Insights on Care Provider Operational Pressures, Outbreaks, Vaccination, and Workforce Strategies

Care Provider C Care Provider C- -19 Call 10 March 2021 10 March 2021 19 Call Councillor Helen Holland Hugh Evans Bristol City Council

Operational pressures Operational pressures Number of COVID+ positive patients in Hospital has started to reduce, but there are still pressures in the system as a product of the January/February surge. c.50% additional pressure at ASC front door compared to previous years, reflecting system pressures and reduced capacity in other services, e.g. MH Trust. Social work capacity from other areas continues to provide additional support to ensure patients are discharged safely to onwards care arrangements and/or return home. Adult Social Care services still only undertaking essential visits in a safe way. Care assessments and reviews often undertaken by phone or video calls.

Outbreaks/COVID Impacts Outbreaks/COVID Impacts Finally coming out of number difficult and ongoing outbreaks in small number of homes. Three new cases of infection in three new locations notified since the last report. Most recent figures show 67 positive cases (32 residents and 35 staff) in 22 settings. Case numbers have halved in recent weeks. Significant reduction since the last report Now only one ongoing significant outbreak. Small outbreaks in 18 settings. Older people (especially EOL) continue to be vulnerable, even post vaccination. Declining occupancy rates in care homes is an increasing issue for some providers. Overall occupancy rate in care homes is 81.54%. c.25% of homes occupied <75%.

Vaccination Vaccination Care homes for older people - 91% of residents and 68% of staff have now received their first vaccination. Care homes for younger adults - 89% of residents and 66% of staff have received their first vaccination. Domiciliary care - 84.5% of domiciliary care staff have received their first vaccination Most front line adult social care staff in all other eligible categories have now received their first vaccinations, including staff working in supported living, day services, meals delivery drivers, Social Workers, Occupational Therapists and Personal Assistants for Direct Payment users. The vaccination is now available for Adults aged 16 to 65 years in an at-risk group, as set out by the national COVID-19 immunisation programme. This cohort includes adult carers and people with Learning Disabilities. Unpaid carers - guidance on vaccination for unpaid carers issued 8 March. Work with BNSSG team and communications underway.

Workforce Workforce Workforce Capacity Funding Establishment or expansion of staff banks Backfilling the administrative or non-regulated roles of experienced and skilled staff to free up their time to provide direct care and support Providing new incentives for existing staff to take on additional hours, e.g. paying for childcare and overtime. Local recruitment initiatives Funding new training costs for new recruits or to increase productivity of existing staff Redeployment of existing staff into new roles.

Workforce Workforce Mutual support / shared banks access underwritten by BCC (c. 140,000) Access to agency staff (via St Monica s) seven days week 7,000 hours underwritten by BCC to ensure availability, necessary isolation, reduction in staff working in multiple settings. Access to Volunteer Support via Age UK and VCSE ( 10-20k) Direct Distribution to CQC reg Providers, Banded approach ( 700k) Proud to Care Campaign and recruitment inc costs induction and care cert ( 124k) Workforce Training and Wellbeing Programme, inc some backfill costs ( 110k) PA Recruitment Campaign ( 20k)