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09/08/2024

Nurse fighting to open first long-term care home for younger adults in Sask. to address lack of services

Saskatchewan families with medically fragile adult children are advocating for the province's first long-term care home to meet the needs of people who aren't kids or senior citizens.

For three years, Kerrie Elliot has been trying to open Feather Ridge, a facility geared toward young adults aged 18 to 55 who need 24-hour care.

The registered psychiatric nurse said she noticed a gap in services that she wanted to fill for families who had adult children with high medical needs, disabilities or brain injuries.

"It is heartbreaking for the families to put their 15-year-old in long-term care with seniors. Those youths, they're medically fragile, but they live for decades and they unfortunately live in seniors' homes with the seniors dying around them," said Elliot.

"Their parents then have to relinquish their child into an environment that isn't meant for them, isn't staffed for them, and they have no quality of life and no peer interactions."

Elliot purchased a building in Christopher Lake, Sask., 40 kilometres north of Prince Albert, that was formerly a personal care home. It has 10 beds and lifts.

The building itself is designed like a home. Clients would be able to customize their rooms, get physiotherapy, do outdoor activities and take day trips.

Many families describe the Feather Ridge facility as being designed like a home. (Friends of Feather Ridge/Facebook)

Elliot said she has been to the legislative building advocating for Feather Ridge throughout the years, has hired nurses to provide care, and has a waitlist of 18 people. She said what is holding her back from opening is government funding which she would like in order to keep costs low for families.

"There's no box to put us in, the bouncing between health and social services," said Elliot.

"The bouncing back and forth with the facility or the project — it is the same thing that these families face. This is the same, you know, 'you don't fit here, you don't fit there.' And that's why they slip through the cracks."

The Saskatchewan Royal Purple is an official sponsor helping with fundraising because Feather Ridge would accept those with traumatic brain injuries, a cause adopted by the society.

Families left waiting

Linda Eninew's 28-year-old son Easton Beatty experienced a spinal and traumatic brain injury after a fall in 2023. He lives at the Big River Health Centre, a long-term care facility that is more than an hour away from Eninew in Prince Albert.

She said Feather Ridge would offer Beatty access to physical therapy that he can't get currently, land-based activities, and it would be closer to his home.

"Our family has been waiting, hoping that it'll be open, hoping the government will fund Feather Ridge for our people, our young people in the North," said Eninew.

"My son deserves a better quality of life."

Connie Bridal moved to the RM of Paddockwood eight years ago from Regina where she provides 24/7 care for her son Zander. The 20-year-old was born without a corpus callosum. He uses a wheelchair and has many intensive medical needs.

Connie and Trevor Bridal with their sons Micah (rear) and Zander (centre). Connie provides 24-hour care to Zander from their home in rural Saskatchewan. (submitted by Connie Bridal)

Bridal provides physical and occupational therapy for him.

"I've done my own research and in order to care for his needs at home, there's been no facility available for Zander for me to get any respite since we've moved here and basically I've been having caregiver burnout the last couple of years,' said Bridal.

Bridal and her husband have not been able to go on a date in eight years or take family vacations. Her dreams of starting a horse ranch for at-risk youth have been put on hold, she said.

Zander Bridal was born with absence of the corpus callosum, which is the nervous system that connects the two hemispheres of the brain. His medical needs are intensive and when he gets sick he needs emergency care. (submitted by Connie Bridal)

She said while she has never wanted to put Zander into an institution because he is so young and there often is not enough staff to care for his needs, a tour of Feather Ridge has warmed her to the idea.

She added that Zander could spend time with people his age which he loves as well as get outside.

"We really need our government to step up and really help families like ours because this facility would just help us so much," said Bridal.

No other options

Cindy Xavier said waiting for the government to fund Feather Ridge has left her and her 34-year-old child, Nyx, feeling helpless and hopeless. Nyx has complex medical needs beginning with, at birth, Spina Bifida and hydrocephalus, which has led to years of surgeries, medical care and mental health challenges.

"There are no options for someone who's Nyx's age to live in a stable home environment with peers that are of similar age and, you know, be able to feel like they have a life." said Cindy.

Nyx is currently staying at St. Paul's hospital in Saskatoon and receiving medical care.

Outside of the hospital Nyx doesn't currently have a place to live. Cindy said government services and support for the family stopped when Nyx turned 18.

Nyx said that they tried three times to live on their own but it was difficult without help, but the idea of living in long-term care is scary.

"The system as it stands right now is very, very broken. It needs to change," said Nyx.

34-year-old Nyx Xavier is receiving medical care at St. Paul's Hospital in Saskatoon. (submitted by Cindy Xavier)

Cindy said that Nyx does not qualify for publicly-funded long-term care because Nyx can move in and out of their wheelchair, so patient services at St. Paul's hospital suggested the family look into Feather Ridge.

"[It] is an opportunity like this ray of hope that we never realized existed and have been asking for for a long time," said Cindy.

"I believe [there's] a community and a government responsibility to care for all members in our society who are disadvantaged, not just the ones who can pay the bill."

Open house

A foundation, Friends of Feather Ridge Saskatchewan, exists to help the facility fundraise, as Elliot waits for the government to fund it as a long-term care home.

The Ministry of Health said that it has worked with Feather Ridge providing options that are financially viable and with appropriate safeguards in place to ensure quality of care. It added that Feather Ridge is asking for funding "far in excess of what other long-term care providers of this type of service receive."

Elliot said that her proposal is $63.75 per day more than the government's own reported daily bed cost because she would be staffing nurses for 24 hours to provide level 4 care which is not currently available in the community.

She said she understands she may be going about starting Feather Ridge backwards, where normally a tender is put out and people apply or put in proposals for that facility.

"This is what happens when families are tired of waiting. They're tired of waiting and they're struggling and they're heartbroken to see their young ones in long-term care or they're struggling at home," said Elliot.

"We're just looking for the government to come to the table to fund that core funding for us so that we can provide this care."

An open house for families is planned to take place Aug.10. Government officials are also invited to attend.

08/08/2024

Filipino nurses attacked as NHS community condemns racist riots

Nursing leaders have expressed their horror at racist violence across the UK, as two Filipino nurses have been among the targets of far-right rioters.

Riots first broke out in Southport, Merseyside last Tuesday after far-right agitators began a misinformation campaign on social media falsely claiming the perpetrator of a mass knife attack on a group of children in the town the previous day was a Muslim.

Axel Rudakubana, a 17-year-old born in Cardiff, was arrested for the mass stabbing, which left three children dead and a further eight children and two adults injured.

In the wake of the incident, a large group of people attacked a mosque in Southport; this was followed by similar riots across the country.

Supporters of the technically-defunct English Defence League are among those believed to be responsible for the violence.

The riots have been characterised by racist chants, demands to deport migrants and violence against police and passersby who were not White.

On Sunday evening, rioters attacked two hotels known to be housing asylum seekers, in Rotherham, South Yorkshire and Tamworth, Staffordshire.

Healthcare workers were also among those targeted or otherwise caught up in racist attacks over the weekend.

On Friday evening, two NHS nurses were on their way to work, reportedly as emergency cover, via a taxi through Sunderland, Tyne and Wear.

Far-right rioters in the city centre that evening pelted the taxi containing the nurses, who were Filipino, with rocks. The nurses reportedly made it past the attackers without injury, but were left "terrified", according to the Mirror.

Local groups have condemned the incident, including Sunderland Football Club and the county’s police force; as have those representing Filipino and other minority ethnic nurses.

Louie Horne, chair of the Filipino Senior Nurses Alliance UK, expressed “deep concern” about the attack, adding: “Filipino nurses have been a vital part of the NHS and social care since 1969, working tirelessly to provide high-quality care.

“The Philippines has consistently been a primary source of international nurses for the UK, and our contributions to healthcare are significant and long-standing.”

Ms Horne, a senior matron, said she had been in contact with Filipino nurses elsewhere in the UK, including the Midlands, who told her they felt "scared to go to work".

She continued: “Together, we stand united in advocating for the safety, respect and dignity of our colleagues, and we call on the community to join us in.”

Similarly, the Filipino Nurses Association UK issued the following statement: “[We] stand in firm support of our fellow Filipino NHS nurses who were recently targeted in Sunderland.

“We condemn in the strongest terms the racism, violence and hostility directed towards these dedicated healthcare professionals as they made their way to provide essential emergency care.

“Our nurses, who have shown remarkable commitment and resilience, should never have to face such intimidation.

“The assault on them not only threatens their safety but also undermines the critical role they play in our healthcare system.”

The group called on people to “unite against such acts of violence” and to respect all healthcare workers.

It added: “We are calling to stop this unrest and to re-establish peace and harmony in our communities.”

As reports emerged of the scale of the disorder across the UK, particularly the racist abuse aimed at minority ethnic people, migrants and refugees, leading public figures spoke out against the rioters.

Royal College of Nursing general secretary and chief executive Professor Nicola Ranger described the weekend’s events as “nothing short of despicable racism”.

She added: “Migrant nursing staff are precious members of our communities, hardwired into the very DNA of our health and care services – we ask government to ensure that anybody targeting them pays a very heavy price."

She said the racist riots "have no place in our society and we join fully in the condemnation of them".

Professor Ranger added that NHS organisations and other health leaders had a responsibility to reassure staff and make sure they were safe.

Nursing staff of every nationality and ethnic heritage are holding the health service together, dealing with the fallout of these racist attacks,” she said.

"They are a credit to our profession and a powerful reminder of the strength we find in diversity and unity.”

Duncan Burton, recently-appointed chief nursing officer for England, also condemned the attacks.

He wrote on X (formerly Twitter): “I am extremely proud of our diverse and multicultural workforce which is an enduring strength of the NHS.

"I condemn this racist violence and stand in support of our staff and local communities.

“I know it is a very difficult time for many colleagues so please ask for support. Thank you to our emergency services who continue to work to keep people safe.”

NHS England chief executive Amanda Pritchard has also spoken out.

In a lengthy statement issued earlier today (5 August), Ms Pritchard began by paying tribute to the NHS staff who responded to the knife attack on 29 July which some have used to justify the race riots.

The NHS boss said she knew how difficult incidents such as the knife attack were and urged staff to support each other.

However, she continued: “The riots that followed in Southport, and then other towns and cities over the course of the week, also warrant – indeed they require – comment.

“The deplorable violence, intimidation and thuggery we have seen – and particularly the arson attack on the hotel in Rotherham housing asylum seekers – can and should be lent no justification.

“It is fundamentally wrong, fundamentally un-British, and a source of deep shame.”

She noted how migration had been key to sustaining the NHS and that many members of staff may be feeling “afraid and unwelcome” after the last weekend.

“To those colleagues, my message is simple: you are welcome, you are a valued member of our community, and that community should look after you,” she further said.

15/12/2023

Philippines to train 1k nurses from Punjab

Naqvi expresses gratitude for 3,000 Filipinos
providing valuable services in Pakistan, including over 700 in Lahore.

The Philippines will train 1,000 female nursing students from Punjab.

An understanding was reached in this regard as the Ambassador of the Philippines, Maria Agnes M Cervantes, met Caretaker Chief Minister Mohsin Naqvi with the discussion focusing on enhancing cooperation in the fields of nursing, pharmaceuticals and medicine.

Acknowledging global acclaim for nursing professionalism of the Philippines during the pandemic, Naqvi expressed gratitude for the 3,000 Filipinos providing valuable services in Pakistan, including over 700 in Lahore.

Highlighting the persistent need for nursing professionals in Punjab, he welcomed collaboration with institutions from the Philippines.

He endorsed a proposal of mutual admissions for students from universities in Punjab and the Philippines.

Potential exchange of professional skills between the police of Punjab and the Philippines was also discussed.

Naqvi invited the to the ambassador to visit the police and Safe City Authority headquarters.

He emphasised the potential for broader partnerships in hotel management, hospitality and other sectors.

Ambassador Cervantes noted scholarship opportunities for Pakistani students in Philippine higher education institutions.

The meeting was attended by Honorary Consul of the Philippines Fahad Sheikh, Caretaker Provincial Minister Amir Mir, the additional chief secretary and other officials.

13/12/2023

NMC guidance clarifies nurses’ freedom to express beliefs

The Nursing and Midwifery Council (NMC) has published new guidance aiming to clarify the boundaries of nurses’ freedom of expression.

The NMC said the guidance – headed ‘Freedom of expression and Fitness to Practise’ – is aimed primarily at decision makers in its fitness to practise process but ‘also provides clarity to nurses, midwives and nursing associates, to support them to express their beliefs appropriately’.

While the guidance reaffirms that ‘everyone enjoys the right to freedom of thought, conscience and religion and freedom of expression’, it warns that the NMC may need to take action if the way someone expresses their belief means there is a risk to the public; public confidence in the profession; or proper professional standards and conduct.

According to the guidance, nurses, midwives and nursing associates are free to express themselves and their legally protected beliefs (religious, political and philosophical) outside of work.

However, if they were to use racist, homophobic, sexist or other discriminatory language; target people using health and care services; or suggest that they would discriminate against others as a result of these views – especially in a professional context – then their fitness to practise ‘could be impaired’.

The NMC said the guidance was developed following engagement with ‘key partners’ and includes examples to help decision makers approach cases ‘in a consistent way that is rooted in the law’.

One of these examples describes a midwife discussing their work with friends in a restaurant and expressing ‘very vocal’ support for a specific political party and claiming that the government is ‘destroying the service and profession they work in’.

In the example, the midwife goes on to criticise their line manager, saying they are ‘part of the problem’.

According to the guidance, regulatory action is unlikely to be taken in this scenario because registered professionals are entitled to hold and express opinions about their work and politics.

However, if the midwife had described their manager using a racial slur or indicated that their patients would be treated differently based on their political views or other characteristics, then action would be likely.

In another example where action would likely be taken, a nurse on duty tries to persuade parents to remove their consent to have their child vaccinated because child vaccination runs contrary to the nurse’s ethical beliefs.

Even though the nurse’s beliefs are protected, by ‘seeking to actively interfere with treatment on that basis’, they would be acting contrary to the NMC’s code and undermining confidence in the profession.

Matthew McClelland, executive director of strategy and insight at the NMC, said: ‘We firmly believe that everyone has the right to freedom of expression. Our code requires nurses, midwives, and nursing associates to put the people in their care first.

’That means treating people with kindness and respect and not expressing their personal beliefs in an inappropriate way.’

Mr McClelland added: ‘Occasionally, concerns are raised about the way in which someone on our register has expressed themselves so it’s important our decision makers in fitness to practise are clear on the right way to reach swift and safe decisions that are rooted in law.’

10/12/2023

Of course the Tories will do anything to stop migrants. You know the ones: students, carers, nurses …

Notwithstanding the sound and fury of the Conservative party descending into more mayhem, pledging to cut immigration will not be its saviour. If the Tories think it’s an ejector seat from their political nosedive, that’s a forlorn hope. The cost of living tops voters’ concerns, so distracting them with immigration noise hardly looks like a winner: even on immigration, as on every issue but defence, Labour leads in the polls.

Having already morphed into Ukip, the Conservatives now lean to Reform. Brexit won the election for them last time; couldn’t an immigration scare win now? After all, Brexit and immigration became political conjoined twins. But they forget who has overseen net migration figures reaching 672,000 in the UK in the year to June 2023. Though 60% of those polled by YouGov say immigration is too high, its salience in terms of what matters most to voters has fallen steeply since Brexit.

Passions on immigration are intense among the mere 9% who see it as a top priority. But back in 2015, for 44% of voters it was their greatest concern, according to an Institute for Public Policy Research report co-written by Robert Ford, a professor of political science. Attitudes have changed, with young people most positive towards immigration and not becoming more anti-migrant as they age. The UK is more positive about migration than many of its European neighbours. Who cares about it most? The hardest core Tory vote that Labour needs not try to pe*****te.

Ask what kind of migrants people don’t want and the answer barely relates to the real figures, which are dominated by students and those on work visas. Do people object to foreign students and their dependants? They bring treasure chests to universities and university towns, paying fees of up to £38,000 a year and up to £1,400 a month in living costs – and almost all of them go home. No, it’s not them.

What of those invited on work visas? The vast majority of them work in health and social care: almost half the promised extra nurses recruited last year were trained overseas. No, don’t stop them.

One-off flows of 80,000 people came from Ukraine and Hong Kong in 2022, but they arrived with strong public support.

Among skilled workers, the new salary threshold of £38,000 will hit hospitality and catering staff most. Do people want them exiled?

Did Brexiters mean a drop of 70% in EU workers should be replaced with many more from around the world, swapping near neighbours for those from further afield? Possibly not.

What people worry about is that sense of uncontrolled borders, those small boats arriving randomly, unchecked. But Suella Braverman, Robert Jenrick, Nigel Farage and the rest conflate the total number of migrants issued with visas with the relatively small number (29,090 since 1 January 2023) who arrived here in boats. A few hundred people sent to Rwanda would barely touch the totals, yet the Conservatives eviscerate themselves over the details. The ambitious Tories hoping Rwanda is their springboard to success are diving headfirst into an empty pool of a policy fiasco.

While the Braverman ranters shout for cutting numbers at any cost regardless, Labour wisely refuses to set an “arbitrary target” on cutting net migration. Look what that failure did to every Tory leader. The shadow home secretary, Yvette Cooper, rightly focuses on the failure to deal with the boat arrivals, which accounted for 45% of all asylum claims in 2022. In total, more than 75% of asylum claims were granted refugee status or humanitarian protection at the initial decision stage in the year to September 2023, but the asylum backlog now stands at more than 175,000 people waiting in limbo, unable to work, when they could be in jobs tomorrow if they had been processed quicker. No, they wouldn’t be taking other people’s jobs in this hungry labour market. Nor taking homes: it’s the acute lack of construction workers that is holding back building. As for taking NHS appointments, as noted earlier, health and social care is the sector that most migrants work in.

That’s where this week’s panicky new immigration rules – especially barring carers from bringing families from spring next year – will do most damage. By chance, that blow fell just in time for a long-arranged conference of senior NHS and social care people at the King’s Fund on Wednesday, where they discussed the urgent need to recruit and retain staff. Here on display was this government’s perpetual state of cognitive dissonance. How do you recruit and retain staff and at the same time deter and prevent them from coming here to take those 264,000 vacancies in the NHS and social care? There was despair at the effect of banning carers from bringing their families: those in the room reckoned carers would choose welcoming countries elsewhere that pay them more.

Angriest and most outspoken was Steve Brine, the Tory chair of the Commons’ health and social care select committee. “They should show me the evidence that people will still come without their families,” he told me. “There isn’t any. Care England says it was never consulted on this. The government expects enough homegrown people to work in care instead? I’ve talked to schools: young people won’t take these bottom-wiping jobs.” Besides, failure to bring in promised social care reform keeps pay abysmal. “Immigration is the price we have to pay willingly, not begrudgingly,” Brine said. As he’s standing down at the next election, he’s free to speak his indignation at a doomed policy made for all the wrong reasons.

Immigration tears apart parties around the world, terrifying some politicians as they watch others stir venomous xenophobia and race resentments. But in the UK, Brexit may have helped increase the appetite for such extremism among some voters. While there is 47% public support for the Rwanda policy, according to some polls, there’s no wish to turn the UK into an international pariah, with only 22% public support for leaving the European convention on human rights and 57% against. Opinion on immigration has softened.

Spineless Rishi Sunak should have told some home truths about migration. He should have reminded his party and the public that we need lucrative foreign students and useful workers invited here with visas. Immigration is not out of control, even if boats are hard to stop. But he lives in fear of the monsters in his party that he was always too weak to confront.

08/12/2023

Cost of living drives London nurses away and temp costs up - RCN

London hospitals are spending hundreds of thousands of pounds on temporary nursing staff to cover vacancies created by the high cost of living and inadequate wages, the Royal College of Nursing (RCN) claims.

The analysis is based on information from NHS trusts across England between 2020 and 2022.

The NHS in London spent more than £630m on staff, the RCN said.

But the government said the Covid pandemic affected the statistics.

In 2020, RCN London said 57% of the city's nurses said they were "likely" to leave the capital within five years.

They cited the expense of living and working in the city as a factor - which the RCN said bodes ill for the future.

RCN London said the continuing cost of living crisis in the capital, especially the impact of hikes in interest rates, rents and travel costs means the risk of more nursing staff leaving has "spiralled".

"Long before 2020, NHS leaders were grappling with the challenge of recruiting and retaining enough nursing staff in the capital," a RCN spokesperson said.

"Nurse vacancy rates in London have been consistently higher than any other part of the country for several years. Currently, London's NHS has over 10,000 vacant nurse posts.

"At the same time, the health system is desperately trying to get to grips with high waiting times while being told to be more productive and make cost efficiency savings."

RCN chief nurse Prof Nicola Ranger, said: "Ministers have got their priorities wrong - forcing trusts to squander billions on agency staff while they provide miserly funding for fair pay and nurse education.

"With cuts to nurse education and maintaining unfair pay levels, ministers are choosing to spend the money on much higher private agency bills instead, this is yet another false economy when it comes to NHS spending.

"This should act as a wake-up call. The government must give nursing staff and patients the investment and respect they deserve."

A Department of Health and Social Care spokesperson said: "These statistics cover the Covid pandemic when the NHS was under huge additional pressure and staff sickness rates were exceptionally high.

"While temporary staffing allows the NHS to meet fluctuations in demand, we are controlling spending by capping hourly pay and prioritising NHS staff when shifts need filling.

"The long term workforce plan is ensuring the NHS has the staff it needs over the next 15 years so that patients continue to receive the best possible care."

06/12/2023

Hospitals in England splurge more than £3bn on agency nurses

HOSPITALS in England have splurged more than £3 billion on agency nurses in the last few years, according to new data.

The Royal College of Nursing (RCN) gathered figures under the Freedom of Information Act from 182 NHS trusts on spending on agency nurses plus nursing staff such as assistants and support workers.

The union said every region has spent millions of pounds, which it suggested could have paid the salaries of almost 31,000 full-time nurses or trained more than 86,000 new ones.

In total, NHS trusts spent £3.2bn between 2020 and 2022, with the London region spending the most at almost £630.5m, followed by the south-east at £582m.

Hospitals use doctors and nurses as temporary agency staff to fill gaps in rotas.

NHS England data shows that one in 10 — 42,306 — registered nursing posts stood vacant at the end of September.

RCN chief nurse Professor Nicola Ranger said: “Ministers have got their priorities wrong, forcing trusts to squander billions on agency staff while they provide miserly funding for fair pay and nurse education.

“With cuts to nurse education and maintaining unfair pay levels, ministers are choosing to spend the money on much higher private agency bills instead.

“This is yet another false economy when it comes to NHS spending.

“This should act as a wake-up call. The government must give nursing staff and patients the investment and respect they deserve.

“Not acting now will mean even more patients on waiting lists and the crisis in the nursing workforce deepening further.”

The Department for Health and Social Care said: “These statistics cover the Covid pandemic when the NHS was under huge additional pressure and staff sickness rates were exceptionally high.

“While temporary staffing allows the NHS to meet fluctuations in demand, we are controlling spending by capping hourly pay and prioritising NHS staff when shifts need filling."

04/12/2023

Government pledge to recruit 50,000 nurses a ‘pipe dream’, RCN says

NURSING leaders have ridiculed a government claim that it has honoured an election pledge to recruit 50,000 new nurses to the NHS.

The Royal College of Nursing (RCN) said the commitment, which was made in the Conservatives’ 2019 general election manifesto, “remains a pipe dream.”

The Department of Health and Social Care claimed this week that it had reached its recruitment target of 50,000.

It said in a statement: “Data published today by NHS England shows there were 51,245 additional nurses in September 2023 compared to 2019.

“This means the number of nurses have increased from 300,904 in 2019 to over 352,000 — hitting the government’s manifesto commitment to recruit an additional 50,000 nurses six months early.”

But RCN chief nurse Professor Nicola Ranger said: “Nursing staff will reject government claims that it is ‘mission accomplished’ on nurse recruitment.
“This political target had no basis in the reality of demands on health care. There are still tens of thousands of nursing vacancies in the NHS.

“On every shift nursing staff are caring for too many patients. They’re spread perilously thin leaving patients waiting longer and unable to provide the outstanding care that they want to.

“The ambitious workforce plan will remain a pipe dream without proper investment and critical detail on how it will be achieved.

“Nursing staff won’t tolerate a status quo of low pay and endlessly increasing demands.”
An increase in registered nurses has also come amid a rise in the number of people joining the register from so-called “red list” countries.

These countries have their own health and care workforce-related problems and under ethical recruiting guidance the NHS is told not to actively recruit workers from these

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