicznym oraz profesjonaliści o wyższym wykształceniu, lekarz ogólny może nie być najlepszym źródłem kontaktu w celu uzyskania pomocy w rozwiązaniu danego problemu.
Jeśli pacjent musi porozmawiać lub zobaczyć się z jednym z tych profesjonalistów, istnieje na to kilka sposobów.
Wizyta może odbyć się przez telefon. Będzie można wtedy porozmawiać na temat swojego problemu i uzyskać pomoc w jego rozwiązaniu.
Można także skorzystać z bezpiecznego połączenia wideo poprzez system o nazwie NHS Near Me. Już od pewnego czasu można było korzystać z tego systemu, jednak obecnie działa on na większą skalę. Jest to bezpieczny, wygodny i łatwy sposób na zobaczenie się z lekarzem, bez konieczności wychodzenia z domu. Można to zrobić, korzystając z komputera stacjonarnego, laptopa, tabletu lub telefonu. System NHS Near Me nie jest wskazany dla wszystkich. Jego celem nie jest zastąpienie innych usług. Jest to kolejny bezpieczny sposób na rozmowę z lekarzem.

新冠病毒 COVID-19 讓很多衛生醫療服務的運作方式發生了改變。
並不是所有全科醫生診所都採用相同的工作方式,但是如果您因為任何原因需要聯絡診所,有一些常用的方式可供您獲取服務。
大部分情況下最好的方式是透過電話聯絡診所。將有工作人員接聽您的電話、回答問題並提供資訊,所有這些過程均完全保密。如果您有醫療問題,他們可幫您以最佳方式解決問題。
除了來電以外,有些診所現在採用了一種名為 eConsult 的系統,可供人們透過發送電郵來諮詢問題。收到電郵後,系統會對郵件進行評估並迅速進行處理。
在 COVID-19 來襲之前,醫療實踐就一直在不斷變化和演進,有各個領域的專業人士能夠提供幫助。藥劑師、心理健康護士和高級執業人員的加入意味著全科醫生並不一定是可幫助您解決問題的最佳選擇。
如果您需要與其中一位醫療專業人士交談或獲得其診治,現在有多種選擇。
可以通過電話預約,您可以在通話時與專業人士討論您的問題,他們可以提供幫助。
另一種選擇是使用 NHS Near Me 系統進行安全的視訊通話。該系統已使用了一段時間,但現在正在更大範圍推廣。它提供了一種安全、便捷和輕鬆的方式與醫療專業人士面對面交流,您可以使用 PC、筆記型電腦、平板電腦或電話在家中舒適地進行交流。NHS Near Me 並不適合所有人,也不能替代任何服務,而是提供了另一種安全的方式與醫療專業人士交談。
由於存在 COVID-19 傳播的風險,現在對全科醫生診所的訪問受到頗多限制,但是許多人仍然需要親自前往全科醫生診所團隊就診,每個診所中都已採取適當措施,確保就診過程盡可能的安全和輕鬆。

冠状病毒 COVID-19 改变了众多医疗保健服务地点的运作方式。
并非所有 GP 诊所都以完全相同的方式运作,但是如果您出于任何原因需要联系他们,仍可以通过多种常用方式获得服务。
大多数情况下,与您的诊所联系的最佳方式是打电话。会有工作人员负责接听您的电话、解答您的问题并为您提供所需信息,您的来电信息以及所有通话内容都将被完全保密。如果您有医疗方面的问题,他们将帮助指明以最佳方式解决问题的方向。
除了接受电话问询外,一些诊所现在还采用了一个名为 eConsult 的系统,人们可以通过此系统发送包含自己的问题的电子邮件。电子邮件被接收后,会在整个系统中进行分派,以便快速得到处理。
早在 COVID-19 开始传播之前,医疗诊所就一直在经历着变革和发展,一系列专业人员都可以提供帮助。药剂师、心理健康护士和高级从业人员的加入意味着 GP 可能并不总是可以帮助解决您的问题的最佳人选。
如果您需要向上述任一医疗专业人员进行咨询或预约看诊,现在可以有多种选择。
可以通过电话进行预约,预约过程中,您可以向专业人员谈及您的问题,他们可以提供帮助。
另一种选择是使用 NHS Near Me 系统进行安全的视频通话。该系统启用至今已有一段时间了,只是现在正日益普及。它提供了一种安全且便捷的问诊方式,让您可以通过 PC、笔记本电脑、平板电脑或电话,足不出户地与医疗专业人员进行“面对面”交流。NHS Near Me 并不会适用于所有人,也不是为了要取代任何服务地点,它只是提供了另外一种安全的与医疗专业人员交流的方式。
鉴于 COVID-19 传播所带来的风险,现在到访 GP 诊所受到更多限制;但还是有很多人需要亲自拜访一个 GP 诊所团队进行就诊,每个诊所都已为此做好相应安排,以确保就诊过程尽可能安全且方便。

Koronavirüs COVID-19 birçok sağlık hizmetinin sunulma biçimini değiştirdi.
Pratisyen hekimlik hizmetlerinin tamamı aynı şekilde yürütülmüyor fakat herhangi bir sebeple iletişime geçmeniz gerektiğinde hizmetlere ulaşmanın çeşitli yolları mevcuttur.
Çoğu durumda alacağınız hizmete ulaşmanın en iyi yöntemi telefonla iletişim kurmaktır. Telefonu açacak, sorularınızı yanıtlayacak ve size bilgi verecek personel mevcut ve tüm bu iletişim tam gizlilik içinde yürütülüyor. Tıbbi bir sorununuz olduğunda personel sizi en iyi şekilde yönlendirecektir.
Bazı tıp merkezleri artık telefon üzerinden iletişimin yanı sıra insanların sorunlarını e-postayla iletebildikleri eConsult sistemini de kullanmaya başladı. Alınan e-posta bu sistemde değerlendiriliyor ve en kısa zamanda konuyla ilgileniliyor.
Tıbbi uygulamalar, yardım sunabilen çeşitli uzmanlarla birlikte daha COVID-19’dan önce değişip dönüşmeye başlamıştı. Eczacılar, psikiyatri hemşireleri ve uzman hekimler de değerlendirmeye katıldığında, bir pratisyen hekim her zaman sorununuzda size yardımcı olabilecek en uygun kişi olmayabilir.
Bu tıp uzmanlarından biriyle konuşmanız ya da görüşmeniz gerekiyorsa artık çeşitli seçeneklere sahipsiniz.
Randevu telefon üzerinden gerçekleştirilebilir ve uzmana telefonda sorununuzu anlatıp ondan yardım alabilirsiniz.
Bir diğer seçenek de NHS Near Me sistemini kullanarak güvenli bir görüntülü arama yapmaktır. Bu sistem bir süredir kullanılmaktaydı ancak şimdi daha yaygın hale getiriliyor. Sistem, bir masaüstü ya da dizüstü bilgisayar, tablet veya telefon kullanarak çoğunlukla evinizin rahatlığında bir tıp uzmanıyla yüz yüze görüşmenin güvenli, rahat ve kolay bir yolunu sunuyor. NHS Near Me herkes için uygun olmayacaktır ve herhangi bir tıbbi hizmetin yerini alma amacını taşımamaktadır fakat bir tıp uzmanıyla konuşmanın başka bir güvenli yolunu sunmaktadır.
Pratisyen hekimleri görme imkanı COVID-19 bulaşma riski nedeniyle artık daha sınırlı fakat halen birçok kişinin ekip içinden bir pratisyen hekimi bizzat görmesi

غيّر فيروس كورونا ومرض كوفيد-19 الذي ينتج عنه، طريقة تقديم الكثير من الخدمات الصحية:
فلا تعمل جميع العيادات الطبية غير المتخصصة بنفس الطريقة التي اعتدنا عليها، ولكن إذا احتجت إلى الاتصال بنا لأي سبب كان، فهناك عدد من الطرق التي يمكنك استخدامها للحصول على الخدمات الصحية.
وأفضل طريقة هي الاتصال بالهاتف؛ وسوف يرد فريق العمل على مكالمتك ويُجيب عن أسئلتك ويوفر المعلومات اللازمة لحالتك بسرية تامة. وإذا كانت لديك مشكلة طبية، فسوف يُساعدك على التعامل معها بأفضل طريقة ممكنة.
إضافة إلى الاتصال الهاتفي، تدعم بعض العيادات الآن نظامًا يُعرف باسم eConsult (الاستشارة الإلكترونية)، الذي يسمح للمرضى بإرسال مشكلاتهم بالبريد الإلكتروني. يقيّم النظام الرسالة الإلكترونية عند وصولها ويتعامل معها بسرعة.
شهدت الممارسات الطبية تغيرًا وتطورًا مستمرين قبل بدء انتشار كوفيد-19 بفضل باقة من الخبراء المستعدين دائمًا لتقديم يد العون. ويعني وجود الصيادلة وتمريض الصحة النفسية وممارسي الرعاية الصحية المتخصصين أن الممارس العام قد لا يكون دائمًا أفضل شخص لمساعدتك في مشكلتك.
إذا كنت ترغب في الحديث مع أحد اختصاصي الرعاية الصحية أو ترغب في الخضوع لفحص، فهناك مجموعة متنوعة من الخيارات المتاحة حاليًا.
يمكنك تحديد موعد عن طريق الهاتف للحديث مع الاختصاصي بخصوص مشكلتك وتقديم المساعدة لك.
ومن الخيارات المتاحة الأخرى: مكالمة فيديو آمنة باستخدام نظام NHS Near Me. لقد كان هذا النظام مستخدمًا لبعض الوقت، ولكنه أصبح أكثر انتشارًا الآن؛ لأنه يوفر وسيلة آمنة مريحة وسهلة لاستشارة اختصاصي الرعاية الصحية وجهًا لوجه، وأنت مرتاح في منزلك باستخدام الكمبيوتر الشخصي أو الكمبيوتر المحمول أو الجهاز اللوحي (تابلت) أو الهاتف. ولن تكون خدمة NHS Near Me مناسبة للجميع، كما أنها ليست بديلاً عن أي خدمة، ولكنها تقدم طريقة أخرى آمنة لاستشارة اختصاصيي الرعاية الطبية.
أصبحت زيارات العيادات الطبية غير المتخصصة محدودة الآن نظرًا لمخاطر مخالطة المصابين بكوفيد-19، ولكن ما زال هناك الكثيرون ممن هم في حاجة إلى زيارة العيادة والمتابعة مع الطبيب شخصيًا، وقد وُضعت ترتيبات في كل عيادة لضمان حدوث ذلك بأكبر قدر ممكن من الأمان والسهولة.
إذا كانت لديكم أي أسئلة بخصوص الاستفادة من الخدمات الطبية غير المتخصصة في هذا الوقت، فيُرجى الاتصال هاتفيًا بالعيادة المحلية. يُمكنكم الاطلاع على تفاصيل التواصل على الموقع الإلكتروني: www.nhsdg.co.uk تحت العنوان “Find services near me” (العثور على خدمات بالقرب مني”.