Dumfries & Galloway Health & Social Care

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COVID forces suspension of procedures and services

A CONTINUING increase in coronavirus cases has seen Dumfries and Galloway Health and Social Care Partnership make difficult decisions to suspend or alter a range of routine services. 

The significant rise in new COVID-19 related admissions to DGRI has prompted moves aimed at creating capacity to deal with the rising demand for health and social care provision – which is now greater than at any point during the first wave of the pandemic.  

The decision has been taken to suspend some non-urgent, non-cancer elective or planned procedures. 

Meanwhile, some community social care services are being suspended, reflecting the dangers posed by a strikingly high rate of the new, highly transmissible B.1.1.7 variant which is fuelling the local outbreaks. 

Dumfries and Galloway Health and Social Care Partnership Chief Officer Julie White said: “Decisions to suspend services are never taken lightly, and we have held off as long as it was safely judged to do so before implementing these actions. 

“To be very clear in respect of planned healthcare procedures, this is not a complete suspension. Our goal is to preserve our ability to undertake procedures deemed urgent by our clinical teams and to ensure that patients with cancer continue to receive timely treatment and support.   

“Where possible, however, we are halting non-urgent clinical appointments for outpatients, day surgery and theatres in order to ensure we have the capacity to provide immediate help to those in most need.   

“Patients can be assured that our clinical teams will assess our referrals to ensure that those most in need of urgent care are prioritised.  We will keep these measures under review and will aim to get routine work back up and running as soon as is safe to do so. 

“Although our hospitals are facing pressures around capacity, we are managing this situation – with contingency plans in place to increase capacity as required.” 

Changes are also being implemented which affect GP practices in the region, with many practices focusing again on the provision of urgent care and support to their local patients.  

Again this decision has been made in order that GP teams can support the assessment of patients with suspected COVID-19 in their local communities, although this will be undertaken virtually in most cases. This move will also enable GPs to focus on those patients with other urgent needs and conditions within their local communities, ensuring that admissions to hospital are avoided wherever possible and safe to do so.   

Given the increasing levels of infection across the region, the Health and Social Care Partnership has also taken the decision that all adult respite units, adult day services and Activity and Resource Centres should only provide services to those in critical need at this time. 

Additionally, given the specific concerns in the west of the region in terms of particularly high COVID infection levels, a decision has been made to suspend the ARCs in both Stranraer and Newton Stewart. 

Currently, the advice being promoted by the Scottish Government is that the best way to stop the spread of COVID-19 and to protect ourselves and communities is to stay at home as much as possible. 

Julie White said: “While none of this is what we would want, given all the work that’s been undertaken over many months to safely restore our services following the response to the first wave of COVID, these outcomes are the result of carefully considered decisions aimed firstly at reducing the spread of COVID-19 in our communities and secondly at ensuring that our staffing resource is utilised to support those most in need. 

“Changes are also being implemented in the provision of Care at Home services within the Partnership. Our first consideration will continue to be for the wellbeing and safety of the individuals who receive our care at home services. Currently, however, due to pressures created by the pandemic, we are severely limited in the availability of care to meet needs across the region. We will therefore be working with our care providers, service users and their families to ensure that we provide a safe level of care for individuals whilst asking for flexibility in order for us to facilitate discharges from hospital.   

“The first round of vaccinations have now been completed in each of the region’s 31 older adult care homes. We will continue to work with our local care home providers to optimise the use of these facilities to help meet people’s needs just now on both a permanent and short term basis to respond to the crisis.   

“We very much hope to be able to restore all of our suspended services as soon as the situation allows, and ask everyone, individually, to play their part in helping to speed up that prospect by adhering to the national guidance around COVID – with the message of stay home, save lives.” 

Staff involved in delivery of these services will be contacting people individually to advise them of these developments, and to discuss how people can continue to be supported during this difficult time. 

ADP Advice for the Festive Season

As we approach the festive period and additional COVID-19 restriction in 2021, drug and alcohol users in Dumfries and Galloway are being urged to keep taking the simple steps to protect themselves. These simple steps include:

  • FACTS (Face covering, Avoid crowds, Clean hands, Two metre social distance, Self-isolate & book test if you have symptoms)
  •  Continue to contact GP or treatment services for ongoing or any new medical conditions
  • Don’t be tempted to share any medication with anyone else or use anyone else’s medication
  • Don’t try any new substances, change how you take them, mix them or take them alone as all of these are risky
  • Don’t be tempted to reduce or increase the amounts of drugs or alcohol you are taking
  • Difficulties in maintaining healthy social & family connections and this may jeopardise people’s recovery and may lead to relapse for some drug and alcohol users
  • Make sure you have a take home Naloxone kit
  • · If you think someone is having an overdose, dial 999 immediately. When someone has overdosed, they can look and sound like they are simply asleep. Always check when you hear snoring that the person is actually asleep.

Friend and family can also help by simply being aware of the challenges drug and alcohol users face and by discussing these with them. Wherever possible, people should be encouraged to seek help either from their GP or from local drug and alcohol treatment services detailed below. Further information on other websites and organisation that can help, along with other more detailed guidance can be found on the Dumfries and Galloway Alcohol and Drug Partnership website at https://dghscp.co.uk/alcohol-drugs-partnership-adp/

Contact Details

NHS Specialist Drug and Alcohol Service

The NHS Specialist Drug and Alcohol Service in Dumfries and Galloway provides comprehensive service to people over age 18 years and over who have a dependency or complex problems related to alcohol or drug use.

01387 244555

We Are With You

The We Are With You service in Dumfries and Galloway provides support to anyone over the age of 18 with drug and/or alcohol addiction issues.

01387 263208

ISSU18

ISSU18 is a regionwide service for children and young people up to the age of 18 who are affected by problematic substance misuse, this can be either their own or that of a family member, which is having a significant impact on the young person’s day to day life.

01387 244622

Alcohol and Drugs Support South West Scotland

Alcohol and Drugs Support South West Scotland offers a range of community-based services across Dumfries and Galloway, helping people affected by alcohol, drugs or gambling problems.

01556 503550

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”.