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When you or someone you care about becomes ill, life can become very stressful. That is why we think it is so important for people to talk to each other and make plans before this happens.

To help people plan more, and stress less, we have created a toolkit of resources that we hope will be useful. This includes information sessions and checklists to help you get organised, as well as a plan to work out how you’d get home from hospital. We also look at some of the legal process and support that is available for those who care for you.

Even if you and those you support are perfectly healthy just now, you can still use these tools to help plan for the future!

We run online “Plan More, Stress Less” sessions which are for anyone interested in getting started with planning ahead. In this session we talk about what paperwork we can complete before a crisis arises, what actually happens when someone goes into hospital and how we can all work together to plan for a safe and timely discharge.

For our next dates and to register for a session, visit the HomeFirst Programme Events Page. Or you can watch a recording of a session here:

Alongside this video we have created two resources which anyone can use to help them plan for any future hospital admission. This could be a planned admission, for example if someone is going to hospital for an operation or to have some tests. However these resources can also be useful if someone needs to go to hospital in an emergency.

If you have any questions or feedback about these resources please email ggc.HomeFirst@nhs.scot

Preparing for Hospital Checklist

This checklist will help you think about all the different forms which you can complete just now that would be useful if you were ever in hospital. This includes things like a Future Care Plan and a Power of Attorney.

A Plan to Get You Home

This resources lets you and the people who support you, think about what might need to happen in order to get you home from hospital in a safe and timely manner. This includes thinking about who could collect you from hospital and where you might need to live if you need some extra support for a short time or on a more permanent basis.

Pharmacies located within Health Centres will be closed on Monday 15th July 2024 in line with other services provided from these locations. Below you can find a list of the pharmacies that will be open on Monday 15th July 2024.

The details below were correct as of Wednesday 26th June 2024.

To confirm details, please contact the pharmacy on the number provided.

Balloch

Well Pharmacy

11 Dalvait Road, G83 8LA
Phone: 01389 752 476
Opening Hours: 9.00am – 5.30pm

Clydebank

Boots UK

98 Sylvania Way, G81 2TL
Phone: 0141 952 2217
Opening hours: 11.00am – 4.00pm
Services Available: Needle Exchange, Palliative Care

Well Pharmacy

391 Kilbowie Road, G81 2TX
Phone: 0141 233 0207
Opening hours: 9.00am – 6.00pm

Dumbarton

Mackie Pharmacy

8 High St, Dumbarton G82 1LL
Phone: 01389 762 598
Opening Hours: 9.00am – 6.00pm
Services available: Palliative Care

Easterhouse

Peak Health Pharmacy

77 Lochend Road, Easterhouse, G34 0JZ
Phone: 0141 773 2003
Opening Hours: 9.00am – 6.00pm

Glasgow

Asda Pharmacy

1 Monument Dr, Robroyston, Glasgow G33 1AD
Phone: 0141 557 6210
Opening hours: 10.00am – 4.00pm
Services available: Palliative Care

Asda Pharmacy

Forge Shopping Centre, 1300 Duke St, G31 4EB
Phone: 0141 414 1510
Opening hours: 10.00am – 4.00pm
Services Available: Palliative Care

Boots UK

Central Station, G1 3SQ
Phone: 0141 221 7107
Opening hours: 9.00am – 6.00pm
Services Available: Palliative Care

Boots UK

55 St Enoch Centre, G1 4LZ
Phone: 0141 248 7387
Opening hours: 9.00am – 6.00pm

Boots UK

227 Byres Road, G12 8TL
Phone: 0141 339 1954
Opening hours: 10.00am – 5.00pm

Boots UK

200 Sauchiehall St, G2 3EN
Phone: 0141 332 8405
Opening hours: 11.00am – 5.00pm
Services Available: Needle Exchange, Palliative Care

Boots UK

Fort Retail Park, Auchinlea Road, G34 9DL
Phone: 0141 773 4817
Opening hours: 9.00am – 10.00pm
Services Available: Palliative Care

Boots UK

Boots UK

4-5 The Avenue At Mearns, G77 6EY
Phone: 0141 639 5979
Opening hours: 11.00am – 5.00pm

Boots UK

Boots UK

182/4 Main Street, G78 1SL
Phone: 0141 881 5686
Opening hours: 9.00am – 6:00pm
Services Available: Needle Exchange

Houlihan Pharmacy Darnley

9 Darnley Mains Road, G53 7RH
Phone: 0141 621 2970
Opening hours: 12.00pm – 3.00pm
Services Available: Palliative Care

Morrisons Pharmacy

The Triangle Shopping Centre, Bishopbriggs, G64 2TR
Phone: 0141 772 1660
Opening hours: 9.00am – 6.00pm
Services Available: Palliative Care

Morrisons Pharmacy

117 Riverford Road, Newlands, G43 1PU
Phone: 0141 649 0358
Opening hours: 9.00am – 6.00pm

Morrisons Pharmacy

900 Crow Road, Anniesland, G13 1JD
Phone: 0141 959 5689
Opening hours: 9.00am – 6.00pm
Services Available: Palliative Care

Morrisons Pharmacy

Ravenswood Road, Baillieston, G69 7HU
Phone: 0141 771 9216
Opening hours: 9.00am – 6.00pm
Services Available: Palliative Care

Rowlands Pharmacy

176 Main Street, G78 1SL
Phone: 07977 709 782
Opening hours: 9.00am – 6.00pm

Well Pharmacy

171 – 177 Baillieston Road, G32 0TN
Phone: 0141 771 7994
Opening hours: 9.00am – 6.00pm

Well Pharmacy

1157 – 1159 Shettleston Rd, G32 7NB
Phone: 0141 778 5505
Opening hours: 9.00am – 6.00pm

Well Pharmacy

9 Croftfoot Road, G44 5JR
Phone: 0141 569 3106
Opening hours: 9.00am – 6.00pm

Well Pharmacy

403 Nitshill Rd, G53 7BN
Phone: 0141 881 8193
Opening hours: 9.00am – 5.30pm

Well Pharmacy

7 Eaglesham Road, G76 7BU
Phone: 0141 644 4640
Opening hours: 9.00am – 6.00pm

Well Pharmacy

21 Cowglen Road, G53 6EQ
Phone: 0141 531 6826
Opening hours: 8.00am – 6.00pm
Services Available: Needle Exchange

Well Pharmacy

263 Alderman Road, G13 3AY
Phone: 0141 233 0204
Opening hours: 9.00am – 9.00pm

Kirkintilloch

Well Pharmacy

101 Cowgate, Kirkintilloch, Glasgow, G66 1JD
Phone: 0141 776 1264
Opening hours: 9.00am – 5.30pm

Lennoxtown

M Farren Pharmacy

133 Main Street, G66 7DB
Phone: 0141 01360 312 458
Opening hours: 9.00am – 5.45pm
Services Available: Palliative Care

Neilston

Neilston Pharmacy

55 Main Street, G78 3NH
Phone: 0141 881 1385
Opening hours: 9.00am – 6.00pm

Welcome to the Ward / Department posters are in place at all ward/department entrances to provide at-a-glance essential information for visitors to the area. 

How to request additional or replacement posters?

Please send all requests for additional or replacement posters to: ggc.medical.illustrationgri@nhs.scot.

Be sure to include your local cost-code for all posters ordered.

How to arrange new or updated SCN photos?

To arrange to have new or updated SCN pictures taken, please contact Medical Illustration direct at: 

ggc.medical.illustration@nhs.scot (QEUH)

ggc.medical.illustrationgri@nhs.scot (GRI)

Can changes be made to the posters?

No. Welcome to the Ward / Department posters represent current visiting arrangements, as per the Scottish Government Visiting guidance.

Who can I contact with further questions, feedback or comments?

Please contact the Person Centred Health and Care Team at ggc.person.centred@nhs.scot with any further questions, feedback or comments.

Welcome to the Ward Poster (Inpatient)

563.88 KB 2112 Downloads

Information for people working with children and families

HENRY provides a wide range of support for families from pregnancy to age 12 including workshops, programmes, resources and online help. Support for families is underpinned by the HENRY approach to supporting behaviour change which helps parents gain confidence, knowledge and skills they need to help the whole family adopt a healthier, happier lifestyle and to give their children a great start in life.

HENRY Healthy Families Right from the Start 0-5 years

Healthy Families Right from the Start encourages parents and carers to adopt a whole family approach. The programme covers:

  • Practical parenting skills for a healthy lifestyle
  • Increasing self-esteem and emotional wellbeing so children start school ready to learn
  • Changing old habits and adopting a healthier family lifestyle
  • Setting and achieving goals
  • Active play ideas and getting active as a family
  • Oral health
  • Portion sizes, first foods and snack swaps
  • Food groups, food labels and more
HENRY Healthy Families Growing Up 5-12 years

Healthy Families Growing Up includes more age-relevant topics such as body image, the influence of peers and family negotiations.

The programme covers:

  • Increasing self-esteem and emotional wellbeing so families feel able and motivated to make changes
  • Practical parenting skills for a healthy lifestyle
  • Setting and achieving goals
  • Changing old habits and adopting a healthy family lifestyle
  • Enjoying getting active for the whole family
  • Portion sizes and healthy food swaps
  • Food groups, food labels and more
HENRY Healthy Family Workshops  

These stand-alone workshops provide key information, confidence-building and peer support for families and can also act as “taster sessions” for families who may be interested in attending the Henry programmes. There are 7 topic specific workshops:

  • Starting solids (4-8 months)
  • Eating well for less (0-12 years)
  • Let’s get active (0-5 years)
  • Fussy eating (0-7 years)
  • Healthy teeth (0-5 years)
  • Understanding children’s behaviour (0-12 years)
  • Looking after ourselves (parents)
Referral criteria

Families living in Greater Glasgow and Clyde can now access HENRY for support with:

  • Promoting positive approaches to child healthy weight
  • Increased knowledge and skills in cooking skills and food preparation
  • Enhanced awareness of the benefits of being physically active
  • Encouraging healthy family routines

HENRY is a holistic family programme and is not a specialist intervention, however families who have children with complex needs may still benefit from attending.

If you are working with children and families you can refer families to HENRY using the Health Professional Referral Form.

Glasgow North East

If the family lives in Glasgow Northeast complete this referral form.

Other areas

If the family lives in any of the areas listed below, complete this referral form.

  • Glasgow Northwest
  • Glasgow South
  • Renfrewshire
  • East Renfrewshire
  • East Dunbartonshire
  • West Dunbartonshire
  • Inverclyde
More information

To find out more about what HENRY has to offer, please visit the HENRY website or watch the video below.

HENRY – Healthy Start, Brighter Future

See also:

Healthy Start, Brighter Future

The HENRY programme aims to support families of children aged 0-12 years with engaging the whole family to adopt healthier eating and lifestyle habits. HENRY addresses a range of areas that are relevant to families including but not limited to; parenting, well-being, self-esteem and confidence, portion sizes, healthy food swaps, getting active as a family, food groups and food labelling. 

HENRY Healthy Families

NHSGGC are working in partnership with Early Years Scotland (EYS) and Possibilities for Each and Every Kid (PEEK) to deliver the HENRY programmes and workshops.

Who is HENRY for?
Families with children aged 0-5 years

If you have a child aged 0-5 years, the Healthy Families Right from the Start programme might be suitable for you. 

This 8-week programme is designed to support parents and carers to give children a healthy, happy start in life and improve school readiness. The topics covered include: 

  • Practical parenting skills for a healthy lifestyle
  • Ensuring children start school ready to learn
  • Adopting a healthier family lifestyle
  • Setting and achieving realistic family goals
  • Getting active as a family
  • Healthy teeth
  • Portion sizes and healthy snack swaps
  • Food groups and understanding food labels
Families with children aged 5-12 years

If you have a child aged 5-12 years, the Healthy Families Growing Up programme might be suitable for you.

This 8-week programme is designed to support parents and carers with the emotional and physical development and healthy weight for primary school age children. The topics covered include:

  • What’s a healthy family
  • Understanding children’s behaviour
  • Practical parenting skills for a healthy lifestyle
  • Healthy food swaps
  • Family mealtimes
  • Negotiating family agreements
  • Children growing up
HENRY Healthy Family Workshops

Stand-alone workshops provide key information, confidence-building and peer support for families. There are 7 topic specific workshops:

  • Starting solids (4-8 months)
  • Eating well for less (0-12 years)
  • Let’s get active (0-5 years)
  • Fussy eating (0-7 years)
  • Healthy teeth (0-5 years)
  • Understanding children’s behaviour (0-12 years)
  • Looking after ourselves (parents)
How and where to access HENRY

Self Referral

If you are interested in attending a HENRY programme or workshop(s), complete the secure online self-referral form and someone from Early Years Scotland or PEEK will get in touch with you.

HENRY programmes will be available in the following areas and delivered by Early Years Scotland (EYS) or Possibilities for Each and Every Kid (PEEK)

Glasgow Northeast

If you live in Glasgow Northeast complete this referral form.

Other areas

If you live in any of the areas listed below, complete this referral form.

  • Glasgow Northwest
  • Glasgow South
  • Renfrewshire
  • East Renfrewshire
  • East Dunbartonshire
  • West Dunbartonshire
  • Inverclyde
More information

To find out more about PEEK and EYS, visit the pages below:

PEEK Project

Tel: 0141 554 3068 or email: hannah@peekproject.co.uk

Early Years Scotland

Tel: 0141 221 4148 or email: info@earlyyearsscotland.org  

  

The new NHSGGC Quality Strategy, Quality Everyone Everywhere was approved by the NHSGGC Board on 25 June 2024. There are two versions of the strategy available, a full and summary version.

Stages of Development

Discovery and Engagement

We held an Accelerated Design Event in November 2023, using feedback from this to inform the next steps.

In December 2023 we undertook extensive engagement, co-design and analysis.

Development and Board Approval

From February to May 2024 the quality strategy was designed and developed, with input from an International Advisory Group and a Design and Development Group before being presented to the Board in June 2024.

Implementation

From July 2024 to September 2024 we will begin to construct an implementation plan to put Quality Everyone Everywhere into action.

Progress so far

Throughout the development phase the team have produced regular SWAY newsletters to update on the work and progress of the strategy design and development. You can view the newsletters below.

Contact the Quality Strategy Development Team

Further Information

NHS Greater Glasgow and Clyde offer a range of free programmes which focus on healthy eating, family behaviour change, physical activity and much more. The programmes are designed to support you and your children live a healthier lifestyle.

Information for people working with children and families

Useful links and resources

NHS Services Scotland (NSS) statement on behalf of the NHS in Scotland:

“Our deepest sympathies are with the patients who were infected by the use of blood products and their loved ones.  

“We sincerely apologise for the historical failings described in the Infected Blood Inquiry and empathise with the impact these events had on infected and affected people. 

“We welcome the publication of this Inquiry, and we would like to thank the Chair and staff for the work undertaken to produce this comprehensive report.  

“Modern safety standards are rigorous, and significant advancements in screening and testing protocols have been made since the events that have been the subject of this Inquiry. All donated blood then undergoes thorough testing before being used for transfusions.     

“NHS Scotland is committed to ensuring lessons from these events have been learned as we continue to prioritise a safe and sustainable blood supply across Scotland.”

‘A Fairer NHS Greater Glasgow and Clyde’ 2020-24 (PDF)

‘A Fairer NHS Greater Glasgow & Clyde’ Monitoring Report 2020-22 (PDF)

‘A Fairer NHS Greater Glasgow & Clyde’ Monitoring Report 2020-22 Executive Summary (PDF)

A Fairer NHSGGC Survey Report 2019

Workforce Equality Documents including Equal Pay Statement

‘A Fairer NHS Greater Glasgow and Clyde’ Monitoring Report 2018-20 (PDF)

A Fairer NHSGGC 2020-24 Easy Read

Meeting the needs of our BME patients

This information is for the attention of all NHSGGC staff involved in the treatment and care of Black and Minority Ethnic patients (BME). Following these guidelines will help ensure that our BME patients access the services and treatments that meet their needs. This information is also available on the Right Decisions app.

Around 5% of our BME patients do not speak English. This group of patients have additional barriers to accessing our services that must be addressed.

Getting It Right for BME patients – Core Elements

Expectations for all NHSGGC staff

Treat people fairly – treat BME people fairly and without prejudice or stereotyping. NHSGGC has a zero tolerance policy on discrimination.

Know your community – have knowledge of the local community who may use their service, including an ethnicity and language breakdown.

Collect ethnicity data – always collect the ethnicity of patients using your service.  This is mandatory in Scotland for Acute services.  TrakCare care and EMIS enable you to record the ethnicity of people who use our services in the demographics pages.  People can say ‘prefer not to say’ but we need to ask all people who use our services.  Anyone who comes into contact with a patient and has responsibility for checking their demographics to confirm identification and should update their details including ethnicity.  Patient demographics which includes ethnicity should be checked on every visit for every patient to a hospital to ensure it is fully updated.  If available on paperwork prior to visit e.g. through a GP Referral, then whomever is logging this on the system should update demographics.  The patient does not always need to be present for the first update.  All patient must have their ethnicity recorded.

Prepare translated resources – have resources about your service ready, including consent to treatment forms, for your BME patients who may not speak English. Have a stock available in the languages you use most and know how to access others when required. For more information go to Clear to All.

Know how to access interpreting support – It is our responsibility to provide interpreting support for any patients using our services. Support is available either via telephone or face to face interpreters. For more information go to Interpreting Services

Ensure patients know how to access interpreting support – patients who don’t speak English can use our telephone interpreting service to call your or any other NHSGGC service.  Patient leaflets are available for immediate download in 40 languages. See Direct Patient Access information. Other languages can be provided for your patient.

Get feedback from BME patients – ensure that any patient engagement is inclusive of BME communities, including non-English speakers  

Know how to access staff training that covers race equality – you can log in to LearnPro for the statutory and mandatory equality training

Source: Joseph Rowntree Foundation

Know your population

Scotland’s BME population 

The 2022 Census has provided evidence of the changing ethnic composition of Scotland.

Of the 5.4 million people living in Scotland, around 388,000 came from Black/Minority Ethnic backgrounds, which equates to around 7% of the total population – a rise of 3% from the 2011 census figures.

Asian groups were the largest minority ethnic group in Scotland and represent nearly 4% of the total population. White minority ethnic groups (e.g. Irish, Gypsy/Traveller, Polish) collectively make up 5.8% of the total population – a rise of 1.6% since the 2011 census.

Scotland’s BME population is patterned by age, with 11.6% of Scotland’s total population being BME people under the age of 18. This compares to just 1.5% of Scotland’s total population being BME people over the age of 65.

Glasgow is the most ethnically diverse place in Scotland with 20% of Glaswegians coming from BME backgrounds. Notably 32.6% of Glasgow’s under 18 year olds come from BME backgrounds.

Community Languages

About 5 in every 100 people admitted to our hospitals as inpatients do not speak English.

NHSGGC has over 100 language groups that use our services.  The top 10 languages are currently:

  • Arabic
  • Urdu
  • Polish
  • Mandarin
  • Romanian
  • Farsi
  • Punjabi
  • Kurdish Sorani
  • Cantonese
  • Slovakian

Your service’s patient population may not reflect these main language groups so it is important to monitor this.  For example, a patient population which is mainly drawn from refugees and asylum seekers will have a different language profile.

Engagement

Services need to establish an understanding of needs by engaging with BME patients and staff to identify issues for BME patients in our services.  This can include data collection around ethnicity.  It is important to note that all of us have an ethnicity and therefore all patients should be asked their ethnicity in our services.

Services should regularly engage with patients to understand what they think about the services we provide.  It is important to include BME patient specifically in patient engagement to ensure their voice is heard in how to improve services. Speak to the Board’s Patient Experience and Public Involvement Team (PEPI) for advice.

Taking an anti-racist approach

Taking an anti-racist approach means ensuring that how we behave or design and operate our services does not discriminate against BME people. 

Discrimination means treating people less favourably due to their colour, nationality (including citizenship), ethnicity or national origin (Equality Act (2010)).  We all have an ethnicity.

As NHSGGC staff we need to recognise that racism – or any form of discrimination – is a fundamental cause of poor health in affected populations. 

We need to create an environment free from racism and stereotyping. We have a responsibility to deliver Person and Family Centred Care to all our patients, based on their individual needs and best practice. Do not make assumptions about a patient’s needs – ask them.

It’s important to recognise that being in the majority group brings with it a level of power and belonging that BME people may not attain. Pointing out perceived differences in appearance, describing BME patients as ‘not our patients’ or as ‘foreign’ when they were born here, all contribute to ‘othering.’ 

This ‘othering’ can often take the form of using offensive language. Sometimes people will describe certain language as ‘banter’ or ‘having a laugh,’ which can make it difficult for someone to challenge. It is important to always speak up and address the use of offensive language that may be heard in our services. 

Racism is classed as a Hate Incident or Hate Crime and should be reported through the NHSGGC Datix Incident reporting system

Inclusive Care
Patient Information

Provision of patient information is a key aspect of health services whether this is written, verbal or in other formats.

Services should assess all patient facing written information to ensure it is accessible.

Identify the core information patients will need and have this available in plain English before requesting translations through the Clear to All service. Clinical letters, diagnostic instructions and compliance-related written information specific to an individual patient can also be translated through this service. 

Some patients will wish to take home information about their condition in English, as well as the language they read. This is so family members who read only English are aware of the details. 

If your service has high numbers of service users who do not speak English, identify the language profile over a few months and decide on an appropriate stock of your core service information in community languages.  For example, in the NHSGGC area there are over 100 languages in use. Maternity Services reviewed their language profile and identified that their service information should be translated and made readily available in at least 10 community languages. Any language out with this list could then be requested via Clear to All as required.

Please be aware if your leaflet is providing additional information through links to English language websites. If the information is integral to the content, it should be translated and provided separately. Otherwise, the leaflet should include a statement to say, ‘If you are unable to access the information on this site, please speak to your clinician’.

All patient leaflets should include the NHSGGC statement regarding availability in accessible formats. For more information go to Alternative Format/Language text section at Interpreting & Language Resources.

When you have completed your review of your service leaflets and implemented this approach, ensure that all staff are aware of how and when to use patient information.

Consider, when making new resources, how this will be translated. This particularly relates to audio and video resources. Liaising with Clear to All is essential to establish the most suitable format.  Videos can be voiced over (not subtitled) in community languages but ensure the images used in videos represent our diverse population.

Provision of Interpreting Support

It is our responsibility to provide interpreting support for any patients using our services. All staff should therefore have good awareness of and confidence in using the NHSGGC Interpreting Services. 

Support is available either via telephone or face to face interpreters. For more information on how and when to use the service, and resources such as, How to Access Interpreting posters, go to Interpreting Services

Patients who don’t speak English can use our telephone interpreting service to call your or any other NHSGGC service.  Please ensure that your patients are given an information leaflet explaining this service in the appropriate language. Leaflets are available for immediate download in 40 languages and can be requested if not currently available. See Direct Patient Access information.  

If you or your service would like to attend training on how to use interpreting services, go to our training webpage.

Barriers to Accessing Services

Adopting a flexible appointments system will help ensure that non-English speaking patients have the time they need to communicate and understand any exchange. This also applies to anyone who needs additional time to speak or who uses communication support e.g. patients who have a learning disability, speech difference or British Sign Language user.

Cultural and social issues may be an additional barrier to accessing certain services for some BME communities. For example, there is not a specific word that means ‘depression’ in certain languages, including Punjabi, Urdu and Hindi.  The stigma or lack of understanding of mental health problems may be a prohibiting factor for some individuals accessing any NHSGGC services.  Also, if patients experience negative or racist attitudes from staff, this will prohibit them from engaging effectively with health services.  

If there is a NHSGGC registered healthcare chaplain available on site, they can assist in supporting staff and BME patients and if appropriate, can access specific faith leaders that may provide reassurance for some BME patients. Visit our website for more information.

Community isolation may be a barrier for individuals from smaller BME groups or people who have sought asylum. These individuals may have little or no understanding of the availability of services or how they are provided. This can result in isolation from many statutory services, including the wider health services. Issues relating to migration status can exacerbate such problems. 

Your service may work with particular voluntary organisations who could help with considering how best to reach and engage with BME communities.  Organisations who can support staff include the Integration Networks e.g. Maryhill Integration Networks, Amma Birth Partners, Red Cross for asylum seekers and refugees.

Acute Patient Pathway – Issues to consider
Pre-admission/Admission

Where possible, ensure staff are aware of your patient’s additional support needs and condition history before they attend.  SCI gateway referral letters should highlight if an interpreter is required and any other additional needs. 

At times, however, this may not be listed on the referral letter.

It is good practice for staff to routinely ask, “Is there anything I need to be aware of when planning your care?” This may include barriers to accessing appointment times, preferred communication methods/support or issues with travel costs. 

Ensure that the patient’s interpreter needs are recorded in the ‘demographics’ on TrakCare and not only on an alert. Update TrakCare if you have a patient who does not speak English and you were unaware of this before they attended their appointment.

Use telephone interpreting if a face to face interpreter was not secured, even to just re-appointment and explain what is happening.  Telephone interpreting can be used for the majority of NHSGGC appointments.

Patients who require any kind of communication support will need flexibility within their appointment. Please provide this time to ensure that patients using an interpreter fully understand the information being conveyed and have the opportunity to ask any questions.  Make sure that what you have said has been understood.

For face to face interpreting support, check if the patient has stated a preference for the interpreter’s sex.  

Do not use family members or bilingual staff as interpreters. Do not use Google translate. 

More information on NHSGGC’s policy regarding interpreting support can be found in the policy document.    

During Stay

BME patients and carers should be supported and empowered to have their say regarding co-produced care and treatment plans.

Understanding the parameters of our services is important to all our patients.  Staff should ensure that the patient understands the service or treatment and why they are receiving it to ensure compliance and consent.  Checking that this information is fully understood will maximise benefits to the patient.

Do not exclude non-English speaking patients from group work – they should be offered every part of the patient pathway in line with English speaking patients.  The Interpreting Service can offer interpreters who are particularly skilled at working in group settings and can advise staff accordingly. 

Discharge

Check that your patient fully understands their discharge plan in terms of clinical follow-up, self-care and supports in the community.  If interpreting support is required for this, note that this intervention will take a longer time to complete. 

It is vital to use interpreting support at the point of dispensing medication to ensure your patient understands the purpose of their medications and when and how to take it.

Information prescriptions have been used to support this in some services, with translations made as required.  Ensure your non-English speaking patient knows how to call back to the pharmacy if they have any questions about their medication, using the direct access telephone interpreting service.

BME communities in NHSGGC have high rates of poverty, and many patients can find themselves going home to difficult circumstances. Please use the Money Worries web page to access simple NHSGGC referral pathways to money advice services and interventions such as the Home Energy Crisis Response Service.

Supporting Information
Meeting the needs of our Autistic patients

This information is for all staff involved in the treatment and care of Autistic patients in NHSGGC.

Using these guidelines will help ensure that Autistic people are enabled to access services and undergo treatments in a manner which fully addresses their needs. This information is also available on the Right Decisions app.

What is Autism?

“Autism is a lifelong developmental disability which affects how people communicate and interact with the world”.

“Autism is not a disorder… it is a neurological difference: one with a unique way of thinking and experiencing the world.” 

These quotes indicate the range of opinion which exists when seeking to define Autism or being Autistic. One firmly describes Autism as a deficit based disability whilst the other considers Autism as part of the broad range of neuro types (Neurodiversity) which exist in the world.

You may often hear the term “Autism Spectrum” which reflects the range of ways someone can experience being Autistic. It is different for everyone. Some people will require very little or no support with their day to day life whilst others may live in a supported environment. Many people will have levels of support somewhere in between and these needs may vary over time.

Identifying Needs – the Autistic SPACE Framework

The variability in the experiences of Autistic people can make it difficult to create a standardised approach to patient care. The Autistic SPACE framework has been developed by Autistic Doctors International to encompass the breadth of autistic experience and healthcare access needs.

Diagram explaining Autistic SPACE Framework
SPACE Diagram

Sensory needs – Sensory sensitivities are common to almost all Autistic people but the type of and degree to which people experience these varies. Hypo or hyper-reactivity to any sensory stimuli is possible and can vary contextually.

Predictability – Access to healthcare is best maximised for Autistic people when the environment and context is made as known and predictable as possible. Sudden or unplanned change is particularly difficult.

Acceptance – It is important to have a holistic approach, in which Autistic characteristics are understood and accepted.

Communication – Autistic people communicate differently. Many use fluent speech, but may experience challenges with verbal communication at times of stress or sensory overload. Others may be non/minimally speaking and use augmentative and alternative communication methods, including visual cards, writing or electronic devices.

Empathy – Autistic people do not lack empathy but it may be experienced or expressed differently from people who are not Autistic.

Physical, Emotional and Processing Space

Autistic people may need more physical space. Proximity to others, particularly within touching distance, is often difficult to tolerate.

Identifying, processing and managing emotions can be challenging, particularly when Autistic ways of expressing emotions are not understood. Sensory overload or overwhelming emotions may lead to Autistic meltdown or shutdown. Considering this will minimise risks, but if it occurs, the best approach is often to allow space to recover.

Understanding that Autistic people may need additional time to process new information or unexpected changes when compared to non-Autistic people is invaluable in improving the accessibility of healthcare.

Autistic Meltdowns/Shutdowns

A meltdown is an intense response to an overwhelming situation. It happens when someone becomes completely overwhelmed by their situation and can lead to a temporarily loss of control of their behaviour.

Whether in terms of outward expression (meltdown) or inward expression (shutdown), this is often brought about by lack of consideration of the Autistic SPACE principles outlined here.

Neither of these things should be viewed as challenging behaviour but if they do occur the best approach is often to allow space for the person to recover.

Experiencing persistent meltdowns/shutdowns can lead to Autistic burnout, characterised by pervasive, long-term exhaustion, loss of function, and reduced tolerance to stimulus. Application of the Autistic SPACE principles can help go some way to reducing this.  For further information and advice on Autistic meltdowns, see the National Autistic Society website.

Acute Patient Pathway – Issues to consider
Pre-admission

Give as clear a picture as possible of what the person can expect to happen.

  • Information (in appropriate formats) should include an explanation of processes and medical terminology. It should also, where possible, include routes to buildings/clinics from point of arrival at the hospital.
  • If there is sufficient advance notice of the admission, offer the opportunity for a pre visit or additional information to reduce anxiety levels about the experience. This will also aid staff understanding of what is required to improve a patient’s journey.
  • If it is an outpatient appointment, try to give an Autistic person appointments at less busy times of day. This may help reduce stress levels caused by busy environments.
Admission
  • Is the reception desk in a noisy or brightly lit area? Is there a lot of information for the Autistic person to process? Consider using a quieter, less brightly lit space for admission and allow time for the person to ask questions and process what they are being told.
  • If there has been no opportunity to chat or answer questions prior to admission, staff should take extra time to ensure the Autistic person (and where relevant their family/carer/partner) has understood what is happening. Speak clearly, giving the Autistic person time to process the information. If someone is non-verbal do not assume that they do not understand what is being said.
During Stay
  • If the waiting area is brightly lit or noisy consider the use of a quieter, less brightly lit space.  Also take into account any smells; is it possible to minimise this?
  • Explain any examinations or processes to be undertaken during the stay. If an Autistic Person has a carer, enlist their support but do not talk over the Autistic Person.
  • Any changes which need to be made should be clearly explained to the person as soon as possible. This will give time to enable an Autistic person to process the changes and feel more comfortable.
  • Consider where the Autistic person will be during their stay in terms of lights, sounds and smells. If necessary try to allocate a quieter less brightly lit space away from strong smells.
  • If it is not possible to find an alternative space, consider what can be done to lessen the environment and sensory influences. A single room can be easier in terms of lessening light, sound and smell. Encourage use of noise cancelling earphones or ear buds. – Many Autistic people will have these but may not be sure of using them in the environment; consider providing such equipment. Some Autistic people also wear dark glasses to lessen the impact of bright light.
  • Ensure that the Autistic Person is aware of the position of other relevant facilities such as toilets (Accessible toilets if necessary).
  • Over-stimulation of an Autistic Person’s senses may lead to “stimming”. Stimming is a self-regulatory behaviour intended to soothe or steady an Autistic Person. This can take many forms including humming, rocking and hand-wringing or flapping but will vary from Autistic person to Autistic person. It may also involve the use of stimming tools (sometimes called stim toys) such as fidget spinners or rings and squishy toys or just something the person finds comforting. Not all Autistic people visibly stim and it may go unnoticed by others if it takes a less visible form.
  • Be aware that a previously vocal person can also shut down when under stress, becoming less able to communicate.
Discharge

When the appointment or hospital stay is over, be clear about what will happen next, including any timescales and the need for follow up.

Take time to go through any information that an Autistic person may need and ensure that it is in a format which is suitable for them. Go through the information with the person if necessary, ensuring you check their understanding. Take special care to ensure any medical terminology is explained.

Good Practice example – RAH Day Surgery

Autistic patients can enter the unit via an alternative entrance which enables a less stressful start to their appointment/stay.

Within their six bedded wards, staff at can pull their dark curtains around individual beds to create more privacy and lessen sensory input. They can also reduce lighting in the individual areas.

Supporting Information