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MSP Rhoda Grant raised concerns this week after it emerged patient records vanished from a care home which is facing legal action over claims it failed to protect vulnerable residents from coronavirus.

The Highlands & Islands Labour MSP has written to Police Scotland and to The Care Inspectorate after Skye’s Home Farm Care Home owner, HC-One, issued a written apology to her constituent Mandie Harris saying her late husband’s care notes could not be located “despite a thorough search of the premises”.

Mrs Grant said: “Record keeping is of paramount importance for residents and families at all care homes and this is an appalling failure which has denied a family their right to know what happened to their dying loved-one while they were not able to be at his side. It’s devastating for this family. This has to be looked into.”

She added: “Police requested a copy of patient records as part of their investigation into the Covid-19 related deaths at Home Farm and these were provided to them. They need to know that this has happened and Mrs Harris needs to know that the police has the same notes that she has been given. I am writing to Police Scotland to raise my concern and to have this ascertained, and I am also raised the same request and concern with the Care Inspectorate and with NHS Highland. It is unbelievable that these notes have gone missing, if indeed they have even ever existed.”

Mrs Harris’s husband Colin passed away at the facility on May 6, days after he tested positive for Covid-19.

Covid-19 restrictions meant she could not visit him.

But following his death she requested a copy of his care notes. She wanted to know what happened, “for reassurance and closure”.

She said HC-One eventually replied weeks later, after the MSP had intervened to chase up her request.

Their letter said there was a gap in Mr Harris’s care log. It said staff could only find care plans and other daily records up to March 28. Nothing except “a small amount of documentation” was available after that.

Mrs Harris said the admission left her “angry and heartbroken”. She has notified the police.

“All I got from HC-One were 33 pages of A4 paper with not a lot of writing on any of them,” she said.

“Colin was a resident there for four years and that’s all they have. It’s a disgrace.”

Mrs Harris said had hoped that the care log would have given her some reassurance that her husband’s care plan had been followed in the days and hours before he died.

According to official figures, nine other residents died in quick succession after testing positive for Covid-19 around the same time that he died.

Thirty residents and 29 staff tested positive.

Mrs Harris said: “From my own reading of the Care Inspectorate’s reports from that time, it was pretty chaotic in that home when Colin and the others tested positive for Covid. The inspectors noted that care staff were being redeployed and there was no proper handover. Redeployed staff were telling inspectors it was difficult to provide safe care due to a lack of information about people’s care needs. They were raising serious concerns about the quality of people’s care. I needed to know Colin’s care had been carried out in a dignified way. I needed to know his care plan was being looked at and followed. I needed reassurance, maybe closure. But now I find out that the home doesn’t have any care records for him for the whole of April. It makes me feel angry and heartbroken. Were these notes destroyed, and if so, why? Maybe they never existed.

“How can I be reassured that his care plan was followed if no-one was even looking at his notes or making fresh entries? I understand it must have pandemonium in that care home with all those residents dying so quickly one after the other. It must have been really hard, but that doesn’t excuse poor management, poor care.”

Home Farm has been subject to court proceedings over care failings and the future of the home has been under review for several months.

The Care Inspectorate is no longer pursuing the cancellation of the service’s registration through the courts and NHS Highland has signed an initial agreement with HC-One regarding the purchase of the Portree facility.

Families of residents who died at Home Farm are set to bring court action against HC-One.

 

 

Highlands and Islands Labour MSP, Rhoda Grant, has found that people with complex mental health problems who need psychology services can sometimes wait nearly two years for appointments.

Mrs Grant asked NHS Highland about the situation for adult mental health services in Caithness after constituents contacted her with concerns and following a meeting with representatives from Caithness health campaigners CHAT.

For psychology services, which are based in Inverness, a person must have an identifiable moderate to severe mental disorder that cannot solely be managed by primary care.

NHS Highland has revealed that there were 36 people needing a face to face appointment for this service, and the longest wait was 681 days, nearly two years. For ‘Near Me’ appointments, which are carried out by video link, eight people were on the list with the longest wait 435 days, just over one year and for telephone appointments there were 10 people with the longest wait 693 days, again nearly two years.

“These are people with some of the more complex cases many with a history of trauma, and to wait that long is just wholly unacceptable,” said Mrs Grant.

“I know that there are staff shortages in mental health, but the Scottish Government has to get a grip on this, especially for those patients in areas like Caithness where they are doubly disadvantaged because the service is centralised to Inverness with long travelling times.

“I worry that people’s conditions will deteriorate with such a long wait, putting more pressure on them and their families.”

The FOI did highlight some areas where patients were seen more quickly, in the community mental health teams. For instance, for dementia routine referrals were seen within two to four weeks or urgent referrals within 48 hours.

However, Mrs Grant also discovered that the psychiatry out-patients service, being delivered from Inverness, had about a six month wait for new referrals.

But NHS Highland added: “However, due to psychiatry shortage there are some who have waited for significantly longer than six months. A locum psychiatrist has been appointed and will be with the team based in Caithness from mid-July 2020.”

The MSP said: “It is a bleak picture for those presenting with mental health conditions and I’m sorry to say that the situation with Covid-19 has exacerbated the problem.”

She is now writing to Health Secretary, Jeane Freeman, with the information and asking what action the Scottish Government is going to take to train more mental health specialists and cut waiting lists.

Mrs Grant asked the health authority for the current mental health vacancies in Caithness but has gone back to officials for clarification on this part of the FOI as it appeared unclear due to the way the answer was presented.

“What is clear though is that there are big gaps in the service in Caithness due to job vacancies which is what I was hearing from the community,” she added.

Mrs Grant also asked Highland Council about the situation with mental health services for children in Caithness.

The council gave a run-down of what had been done during Covid-19. Included was the role of two educational psychologists one covering Wick and one Thurso, as well some of Sutherland, who were working from home, but having virtual consultations, attending meetings, direct work with children and families was continuing with the same frequency as they were before lockdown.

Schools had maintained contact with all pupils over the lockdown and now pupils are back, they have continued to maintain that contact and support. Key supports being offered in these few weeks back have been around emotional health and wellbeing. There was also a helpline called ‘Just Ask’, that operates on a Tuesday and Thursday afternoon and parents or professionals can call and speak with a practitioner.

 

To read the FOI response in full, please click here

 

The news that none of the fabrication work for the Seagreen offshore wind farm project has been awarded to BiFab has brought an angry response from Highlands and Islands Labour MSP, Rhoda Grant.

During topical questions in Holyrood today (Tuesday), Mrs Grant asked the Cabinet Secretary for Economy, Fair Work and Culture, Fiona Hyslop, if the Crown Estate would guarantee that their first round of Scotwind leases would ensure that there was local content in these projects and that they would adopt fair work practices.

Rhoda Grant said “Too often we see work going to overseas yards that undercut us by using low wage economies to compete. When companies are making money out of Scotland’s natural resources, we should ensure that that work is carried out by people paid and protected in the same way as they would be in Scotland.

“Furthermore, given these are our natural resources our communities should also benefit from the economic boost of these jobs. Workers in Lewis and Fife should be employed making the turbines required for the Seagreen wind farm.

Mrs Grant continued “I also asked the Cabinet Secretary if the Scottish Government would look at the historical practice of bidders for Scotwind leases. It would be simply wrong for companies who overlooked the Scottish workforce in the past to get these contracts on the promise of doing better in the future.”

The Cabinet Secretary asked that Mrs Grant writes to her on the detail and she would respond.

Highlands and Islands Labour MSP Rhoda Grant is seeking a meeting with Cabinet Secretary for Transport, Michael Matheson, to find out the proposed “solutions” to stop the numerous A83 closures at the Rest and Be Thankful.

 

The local MSP believes that several options are being considered by the Scottish Government to solve the ongoing issues with the Rest and Be Thankful, and she has written to both the Cabinet Secretary for Transport and Transport Scotland seeking a meeting to find out exactly what options are being realistically considered.

 

In addition, Mrs Grant has submitted a PQ to the Scottish Government on this issue in the hope to find out how much these closures are costing the Scottish Government every year.  

 

Currently, the A83 at the Rest and Be Thankful is closed for repair works after a large landslide with cars being diverted to The Old Military Road which is a single-track road using a convoy system. However, this is set to change on Wednesday (23^rd September) weather permitting.  The Rest and Be Thankful has had three serious landslides in 2020 alone.

 

Rhoda Grant said: “This issue has plagued Argyll and Bute communities for far too long and it is high time that a permanent solution was found and put into action.

 

“The Scottish Government have committed to consulting on a solution to this which is encouraging however, it is late in the day.  With an election looming it is unlikely that a solution will be agreed before that happens.”

 

Mrs Grant continued: “the wheels need to start turning as it’s a miracle that no one has been hurt in these landslides. I will continue to pressure the Scottish Government to meet me and to put these options out for consultation as soon as possible.”

 

Highlands and Islands Labour MSP, Rhoda Grant, has asked Highland Council about the delay in installing new signs at the bottom of one of the region’s most scenic and challenging roads.

The signs, at Tornapress, the start of the Bealach na Ba to Applecross, are obliterated with stickers put up by tourists who have used the route.

However, the community wants the information signs replaced as one warns that the road is not suitable for some vehicles, due to the 1 in 5 gradient and the number of hair pin bends. The second sign also points out the longer, low level route, around the coast road, which could be better for some larger and longer vehicles.

“On any day I have seen campervans struggling to get up the route and know that there are many break-downs due to engines over-heating and even brakes giving out,” explained Mrs Grant.

“I also know, for instance, that local lorry drivers are confident in using the road, but I think some tourists are unaware just how challenging a drive it can be until the point of no return.

“I don’t think anyone wants to be a kill-joy, but the pass has been extremely busy this year and reinstating the signs gives people a choice of routes.”

Mrs Grant was contacted by constituents concerned that new signs haven’t yet been installed and she has contacted Highland Council which has told her that “the sign replacement is in hand”.

She has now asked the local authority for a date when it will be erected and is still to hear back.

“It would be good if the new signs came with a coating which meant stickers could be removed easily,” Mrs Grant added.

 

A NORTH MSP is calling on Highland Council to find a silver lining in the Scottish Government’s failure to adequately fund the Uig Harbour improvement scheme.

Highlands and Islands Labour MSP Rhoda Grant last week learned the major upgrade to accommodate the Uig triangle ferry has hit the buffers, thanks to a government funding shortfall.

Strengthening of the council-owned berth is required for the delayed replacement of MV Hebrides.

Council officials told Mrs Grant tenders for the upgrade exceeded the government’s funding allocation.

Mrs Grant has now written to the local authority’s chief executive Donna Manson expressing hope that the council can use the setback to its advantage.

She said: “I want the Council to reassure the community a silver lining lies behind this delay in that it will give its officials the opportunity to use the added time to listen to and work with the community so that changes to improve the final scheme can be made accordingly.”

Hopes were high the Uig triangle ferry would kick-start regeneration in the community and make the harbour more accessible for tourists with disabilities.

The council’s proposal to replace the existing steps sparked an outcry. The council said any scheme to replace the steps with a pontoon would occupy too much pier space as well as being unsuitable for the wave climate in the inner harbour.

However, an online petition pressing the need for a “safer” and more disabled-friendly pontoon option continues to gather support.

And it has also fuelled a petition to the Scottish Parliament’s Petitions Committee which calls on the Scottish Government to ensure that local authorities provide access for those with disabilities at public piers and harbours.

There are also calls in the community for the area occupied by the existing terminal building to be redesigned with retail and starter business units.

Mrs Grant said: “The government’s investment in the Uig Triangle ferry service, which involves a new and improved ferry vessel and major upgrade of Uig Harbour, is enormously important for the future prosperity and growth of the Western Isles. Clearly, the budget and target schedule for the programme have proved unrealistic and I am writing to the Transport Minister Michael Matheson to ask for a complete picture of what went wrong. Construction was due to begin two winters ago and here we are at a standstill with no timeline in sight. It’s back to the drawing board, a total waste of consultancy fees and we find this out the same week Highlands and Islands Enterprise makes its eyewatering announcement Covid-19 has blown a £2.9 billion hole in the Highlands and Islands economy.”

Ends.

Previously…

Highland Council tells Rhoda Grant MSP plans to redevelop Uig pier have been shelved due to a shortfall in Scottish Government project funding.

HIGHLAND Council has said redevelopment plans for Uig Pier have been shelved thanks to a Scottish Government funding shortfall.

The local authority said tenders returned for the project “exceeded the funding allocation from Transport Scotland”.

In a letter to MSP Rhoda Grant this week, council officials said: “Unfortunately, the tenders returned for Uig exceeded the funding allocation from Transport Scotland – and whilst we and Transport Scotland remain committed to provide enhanced facilities at Uig – construction works have been paused whilst we reconsider procurement routes and budgets. This will mean that we will not be able to progress the works and thus the outage that was planned from September of next year will now be deferred for at least 12 months.”

Strengthening of the council-owned berth is required for the delayed replacement of MV Hebrides.

Mrs Grant said while the new pier was not needed right away, this highlighted major concern over the government’s willingness to adequately fund infrastructure projects.

 She said: “The council has made it clear that the tenders are so far out they have had to pull this project for the foreseeable. The community will want to understand what has gone wrong and I am writing to the council and to the government’s Transport Secretary Michael Matheson to get some answers.

It appears the government hasn’t managed to do its sums correctly and has underfunded this scheme.”

 Mrs Grant has been in correspondence with the council and the Equality and Human Rights Commission over the suitability of the scheme for people with disabilities.

She added: “Concerns were raised that the plan to upgrade the pier does not include disabled access the water so I asked Highland Council to give me a commitment that an Equality Impact Assessment (EQIA) would be undertaken before any works went ahead. When I asked for an update this week I was surprised to be told that it had not been done and that the scheme was being shelved.”

Highlands and Islands MSP, Rhoda Grant, is becoming increasing frustrated at the lack of transparency on the future of Migdale Hospital’s Strathy ward in Bonar Bridge.

When the Sutherland hospital opened in 2011 it had 22 beds with two units – the Strathy ward, for older people with mental health problems, and another offering a range of in-patient services, such as palliative care, general medicine and rehabilitation services.

NHS Highland has told Mrs Grant that to “create capacity to respond to Covid-19, the Strathy ward has now been reconfigured to accept and manage general patients” but stressed it had not closed.

The health authority said mental health provision was also “reconfigured and consolidated” within New Craigs Hospital in Inverness, where the service continued to be delivered.

However, claims from the community suggest for all intents and purposes the ward is closed as it’s no longer in operation, has no patients and will probably not be used for mental health services in the future.

“I am not satisfied with NHS Highland’s previous answers and, by all accounts, neither is the community,” said Mrs Grant, who has also discussed the issue with Unison, one of the unions involved.

“Someone has written: ‘it was sad to see all those empty beds and no-one in the sitting room’. Another said at the last count there were only five or six cars in the car park there.

“I suppose the questions is, what constitutes closure from the perspective of the health authority, against what the public is seeing there?

“When this hospital opened much was made of research into dementia and official visits to other hospitals providing dementia care to build on good practice.

“I certainly hope that those aspirations to provide that sort of service in a rural area have not gone and that Coronavirus is not being used as cover for mental health staff and resources to be diverted by the back door.”

The MSP has been told that only half the hospital is being used and there were concerns that in the future, when Covid-19 abates, older, adult elderly requiring assessment will no longer be cared for close to home in the Strathy ward but will be sent to New Craigs in Inverness.

“Worryingly there are also some claims that patients were discharged to care homes that were not equipped to meet those patients’ needs,” explained Mrs Grant.

“Add to that information that some staff are unhappy, then it’s not a great situation at all for those who work on the front line and for families who want care closer to home.

“I have asked NHS Highland specific questions about the ward and submitted an FOI and await a reply, but every week I am getting contacted with new information and fresh concerns.

“Centralisation of services to Inverness is a big issue for constituents and I am keen to get to the root of what is happening here.”

In July NHS Highland told Mrs Grant there was nearly five nursing posts vacant on the Strathy ward.

Highlands and Islands Labour MSP, Rhoda Grant, on Friday (11.09.2020) met virtually with Transport Scotland Officials and representatives of WSP, the engineering consultants appointed to carry out a safety study of the A9 between North Kessock and Tore.

 

Speaking after the meeting Rhoda Grant said “Given the concerns that have been raised with me over recent months about the Munlochy junction, it was helpful to be able to speak with the engineering consultants and with officials of Transport Scotland directly about the study being undertaken.

 

“We are in the first phase of the process to examine the safety and operation of the road, the Case for Change phase, in line with Scottish Transport Appraisal Guidance (STAG). This part of the study involves gathering evidence on problems and potential opportunities for change.

 

If the case for change is made, the study will then look at analytical and stakeholder input. The analytical aspect of the study would involve looking at road safety and traffic patterns in the area. The road safety aspect would look at accident records and evidence of video footage to see how drivers interact with other drivers and with the road at large. Viewing video evidence would highlight ‘near misses’ and would be considered along with the actual accident stats and the volume and speed of traffic.

 

Mrs Grant continued “While current traffic volume is not at usual pre-Covid levels at the minute, using the video evidence from the past will help to show the full picture, should the study progress to the next phase.

 

“I was able to directly feed in the concerns which constituents have raised with me over recent months and I advised of the concerns of traffic travelling north having to cross over two lanes of a busy dual carriageway as well as cars trying to get into the outside lane ahead of the junction, queuing traffic on the dual carriageway and the short slip roads out of the junction.

 

“Constituents are also fearful that nearby housing development will impact on an already busy stretch of road.”

 

Mrs Grant concluded “With public transport links lacking in the north, people often have no other option but to use private cars, and it is imperative that we make sure they are safe to do that by improving these junctions up and down the A9.

 

“Anyone with concerns or views on this should contact me or their Community Council to ensure their views are fed in.”

Highlands and Islands Labour MSP, Rhoda Grant, has welcomed the news that the court case relating to the roll out of the Scottish Government’s R100 contract in the Highlands and Islands has been settled, saying this now gives the Scottish Government no further excuse for getting properties in the Highlands and Islands connected to superfast broadband.
The Labour MSP said “Since the SNP came to power in 2007, I, and my former colleague, Peter Peacock, have campaigned vigorously for improvement to broadband connections in the Highlands and Islands.
“Excuse after excuse has been given by SNP ministers for this not happening, in spite of it being one of their manifesto pledges in 2016, in 2017 and in 2019.
“This court ruling now leaves the SNP with nowhere to hide.
Mrs Grant continued “Our communities throughout the Highlands and Islands have been crying out for years for better broadband, or indeed in some cases, any broadband.
“Highlands and Islands Enterprise did the best job they possibly could in getting broadband out round our region but they need the proper financial resources to do this.
“Indeed the Rural Economy Secretary, Fergus Ewing, said he would quit if the broadband pledge wasn’t met by 2021. He should now reflect on this and ensure the money needed gets directed to the Highlands and Islands without any further delay.
“Our communities desperately need it, even more so now with Covid meaning that everyone is relying is more on internet connections, for learning, for business, for health consultations and for social purposes. The SNP need to finally show the people of the Highlands and Islands that they matter and get these connections rolled out to our communities.”

MSPs on the Scottish Parliament’s Public Petitions Committee have today (Sept 10) agreed to hear evidence from a leading Consultant Neurosurgeon to support an Inverness campaigner’s petition for the introduction of focus ultra sound technology to Scotland to treat people with Essential Tremor.

Mary Ramsay, from Dalneigh, Chair of the Scottish Tremor Society, is asking the Scottish Government to back the provision of magnetic resonance-guided focused ultrasound (MRgFUS) equipment costing an estimated £1.6million.

Today her MSP, Labour’s Rhoda Grant, spoke to the cross-party committee asking for the petition to be kept open and highlighting that campaigners were keen that the committee hear oral evidence from Professor Dipankar Nandi, a leading medical expert in the field, and also view a short video of a patient’s experience of the treatment.

Committee Convener, Johann Lamont MSP, said there was a consensus that there was still an issue to be followed up and the committee would seek to hear from the Professor, if not in person but by some other means.

Mrs Ramsay, who watched the virtual session from home on parliamentary television, said afterwards she was in tears at some of the emotional statements from MSPs.

“I’m absolutely delighted that the petition is remaining open and that they are going to hear from the professor. I am also hopeful that they will see the video on Geoff Sleight the patient who has benefited from the treatment. It’s quite remarkable the difference it has made to his life.

“I will not give up until this is available on the NHS.”

During the committee session, Mrs Grant, who represents the Highlands and Islands, said there was a definite sense of frustration that magnetic resonance-guided focused ultrasound (MRgFUS) technology was not yet available in Scotland but was in England and in other places throughout the world.

“Add to this, an energetic fund-raising campaign to make this equipment available to the whole of Scotland and you can see why the campaigners with Essential Tremor and their families are anxious that this committee and the Scottish Government really recognise the benefits of the therapy and how it can also save a huge amount of money to the NHS,” she said.

She explained the Scottish Government was aware that clinicians in Dundee were currently exploring the purchase of equipment and there were discussions are ongoing with NHS Scotland National Services Division about the development of a service.

Mrs Grant added: “Mary Ramsay asked me to make a plea to this committee to keep pushing for the technology to be available here. She says: ‘For me, and my part, if focussed ultrasound helps anyone to avoid what I went through, I will fight to my last breath to get it’. That is a measure of the petitioner to be honest. This is not going to benefit her, but she will not let up in making sure that nobody has to go through what she went through.”

The committee members, including Caithness, Sutherland and Ross MSP, Gail Ross, and North East MSP, Tom Mason, who has Parkinson’s, agreed they wanted to hear more about the treatment and backed keeping the petition open.

1. Mrs Ramsay (64) has Essential Tremor and has undergone Deep Brain Stimulation (DBS), where electrodes are placed in her brain to help alleviate the condition.  Focus ultra sound is cheaper and less invasive. However, Mrs Ramsay would not benefit from focus ultrasound as it would be too risky to reverse DBS. Her condition causes involuntary and rhythmic shaking and can affect almost any part of the body.

1. Fundraising for the equipment is being run by the University of Dundee. The technology uses MRI imaging to guide high powered, focused ultrasound to a very small point. At that point, molecules are vibrated extremely quickly, which creates intense local heat which destroys the tissue. The technology allows clinicians to target a very specific focal point – with very little heating produced in front of and behind that point, so only the targeted tissue is affected.

Essential tremor [ET] has no known cause. It is most common in the elderly but two-thirds in a recent survey developed symptoms of ET before the age of 50. ET affects both sexes and all ethnic groups and children.

People with ET may be so embarrassed by their tremor that they do not leave their home and become depressed. This embarrassment may impact on jobs and income. As many as 25% of patients are forced to retire prematurely, and in one study 60% said they had chosen not to apply for a job or promotion because of uncontrollable shaking. In a recent UK survey by the National Tremor Foundation, almost 20% of respondents had to stop working completely, 7% had to change occupation, and 6% had to reduce their working hours. In that survey, 12% said that they did not go out to socialise, 31% did so rarely, and 45% did go out but felt self-conscious. Only 12% said that their tremor did not significantly impact their social life. 18% of respondents felt that they were a burden on their family, 21% reported a severe impact on their mental health, 26% reported poor self-esteem, and 15% considered that ET had negatively affected their physical fitness. If the tremor becomes severe, the patient even may become unable to feed or toilet independently and require residential care or a carer at home.

At present, the only non-pharmacological treatment for severe tremor that is having an unacceptable effect on someone’s quality of life is deep brain stimulation (DBS): as DBS is invasive surgery in which wires are permanently inserted into the brain, some people are not suitable for it because of other diseases (comorbidities) and some do not feel able to consent to a procedure which involves permanent implants and lifelong supervision.