An outbreak of coronavirus (COVID-19) has been identified in Birmingham, Sandwell and Solihull. That means some local restrictions are coming into place this week:
New local guidelines from 15th September
If you live in Birmingham, Solihull or Sandwell: from tomorrow, Tuesday 15 September, you should not:
host people you do not live with, in your home or garden, unless they’re in your support bubble*
meet people you do not live with, in their home or garden, whether inside or outside of the affected areas, unless they’re in your support bubble*
*A support bubble is where a household with one adult joins with another household (on an exclusive basis).
New national guidelines from 14th September
From today (Monday, 14 September), residents will also need to comply with the new ‘rule of six’ national restrictions, where it is against the law to meet people you do not live with in a group larger than six (apart from specific exemptions listed in the national guidance).
Residents should follow government advice around ‘hands, face, space’ and getting tested, including:
Wash your hands regularly with soap and water for at least 20 seconds, or use hand sanitiser
Wear a face covering in appropriate scenarios (if you’re not exempt)
Be aware of others not in your household and manage your space as much as possible. Always stay 2 metres away from people you don’t live with – or 1 metre with extra precautions (such as wearing a face covering)
If you, or someone in your household, have Covid-19 symptoms, it is very important that you stay home and book a test by calling 119 or visiting nhs.uk.
Because of the Covid-19 crisis, Birmingham Children’s Partnership has accelerated their plans for “Early Help”, a new model of connected services and communities to help families across the city.
It means that families and children who need emergency help during the crisis can get it in a timely way, from a network that includes schools, health services, the local authority, and voluntary and community organisations.
We have found that even those families who were previously doing well are starting to struggle now, due to the impact the crisis is having on income and health, but the Early Help scheme is designed to make sure schools and children’s centres can refer families in and get them the help they need as soon as possible.
Here, Marc tells us about a family he supported a couple of weeks ago. It’s a fairly typical example of how the scheme works and how the joined-up model is providing urgent essential support.
Food for a family in crisis
By Marc Baggott
On Wednesday 6th May I had a call from Sarah*, a Designated Safeguarding Lead at a local secondary school, with concerns about a family.
She explained that two of the teenagers she works with are currently living in temporary accommodation with their dad after being made homeless. Their dad Jason* is a single parent and, although he usually works, he had been off sick for three weeks with Covid-19. Because he holds a zero-hours contract, hadn’t been paid for his time off sick, so they had no money coming in.
Sarah had contacted Edgbaston Early Help because she could see Jason was struggling, and was worried the family was low on food.
After speaking to Sarah, I phoned Jason to find out more and we talked in depth about the support he needed. His main concern was their lack of food, but he also highlighted that they were unable to do any cooking at the hotel – although there are some shared cooking facilities, they are dirty, and utensils and equipment go missing.
The first thing I did was to contact St Germain’s Church in Edgbaston, which offers freshly prepared hot dinners on Mondays, Wednesdays and Fridays. It meant that Jason and his children wouldn’t go hungry that evening.
The following day, after some more research, I referred Jason to the Four Dwellings Foodbank; usually it opens on Fridays but because of the bank holiday it was open a day early that week. Jason would be able to visit the foodbank himself that day and pick up food for the whole family.
The lack of cooking facilities at their accommodation was still an issue, though. Even if Jason had food, there was no guarantee they would be able to prepare a meal. So I made an application to the COVID-19 resilience fund for £75, through BVSC, and helped him find a microwave and some tupperware storage containers within his price range.
That afternoon, I received a call from Jason thanking me for all the support he had received. He said that the support really helped him when he was struggling, and that the food and microwave meant that his children could now cook snacks and a lunch when they needed it. He sounded over the moon.
I asked if there was anything else they need, but Jason said they were OK now they had food. I have told him I’ll be back in touch in a few weeks’ time to see how the family are getting on and to check they have access to the things they need.
This week is Mental Health Awareness Week, and we thought we’d mark it with a story from one of our Social Prescribing Link Workers, Becky (pictured).
Becky is one of 15 Link Workers employed by Gateway in partnership with SDSmyhealthcare and The North Solihull Collaborative. Each one is attached to a PCN (a group of GP surgeries) and, in ‘normal’ times, would be working from surgeries to provide support to patients at face-to-face appointments. Link Workers are there to help with people’s social, rather than clinical, needs: listening, understanding, and connecting people to community groups and statutory services for practical and emotional support. Currently, all of their support is done over the phone or via video calls.
Last week, Becky told us about Brian*. We thought that the story, although sad, was a reminder that “support” can be as simple as being there for someone, and noticing if they go quiet. It’s also a really good example of the importance of good relationships between our Link Workers, local community groups, and the patient’s GP.
Brian says Social Prescribers have been a ‘lifeline’
By Becky Cuthbert, Social Prescribing Link Worker
More than six weeks into lockdown, and it’s starting to take its toll. We are all feeling it and so are the patients I’ve been supporting.
I had been phoning one patient, Brian, every other day, but one day I just couldn’t get him to answer. This was a cause for concern because during previous conversations Brian had gone into a lot of detail, sharing his mental health struggles over the years, previous suicidal thoughts, chronic anxiety, drug use, insomnia and what he described as his ‘mental breakdowns’. Why wasn’t he picking up, or messaging me? What if he was relapsing?
I phoned a contact from the local art-based social prescribing group who had referred Brian to Gateway’s Social Prescribing service. She had not been able to get hold of him either and had similar concerns. This confirmed that it was time to get in touch with his GP and ask them to do some follow up.
I’m grateful that, of the various practices I work with, Brian belongs to a surgery where the Practice Manager and GPs understand my role and value Social Prescribing’s contribution to holistic care. I emailed the Practice Manager and the Clinical Lead about the safeguarding concerns I had.
The next day I received a reply letting me know that they’d been able to contact Brian. He had apologised for the lack of contact and shared that he had been retreating into himself more and more, telling the GP that my colleague (from the art project) and I have been ‘lifelines’ for him recently.
Brian has decided that he needs more support for his mental health and the GP is now working that through with him.
This shows our system working and joining up to provide a safety net. Most importantly, Brian knows he is cared for and that he hasn’t been forgotten – and that means a lot for his mental health.
Since then, Brian has texted and had a long call with me. He says, ‘you don’t know what it means that you care and that you notice’.
It is wonderful to contribute to a very caring, human network of care. Brian can see that I work closely with other partners and with his GP, and that we have a high level of trust and a shared vision between us: a ‘community of care’. I believe that our patients can perceive this and it all helps convey the important message, ‘you matter’. We are not claiming that a few phone calls are enough to bring full health and wholeness to Brian’s complex mental health issues, but they could have been enough to prevent deterioration, and been the start of him getting more help. Like he said, it’s a ‘lifeline’.
I often say to people that Social Prescribing is simple really, there’s nothing very big or clever about it. It’s about doing small things, but doing them well. It’s a challenge when working from home, but going forward I know I need to continue to invest in my relationships with all the Practices I work with and to spread the vision of the big impact that Social Prescribing can have.
Over the last few weeks, like many third sector organisations, Gateway has completely changed the way we work. All our staff are now working from home; our internal meetings are held over video and face-to-face appointments have had to cease.
Our overall strategy and ethos, however, has not changed a bit.
As we have done for the last fourteen years, we are still providing community-based support, helping people to manage their own health and wellbeing in a sustainable way.
Right now, though, we are doing this not only through our regular services, but by responding to the immediate, urgent needs of people in our community — many of whom are having to shield or self-isolate.
New services, fast
In March, when it became clear that everyone would soon need to start social distancing and working from home where possible, it was obvious that our services were going to have to change quite substantially. We understood from our capacity planning that, in order to provide support for the public whilst keeping our staff safe, many of our functions would have to switch to remote working. But we also saw that there were going to be huge needs around isolation and helping people to get the basic essentials.
We knew we had to work fast.
In collaboration with our outreach teams — in particular our Social Prescribing Link Workers, who were already having these conversations with patients — and drawing on our skills as an organisation, we put together some offers of help to Birmingham and Solihull Councils and Public Health. These prioritised:
the distribution of food and medication
social support over the phone to listen and reassure people, and
linking people to sources of advice and help.
In response to these offers, some new services were very quickly requested and developed. We are now running these new services in addition to our regular services.
In Solihull, as well as continuing to take referrals for the Solihull Lifestyle Service, and supporting people over the phone, we now run a medication collection and delivery service. This is a team of drivers who collect prescribed medications from pharmacies across Solihull, and deliver them to people who aren’t able to get to a pharmacy themselves.
The team of five is made up of Link Workers and Community Wellbeing Advisers and they do this on top of their already busy caseloads.
This service, like seemingly everything else at the moment, was developed at breakneck speed. New policies were put together, new processes designed and approved, responsibility allocated to a manager, and staff briefed and trained, very quickly. Normally it would take several meetings and weeks of talks to create something like this, but thanks to the urgency and willingness from Solihull Public Health and everyone else involved, it has been done in days.
ENNS and support for Quinton households
While other Neighbourhood Network Schemes have been running for a year or more, we have only recently been appointed as lead for the Edgbaston Neighbourhood Network Scheme — and because of the Coronavirus, we have had to hit the ground running.
We’d only been getting to know Edgbaston, Harborne and Quinton groups for a few weeks when Birmingham City Council and BVSC asked all the Neighbourhood Network Scheme leads to co-ordinate their constituency’s Covid-19 response.
So in the last few weeks we have got to know lots of new organisations very quickly!
The Edgbaston NNS is now a central point of contact for people in need, and for groups that need help to be able to do even more than they were already doing. We now have an emergency asset register, where we are logging the creative ways in which groups continue to support their members, and the extra support that groups and individuals are able to offer.
We have anticipated that Quinton, which has the highest levels of deprivation in our constituency, will have the highest intensity of need. So our NNS team and our local Link Workers are working closely with community groups like The Quinton and Oldbury Foodbank, and the B32 Group, whose volunteers are organising and delivering food, as well as local Councillors, to co-ordinate support here — and we’re also helping to promote a designated grants programme in the area. We have the support of our MP, Preet Kaur Gill. And we’ve set up a group that meets weekly by Zoom to keep in touch, share ideas, and check on progress.
Gateway’s Social Prescribing Link Workers have only been in post for a couple of months, but they have already seen massive changes in their job role. Originally set up to be based at GP surgeries and working directly with patients, the Link Workers are now all working from home.
Thankfully, they are a creative and resilient bunch! They’re continuing to receive non-clinical referrals from GPs and Practice staff, and they’re also helping with the new services — so not only are they supporting patients over the phone, they’re also sourcing food parcels, delivering medications, and doing other odd jobs for people who need help.
But they’ve also helped us to discover an extra need. Lots of people need food parcels because of financial hardship, but what about people who can and want to pay for their food? There are many people who can’t get out to the shops and whose usual support networks are not able to help. Supermarket deliveries are either unreliable, or not viable for other reasons, and it means some people are going without.
So we are setting up a shopping service. This will be led by our Link Workers and made available to those we support who really need it, and we hope to have it in place within the next few days.
When everything is moving so quickly with so much uncertainty, we are grateful for our dedicated teams of staff and our community’s strength. It has felt important for us, as an organisation that supports the people of Birmingham and Solihull, to be able to say we’re happy to muck in. But it’s even more valuable to know that our staff will respond in the most responsible, empathic, co-operative way, and that there are many community groups and individuals that we can work with to support those most in need.
Recently, Gateway and Age UK Birmingham were appointed to lead the Edgbaston Neighbourhood Network Scheme (NNS).
We hoped to announce the launch of Edgbaston NNS this week, but of course, current events have overtaken us. Instead of a launch event, we are diving straight into support for community groups in the area.
The Council and BVSC (Birmingham Voluntary Services Council) have asked us to focus purely on how organisations in the Edgbaston constituency are responding to Covid-19 and how we can provide the necessary support to those who need it.
What is a Neighbourhood Network Scheme?
Neighbourhood Network Schemes are designed to support older people in Birmingham to connect with individuals, groups, organisations, activities, services and places in their local neighbourhood.
As part of Birmingham City Council’s new community social work model they are constituency based, so the Edgbaston NNS covers the areas of Edgbaston, Harborne, Quinton, Bartley Green, Shenley and Weoley Castle.
At the moment, however, every NNS in Birmingham is focusing on support for community organisations as we all adjust to events relating to the coronavirus and the resulting isolation.
How is your group managing?
To help us build up a picture of what’s already happening and what more may be possible, we are asking community organisations and groups in the areas of Edgbaston, Harborne, Quinton, Bartley Green, Shenley and Weoley Castle to get in touch with us by email or phone (details below) and let us know the following:
Has your group had to close or otherwise change in terms of what you normally do? We know most meetings have been suspended, so how has this affected you?
Is your group in a position to offer help? Let us know if you are doing something, planning to do something, or are willing to do something to help with the response.
If you’re not in a position to help, do you have any worries? Are you concerned about members of your group and how they may be coping?
It’s clear that a lot of work is already underway locally to ensure that vulnerable people, and those made vulnerable by this situation, get the help they need. We are here to build on this by coordinating, and potentially resourcing, support.
Over the next few weeks, Gateway and Age UK Birmingham, working together as Edgbaston NNS, will be:
Continuing to contact existing groups to find out your approach to the Covid-19 response
Monitoring new offers of Covid-19 support
Providing guidance and support to groups which are providing Covid-19 assistance
Connecting groups which are providing Covid-19 support to ensure they work together, maximise reach, avoid duplication and fill in gaps
If you run a community group in the Edgbaston constituency, contact Katherine at Gateway Family Services via email: firstname.lastname@example.org, or phone: 0121 456 7820, to let us know how we can help.
Given the most recent government advice, and for the wellbeing of our staff and the people we work with, we are moving towards home working over the next couple of days. However, all of our services are still running, and you should continue to contact us in the usual way.
Our outreach services — including the Solihull Lifestyle Service and Social Prescribing Link Workers — are continuing to take referrals and to support people over the phone and via email. If you would like to refer into these services you can, and if you are currently receiving support, you will continue to do so, albeit remotely.
All face-to-face group activities have been suspended, so the MVP meeting scheduled for 26th March will not take place and the Patient Health Forum is not currently running.
Solihull contact information
For the Solihull Lifestyle Service, including the Solihull Stop Smoking Service, please call free on 0800 599 9880 and you will be put through to an adviser as usual. We are still taking new clients and referrals.
Other contact information
For other queries about any other services, or for general information about Gateway Family Services, please call our Birmingham number which is 0121 456 7820.
Are you an expectant parent, or have you or your partner given birth within the last three months?
We’re looking for recent parents, or parents-to-be, to take part in a focus group about food and nutrition.
This is the second event we’re running as part of the “Birmingham Food Conversation”. The Birmingham Food Conversation is helping to shape a better food environment for citizens in Birmingham, so we’ll be talking about your thoughts on food and the food choices you make, and feeding that back as part of the wider conversation.
Parents can attend with children
Parking is available on site, and travel expenses will be reimbursed
Light refreshments will be provided
Each participant will receive a Love2Shop voucher worth £10, as a thank you
We’ve been running Workplace Wellbeing services for a couple of years now, but right now we’re delivering one of our largest Workplace Wellbeing commissions yet: a series of events for Birmingham Community Healthcare NHS Trust.
Gateway’s Wellbeing Advisers and Trainers have been working in a number of locations around the city, delivering one-to-one advice sessions and group workshops to several different NHS divisions, and have been working with hundreds of people.
Like all our Workplace Wellbeing activities, the work for the Trust is designed to get employees thinking about their own health and actively managing their own wellbeing; in this case activities are covering topics like eating healthily, managing stress and getting a good night’s sleep. We’ve designed the programme in collaboration with the Trust to ensure that each activity is based on the wellbeing needs that staff have identified themselves.
The numbers at a glance
Our Health & Wellbeing event at Moseley Hall is in full swing. Flu vaccinations, health checks courtesy of @Gateway_FS and lots more. Better not share my own blood pressure reading though . . . pic.twitter.com/HJJsrFkett
There are a few more events left in our schedule for the Trust, but we’ve already engaged hundreds of people, up to senior management level, across six venues. For this piece of work so far:
160 people have received a mini health check (blood pressure and BMI taken, followed by personalised advice)
82 people have attended stress management workshops
33 people have attended mindfulness workshops
30 people have attended resilience training
more than 100 people have received advice and taken leaflets from our information stands
We also ran some half-day “taster events” where people could try out short sessions of activities like Tai Chi and guided meditation, and there was good attendance at these, too.
“Thank you to all your team. The day and the afternoon sessions evaluated really well.” — Richard French-Lowe, Senior Consultant (Organisation Development), Birmingham Community Healthcare NHS Trust
Why commission a workplace wellbeing service?
Structured support and simple, practical advice from professional health facilitators can help employees to understand how work and health is intrinsically linked, and to create a happier and healthier workforce. Educating and supporting staff to manage their wellbeing has been shown to:
Reduce absences and sickness levels
Reduce risk before illness occurs
Improve staff retention
Your organisation or business can choose from a range of workforce wellbeing packages, including individual one-to-one support, group sessions and team workshops. We’ll work with you to come up with a bespoke plan that will address your staff’s needs. Topics available for sessions, workshops and activities include:
Physical activity, included seated exercise
Stress management and resilience
Alcohol awareness, including “mocktail” recipes
Blood pressure tests
If you’d like to commission Gateway’s health advisers to come and deliver Workplace Wellbeing events at your place of work, please contact Katherine on 0121 456 7820, or email email@example.com.
Last week we were very pleased to find out we’ve won a top prize for supporting our staff in caring roles.
The Carer Friendly Business Awards Birmingham are part of the Working for Carers programme by Forward Carers, an organisation developed to make a real difference to the lives of people in carer roles, and Gateway won first prize in the Working for Carers Award category.
The judges were impressed by the flexibility we offer to staff who also have caring responsibilities, including adapting our HR policies to allow for people who may need extra support.
Caring for carers
We have always prided ourselves on being a caring, supportive employer, and our employees are a diverse mix of people with a range of responsibilities outside work. Work and home are intrinsically linked, so we aim to provide a considerate environment where staff can be open about their needs, including regular meetings with line managers, plenty of frank, honest conversation, and a willingness to look at a range of solutions.
Because of this, our working and employment policies have always been flexible, but since joining the Forward Carers scheme as a Working For Carers accredited employer in January, we have reviewed and improved them even more.
We based the following changes on conversations with the carers we employ:
At point of employment we now directly ask if the person has caring responsibilities. If they have, we discuss and implement a plan which is then regularly reviewed.
Carers told us practical support is often most helpful, so we encourage staff to tell their immediate colleagues they have caring responsibilities. We have found that colleagues are keen to help, supporting them through the common peaks and troughs of caring.
Carers also talked about the importance of maintaining their health and wellbeing, so as well as making sure everyone has the opportunity to take part in our internal workplace wellbeing activities, we also encourage carers to be assessed and take up any offers they might be entitled to.
One of the judges on the Working for Carers Award panel was Councillor Mary Locke. She said: “It was clear from the award entry that Gateway Family Services recognises that carers make up a very important part of the community and they need extra support if they are to continue working, alongside their other responsibilities.
“The team have worked hard to create a working environment which is supporting their staff, also in a carer role outside of the office. The judges were also impressed at how staff are being encouraged to be friendly, open and understanding, which can be hugely beneficial for anyone who is starting to feel isolated or overwhelmed in their role as a carer.
“We thought they were all worthy winners, but Gateway Family Services stood out for all of us.”