Coronavirus – health and wellbeing

Coronavirus - health and wellbeing

Coronavirus is a health issue in itself and is having a knock on effect on mental health and well-being for many children and parents. This section also covers vaccination and what parents need to know about how the health and therapy services their child would normally use are operating during the Covid-19 period.

Coronavirus health advice

What to do if you think you have coronavirus
If you, your child or any member of your household has symptoms of coronavirus, use the 111 coronavirus service online first. The most common symptoms are a high temperature or a new, continuous cough or loss of your sense of smell but note that children often have no symptoms or not these three. The information from the NHS 111 coronavirus service will guide you about what to do next. Here is the government’s advice about self-isolation

Testing for coronavirus is open to anyone who has symptoms, whatever their age and the advice is to get tested as soon as you think you may have symptoms. Initial issues with getting hold of home tests or getting a test appointment are much improved now and there are more local testing centres. Essential workers (including unpaid carers) can also get a test if they are self-isolating because another member of their household has symptoms.  Find out more about who is eligible and how to request a test. NHS Test and Trace is now offering weekly Covid-19 testing to care home staff, live-in carers and personal assistants of adults (18 and over) who don’t have symptoms or live with someone who has symptoms. Find out more here.

These are all known as PCR tests. A new type 0f test is also being used now for example in schools and care homes. This is known as the lateral flow device (LFD) test. It is less reliable but gives quick results and is designed to be used to pick up many cases where a person does not have any symptoms and so is not aware that they have coronavirus. If you/your child have symptoms you must book a PCR test via the online booking service or NHS111. You must not rely on them getting a LFD test from school or in a care home.

If you need to carry out a test on your child or young person you can watch this video to see how to do it.

If your child’s condition does not improve after 7 days or symptoms worsens, you should contact NHS 111

If your child or young person has any issues with communicating you could prepare an NHS “Covid-19 grab and go guide” for them now, to have handy in case you need to use any health services with them during the pandemic.

Children and young people at higher risk
Most people with disabilities or underlying medical conditions are not considered to be more vulnerable to coronavirus and we now know that the risks for children are lower than for adults. As we have learnt more about coronavirus in practice, the list of those people who are considered to be at higher risk of becoming seriously ill with coronavirus has changed. There are two levels of higher risk: high risk (clinically extremely vulnerable or CEV) and moderate risk (clinically vulnerable).  For most children and young people the risk is very low, even if they have conditions like asthma, kidney disease or diabetes. Many of the children who were identified as clinically extremely vulnerable earlier in 2020 are no longer thought to be at such a high risk and have been taken off the shielded patients list over the summer of 2020. But some children with specific conditions such as Cystic Fibrosis or who are undergoing chemotherapy may still be in the high risk group. Your child’s consultant should have told you this. Adults with Down Syndrome (T21) are now seen to be at high risk, but not children.  Public Health England has also identified other groups that seem to be at higher risk including being from a Black, Asian or minority ethnic background. Barnardo’s has launched a helpline service for Black, Asian and minority ethnic children, young people and their families impacted by Covid-19. You can find out more about the new helpline here.

Check current government advice  on who is at high or moderate risk.

Coronavirus vaccination is being rolled out to adults (16+) who are at higher risk. See below.

Extremely vulnerable children and young people
The new national lockdown in January 2021 reintroduced shielding for people who are clinically extremely vulnerable and at the highest risk of becoming seriously ill with coronavirus.  During this period everyone who is clinically extremely vulnerable should stay at home. Children and young people who are clinically extremely vulnerable should not go to school or college and should only go outdoors for exercise or to attend health appointments. This shielding guidance applies until 31 March, but children who are shielding may be able to return to school on March 8 with suitable measures in place to reduce risk, based on advice from their GP or consultant.

If your child is one of the small number of children that are still considered to be clinically extremely vulnerable and on the shielded patient list, you need to follow the latest advice for the clinically extremely vulnerable. You should already know if your child is in this group as letters were sent out last year, but if you are unsure you should contact your child’s consultant or GP. You can read more how doctors decide which children are at higher risk from the Royal College of Paediatrics and Child Health.

Some children who do not need to stay away from school for their own safety have faced a barrier because they need care that involves aerosol generating procedures but there is now clearer guidance about how schools can accommodate this safely and avoid excluding a child for this reason.

People who are highly vulnerable to coronavirus and their families can still call on NHS volunteer responders if they need extra help to stay safe and well.  These volunteers can deliver medicines, shopping and other supplies, as well as making calls to check in on those isolating at home. If someone in your household is in this extremely vulnerable group you can also get local help from your local Community Hub if you have needs that family and friends can’t meet:

Brighton & Hove Community Hub 

East Sussex Community Hubs

Coronavirus vaccination
Three coronavirus vaccines have been approved for use in the UK, although only two are available so far.  This is good news for all of us, and the national vaccination programme is well underway now. The government is following scientific advice about how to prioritise different groups for vaccination by the NHS, based on who is most at risk of serious illness or death if they catch the virus. People who are eligible for vaccination will be contacted as their group is reached. We are all being asked to avoid calling our GPs to ask about vaccination.

Most people are now being vaccinated either via their GP practice, often at a site shared by a group of practices or at one of three mass vaccination centres for Sussex at the Brighton Centre, the Welcome Building in Eastbourne and at Crawley Hospital.  For people who are in care homes or are housebound there are roving vaccination teams. The vaccination centres in Sussex hospitals are concentrating on vaccinating health and care staff. Finally a few pharmacy vaccination services are underway and more may follow.

The government’s priorities for vaccination are:

  1. residents in a care home for older adults and their carers
  2. all those 80 years of age and over and frontline health and social care workers
  3. all those 75 years of age and over
  4. all those 70 years of age and over and clinically extremely vulnerable individuals age 16 and over (on the NHS shielded patients list)
  5. all those 65 years of age and over
  6. all individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk; adults who provide regular care for an elderly or disabled person (those who get carer’s allowance, or who are the main carer of an elderly or disabled person whose welfare may be at risk if the carer falls ill)
  7. all those 60 years of age and over
  8. all those 55 years of age and over
  9. all those 50 years of age and over

The NHS in Sussex is on track to have offered the vaccine to all those in the first nine priority groups by mid-April, in line with the national target. This includes all those over the age of 50 and unpaid adult carers.

The NHS information page about coronavirus vaccination should be the most frequently updated source of information, but for more local information there is a Sussex NHS vaccination FAQs page. You can read the advice the government is using, and an explanation about the order of groups to be offered vaccination

Young people and adults with learning disabilities

After successful interventions from public figures like Jo Wiley, all young people (age 16 and over) and adults on the Learning Disability Register are now being prioritised for the Covid-19 vaccine in England. They will receive an invitation from their local GP Practice for their Covid-19 vaccination as soon as possible, with timing dependent on supplies arriving at the GP hubs.

Read more about how to check whether you are on the the Learning Disability Register or how to join it here.

Amaze will be also be contacting young people on the Compass register who are likely to be eligible to go on the Learning Disability Register with their GP, to remind them of the benefits of doing this and how to go about this.

Some disabled young people will need reasonable adjustments in order to be able to have the vaccination, for example they may be unable to queue or need help with a needle phobia. Amaze and the parent carer forums are continuing to work with local health teams, to highlight the need for reasonable adjustments for people with learning disabilities when attending vaccination centres. As part of this process, our local community disability teams have amended their reasonable adjustments document to include Covid vaccine information. Download the Covid Vaccination & Reasonable Adjustments easy read form here to take with you to your GP or vaccine centre.

Mencap have easy read information about vaccination which you can find on their coronavirus information page.

Paid carers

If you use direct payments to pay for a Personal Assistant to help care for your child, they should already have been invited for vaccination as paid carers in priority group 2. There is no cut off date for this though. If your child’s PA needs a vaccination, contact the direct payments service now.  There is more information on the Sussex Health and Care Partnership page on vaccination for the health and care workforce.

Unpaid carers (including parent carers)

Unpaid carers are now being identified and invited to book a Covid-19 vaccination, as part of priority group 6. Those in receipt of Carer’s Allowance or registered as a carer with their GP may have already been contacted.

Though the government definition of unpaid carers recently changed to “those who are eligible for a carer’s allowance, or those who are the sole or primary carer of an elderly or disabled person who is at increased risk of Covid-19 mortality and therefore clinically vulnerable”, the Sussex Vaccination Board has used local discretion and agreed to include all parent carers of a child or young person with a special educational need or disability that has a significant impact on their daily life in priority group 6. This usually means the child/young person is eligible for Disability Living Allowance (DLA) or Personal Independence Payment (PIP), has an Education, Health and Care (EHC) Plan, or is accessing services like CAMHS.

Amaze is working with local health services, local authority teams, and other carers organisations, to ensure eligible parent carers already registered with us (either on the Compass database or via the help we have given them with their EHCP or to get DLA/PIP) are invited for their vaccination as soon as possible. If you are registered on our Compass Brighton & Hove or West Sussex, you should already have received an email asking you to opt in to share your contact details for vaccination by 8 March. Email registration@amazesussex.org.uk if you haven’t received this.

In addition, urgent work is underway locally and nationally to develop a consistent approach for any eligible carers not already identified. We will share further details about this as soon as we can. Read our joint statement about vaccinations for unpaid carers, created together with local partner carers’ organisations for more information.

Younger adults and children

Also in priority group 6 are younger adults in long-stay nursing and residential care settings. This means places with shared facilities and where residents get personal care, so can include specialist residential colleges and supported living. A quick way to check is to find out if the setting where your young person lives is CQC registered as this implies that level of care.

Children under 16 are seen as being at the very lowest risk of getting seriously ill, even if they are disabled or have health conditions. The NHS are now planning to vaccinate some 12 to 16 year olds with severe neuro-disabilities who tend to get recurrent respiratory tract infections and who frequently spend time in specialised residential care settings for children with complex needs. There is no information out yet about offering vaccination for any other under 16s who are considered to be clinically extremely vulnerable. This is bound to be worrying for families, despite reassurance from paediatricians about the generally low risk of being seriously ill with coronavirus in children. One issue is that vaccines have not been tested on children, although this is now starting so there should be more information about vaccination for this group at some point in the future.

There is a dedicated Sussex CCG email address for vaccination queries: sxccg.vaccineenquiries@nhs.net which you can use if you have a specific question, rather than contact your GP at this busy time.

Discrimination against people with disabilities?
At the start of the pandemic hospital staff were told to use NICE guidance that was to help them make decisions about who was likely to be able to benefit from intensive care using guidelines written with very frail elderly people in mind (the Clinical Frailty Scale or CFS). It was clarified quite swiftly that the CFS should not be used for assessing younger people, people with stable long term disabilities, learning disabilities, autism or cerebral palsy. They should be looked at individually instead. Nevertheless, if your child has more complex disabilities and needs hospital care due to Covid-19, be alert to the application of ‘Do Not Attempt Resuscitation (DNAR)’ notices and any discussion about treatment decisions, such as a decision ‘not to escalate’ which would mean not to admit to intensive care. Ask for a second opinion if you do not agree with the treatment plan.
Self-isolating if you are a carer
If you or anyone in your household has symptoms of coronavirus you should follow the NHS advice about staying at home and self-isolating 

People self-isolating with suspected coronavirus symptoms can opt to get regular texts from an NHS 111 online messaging service. This will check how people are and ensure that those who need help to get them through that period, receive it.

Self-isolating has additional challenges if you are a carer, especially for sole-carers. Unpaid carers can request to be tested for Covid-19 if you or another member of your household have symptoms and suspect you have it, so you can find out if you need to self-isolate or not. Find out how to get tested here.  Think about writing an emergency plan just in case you are unexpectedly unable to continue caring if you become really ill. Carers UK have good tips about how to do this. And don’t hesitate to ask for help with practical things like shopping whilst you are self-isolating. There are community groups offering neighbourhood help.

See Covid Brighton & Hove, the new directory of local help which includes both longstanding community groups and the new Covid-19 mutual aid groups in the city.

See East Sussex Covid 19 Facebook group or search for your own more locally.

If friends, neighbours or a local community group are not able to give the help you need you can contact the Community Hub to ask for help

Brighton & Hove community hub

East Sussex Community Hubs

Coronavirus resources for children with SEND
There are easy to read, video resources and social stories explaining coronavirus for children and young people. And easy read and BSL resources for adults. Here are some of the best ones we have found, but note that some of these now have out of date sections, for example about having to stay indoors.

Vitamin D
There have been some news reports about vitamin D reducing the risk of coronavirus. There is currently not evidence to support taking vitamin D to prevent or treat coronavirus. However, vitamin D is important for our health (adults and children) and there is a risk of being short during the winter months or when self-isolating and staying indoors more than normal, as our bodies make vitamin D from exposure to sunlight. For this reason, the NHS advice now is to take 10 micrograms of vitamin D a day between October and early March. An over the counter supplement from supermarkets or pharmacies is suitable.

Health services

Seeing a GP
All GP Practices are open and providing appointments with a doctor, nurse, healthcare assistant or social prescriber. GPs are still able to make referrals and you should not delay contacting your GP if you have health concerns. But the way you contact your GP surgery has changed and you should always call or visit their website in the first instance if you need help rather than go down to the surgery. Most GP Surgeries are conducting some appointments via telephone or video consultation. If this won’t work for you or your child because of their disability explain this. All GPs are offering some face to face appointments too. For certain groups of patients, such as the deaf community, people with learning disabilities, people whose first language is not English and people who do not have access to the telephone, GP Practices are making alternative arrangements to ensure these patients can access appointments. Please check with your individual GP Practice. All local GPs now have a Video Relay Service (VRS), which offers telephone access and consultations to British Sign Language (BSL) users.

Remember, if you or your child has symptoms that suggest it could be coronavirus, do not go to a GP surgery, pharmacy or hospital as you could pass the infection to others. Visit NHS 111 online or call NHS 111 if you need to speak to someone.

GP-led ‘hot sites’ are set up around Sussex exclusively for any patient with Covid-19 symptoms. You may be directed to one of these by your GP practice or NHS 111.

Seeing a dentist
Routine dentistry (e.g. check ups) and orthodontic treatment stopped in March but restarted in the summer. You should contact your dentist for your child or yourself if you need to by phone. Don’t go to the surgery without an appointment. Dentists have been prioritising urgent dental care, but are now also doing more routine treatment and check ups.

If you have an appointment bear in mind things will look different as they will be using Covid-19 social distancing and hygiene rules. Treatments may be different depending on the staff and equipment available to the team at the time. The dental team may also be wearing different protective equipment to what you are used to seeing and you will want to prepare your child for this. Emergency treatment is available even if you have Covid-19 symptoms. You will be referred to a treatment centre equipped for this.

Community paediatricians, therapies and school nursing

Brighton & Hove

Despite increased pressure on the NHS during lockdown 3, Child Development Service staff in Brighton & Hove will not be called away to work on the NHS Covid-19 response this time around. Paediatricians, therapists and specialist nurses will continue to work with families by telephone or video call, though some face to face appointments will also take place, where essential. They have completed environmental risk assessments for Seaside View and other operational sites to ensure face to face appointments are provided as safely as possible, and therapists are liaising with schools and children’s centres around delivering services safely on their sites.  ​They may also visit children in their own homes, following social distancing guidelines. However, whilst infection rates remain high, most services are likely to be delivered remotely.

Seaside View are still running workshops and training sessions but these are being run on digital platforms. They are also creating training videos which will be added to the  SCFT Youtube channel and developing online resources.

The Child Development Service team is taking new referrals if these meet the usual referral criteria.

For telephone advice, to respond to urgent queries and provide signposting you can contact Child Development Services using these contact details:

Reception Phone: 01273 265 780 Email: sc-tr.bgh-seasideviewcdc@nhs.net

Community Paediatrics Phone: 01273 265 780 Email: sc-tr.bgh-seasideviewcdc@nhs.net

Occupational Therapy Phone: 01273 265 806 Email: SC-TR.OTSeasideview@nhs.net

Physiotherapy Phone: 01273 265 763 Email: SC-TR.SSVPhysiotherapy@nhs.net

Specialist Nursing Phone: 01273 242 061 Email: SC-TR.SpecialistNursingSSV@nhs.net

Speech and Language Therapy Phone 01273 242 079 Please contact by phone, email contact is not available

Audiology Phone: 01273 242 072 Email: sc-tr.childrensaudiologybrightonandhove@nhs.net

Read the latest information latest information on SEN interim arrangements here

The Schools Wellbeing Service has a consultation line for parent carers who may be concerned about emotional wellbeing and mental health issues. You can email your enquiry to SWSConsultationLine@brighton-hove.gov.uk or call 01273 293 481. Leave your contact details and a Primary Mental Health Worker will call you back.

School nurses are still able to offer confidential advice and support on a wide range of issues including behaviour, continence, sleep, healthy eating, self-harm, minor accidents and illnesses, and long term health conditions. You can text them on 07480 635423. Young people age 11-19 can also use this number to use the Chathealth service about any concerns or health issues.

East Sussex

Despite significant pressure on hospitals and rehabilitation services, CITES services are fully open during this third lockdown, though this remains under review.

East Sussex Therapy One Point (TOP) is the first point of contact for families or professionals with any concerns about a child’s therapy, referrals or assessments. TOP is staffed by therapists from Monday to Friday, 9am to 4pm. Contact 0300 123 2652 or kentchft.citesonepoint@nhs.net

Paediatricians and therapists continue to use some of the new ways of working they developed during the first lockdown, such as video consultations and producing short video clips to teach parents and professionals how to deliver therapy programmes and these will be available on their website soon. Where virtual support is not clinically effective or suitable, they will look at alternative Covid-safe face-to-face provision. Risk assessments and adjustments have been carried out at all their sites and therapists have access to a well stocked supply of PPE to ensure face-to-face service provision meets Covid-secure criteria.

All CITES staff are also now tested for Covid-19 twice weekly (Lateral Flow test kits) and vaccination of staff has commenced – this includes engineers at AJ Mobility employed to deliver specialist equipment and carry out equipment repairs, and orthotists working in the Orthotic clinics employed by John Florence Limited.

CITES continues to deliver therapy support in local special schools as part of a child’s EHC plan, if this is necessary and permitted. Where therapists cannot visit an education setting, CITES is supporting teaching staff and families to provide therapy provision in line with the child’s care plan. If home visiting is required to ensure a child’s clinical needs are met, this will be arranged. Any temporary alternative provision, in response to schools being closed, will be fully discussed and jointly agreed with families, carers and teaching staff.

If your child is shielding, CITES will look to support them through a mix of virtual and home visiting, with suitable alternative provision discussed and agreed directly with you.

If you have issues relating to your child’s specific care plan, or are struggling to meet your child’s additional needs whilst home schooling, please contact TOP for advice and support on 0300 123 2652 or kentchft.citesonepoint@nhs.net.

By the end of February, CITES are on course to have caught up with all outstanding diagnostic assessments for autistic spectrum condition (ASC) and developmental coordination disorder (DCD), where a face to face assessment appointment was needed. The ASC diagnostic assessments are being held at Grove House Hospital in Crowborough and at the Chaucer Clinic in Polegate. They have a new clinic space at Station Plaza, Hastings (right next door to the train station) and appointments for DCD assessments are now also being offered at this venue. If you are concerned regarding an outstanding DCD assessment, contact Therapy One Point. ASC assessments are managed through the Community Paediatricians at the Scott Unit.

The School Health Service is operating in a different way at the moment. Referrals can be made through the single point of access  0300 123 4062 or  kentchft.esschoolhealthservice@nhs.net and phone appointments will be offered where appropriate. Chathealth confidential texting service for young people aged 11-19 is available as normal. Young people can text the school health team about any concerns or health issues on 07507 332473. The number is monitored Monday to Friday, 9am to 5pm.

Read more about how therapy services have adapted and developed during lockdown in our interview with child development service leads in East Sussex and Brighton & Hove

Annual health checks for people with learning disabilities
Brighton & Hove and East Sussex CCG’s are both continuing to offer annual health checks for people with learning disabilities as usual. This is a general health check for anyone aged 14 or over with learning disabilities, done by your GP once a year. You don’t need to be ill to get a health check, but you can ask your doctor about anything that is hurting or worrying you. Learn more about what to expect, including easy read information:

Contact your doctor if you’re concerned about having an in-person appointment, as they may be able to offer you a video or phone appointment instead.

Hospitals

A&E and urgent care
If your child needs urgent medical attention for a reason other than coronavirus don’t hold back because you are worried about risk of infection at hospitals or you feel we should not burden the health service at this time. Hospital staff are taking every precaution to keep patients safe. Use good judgement and this this guide to decide the right place to go in Sussex when you or your child is ill. A&E departments continue to be open to deal with genuine life-threatening emergencies See here for a quick guide to making decisions about going to hospital. Usually it is best to call NHS111 before heading to A&E. Since December NHS111 have the ability to book you a time slot for services including A&E and the Urgent Treatment Centres if appropriate.

Health experts are concerned that some people with health issues that need urgent care are not seeking appropriate help. Professor Russell Viner, President of the Royal College of Paediatrics and Child Health said: “If your child is unwell the NHS is here for you. If you’re worried, please get in touch with your GP, use NHS 111, or in serious cases come and see us in hospital. Children are unlikely to be unwell with Covid, but they do get sick and when this happens we want to see them.”

During the current coronavirus emergency, if it is necessary for your child to attend A&E, please limit the number of family members/carers who accompany your child to the minimum. Alert the department by telephoning in advance if anyone in your family has recently been unwell. Be aware that they may need to take extra infection control measures which may limit where you can accompany your child in the hospital.

Make sure you have an up to date Hospital Passport or This is Me Care Passport for your child or young person. You could also prepare an NHS Covid-19 grab and go guide for them to be ready in case they need health services during the pandemic.

Hospital Appointments
If your child has a more routine hospital appointment coming up, the hospitals are asking that you wait to hear and do not to call up the booking team unless it is absolutely necessary. During the first peak of the pandemic some appointments were cancelled as staff had been moved to front line services. The pressures on hospital services are again very high at the start of 2021. Appointments may be rescheduled, and new referrals will remain on hospital systems, and patients contacted in due course to rearrange appointments. Urgent and essential treatment is continuing with suitable precautions at all hospitals and paediatric units that serve children from East Sussex and Brighton & Hove.

The Royal Alex Children’s Hospital are minimising face to face clinic appointments so do not turn up at the hospital for an outpatient appointment. A clinician will telephone you on the date of your appointment via your given mobile number between 9am – 5pm. They will assess whether it essential for your child to be seen and if so an appointment will be arranged within 2 weeks.

Visiting hospital
Now cases are high again hospitals are further limiting who can visit. There are exceptions for parents of children and carers of adults with additional needs. Check the links below for the latest position.

Brighton & Hove

Read the latest information from the Royal Sussex County Hospital and the Royal Alex.

Make sure you have an up to date Hospital Passport or This is Me Care Passport for your child or young person.

East Sussex

Latest information for East Sussex Hospitals

Make sure you have an up to date Hospital Passport or This is Me Care Passport for your child or young person.

Medication and equipment

Prescriptions
Most pharmacies are still open and repeat prescriptions should be available as usual. We are being asked to only request medicines when they are running low as you usually would, because ordering medicines too early or ordering more than usual can lead to fewer medicines in the system and potentially, shortages for others. Sussex health commissioners (the CCGs) say that manufacturers, wholesalers and pharmacies are working hard to minimise medicine shortages as a result of Covid-19.

Check your child’s supply of medication now and, if you are worried about running out, you should call your GP surgery and talk to them. You may be able to get a get a repeat prescription for the period of the crisis if you don’t currently have one set up. If your child would have been due a check before the prescription was next reordered they may override this for now if that is safe.

Patients are being encouraged to apply for repeat prescriptions online or using Prescription Ordering Direct (POD) phone service, if this is available with their GP practice. This will speed up the process for repeat prescriptions to be issued.

Getting prescriptions if you are self-isolating

Community pharmacies are extremely busy at the moment and are unlikely to be able to assist with home delivery if it is not normally something you receive.

If your pharmacy were delivering your medicines at no extra charge because you are shielding, they mostly stopped this service from August, as it was funded as part of the government’s shielding support package, which ended on July 31st.

If you have a repeat prescription and are self-isolating, see if someone else is able to pick up the prescription for you. If you are isolating, have them drop it off outside your door so that you can avoid face-to-face contact. If friends and neighbours are not able to give the help you need, you can contact the Community Hub to ask for help:

Brighton & Hove Community Hub

East Sussex Community Hubs

NHS Volunteer Responders and local community support can help with delivering medicines from pharmacies, but it is best to check with your pharmacy first.

Personal Protective Equipment (PPE)
PPE like masks and gloves have been in short supply across all local authorities. Huge efforts have been made nationally to increase supply. If you need PPE for PAs coming into your home and can’t get it from your usual suppliers:

In Brighton & Hove you can now order PPE via the council. This is if it is for direct care such as support with washing and bathing, personal hygiene, contact with bodily fluids or if the person you care for has received a letter from their GP to indicate that they are in a vulnerable group and need to shield, or the household has symptoms of Covid-19.

In East Sussex, the council has information on their website with a couple of options including a form to request an emergency supply from the council. There is a small grant scheme to help with the cost of PPE for PAs. Details of this are on the information page for people receiving direct payments.

Well Child, the national charity for sick children is offering help with PPE

Mental health and wellbeing

resources to help look after your child's mental wellbeing
We have written a guide for parents about what’s out there to help you look after your child’s mental wellbeing during this difficult time, including resources recommended by the team at Brighton & Hove Inclusion Support Service and a couple about taking care of yourself too. Keeping busy and active helps all of us so if you need some ideas and inspiration look at the Leisure Learning and Lockdown guides from Amaze’s Compass team. Although the Compass doesn’t cover East Sussex these guides are more universal.

The return to school or college in September was positive for the mental well being for many children but created worry for others. We wrote a guide about returning to school.  Now many children are not in school again, see this guide for useful information about resources to help your child adjust to change in this continued period of uncertainty.

Here are a few other key resources. Note that some of these were written early in the pandemic and may have out of date sections, for example about all having to stay indoors:

Children’s guide to coronavirus created by the Children’s Commissioner for England

Covibook is an interactive resource designed to support and reassure children aged 7 and under, for you to work through with your child to explain the emotions that they might be experiencing. Available in several languages.

A video by psychology and therapy services in London about supporting neurodiverse children during self-isolation

Young Minds – Talking to your child about Coronavirus and tips to support family mental wellbeing

National Autistic Society tips

advice and support on mental and emotional health
Brighton & Hove: If you have particular concerns about your child’s emotional and mental health you can ask the Schools Wellbeing Service for a call from a Primary Mental Health Worker for a telephone consultation. This is for children who normally attend school in the city. Email SWSConsultationLine@brighton-hove.gov.uk or call 01273 293481. A Primary Mental Health Worker will call you back. This should be within two days, but they expect to have a high demand so it may be longer.

The Schools Wellbeing Service is also running virtual workshops for parents on issues like anxiety and sleep, catch up coffee mornings where you can chat and ask questions, and specific Q&A sessions with a primary mental health worker and a nurse. Email them to find out more.

East Sussex: If you are concerned about issues such as anxiety, wellbeing and behaviour speak to your school first. The ISEND helpline for parent carers of children with SEND run by educational psychologists reopened on 18 January in response to the new lockdown. Any parent of a child or young person with SEND can call the ISEND telephone number 01273 481967 at any time and leave a message saying that you would like to talk to an EP. Your child does not need to have an EHCP.  The educational psychology service have a guide for parents about emotional wellbeing that you can use to help your child manage emotions like anxiety whilst at home.

Young people: Young people (13-25) can use a new e-wellbeing website which launched earlier than planned so it can help during the COVID-19 crisis. It is an accessible guide to the mental health services available to young people in Sussex. It will also help them identify self help resources relevant to how they are feeling at the moment.

14-25 year olds living in East Sussex can access support through i-rock, which offers advice and support on emotional and mental wellbeing, The service continues to offer an 11-6pm provision daily through virtual clinic software, telephone or email. Young people interested in accessing support, whether or not they have used i-rock before, should make an initial enquiry by emailing irockhastings@gmail.com More information on i-rock

These are all advice and support services, not crisis lines. If you require immediate support you need to contact your child’s GP, call CAMHS duty care on 0300 3040061 (Brighton & Hove)  or the Single Point of Access 01323 464222 (East Sussex). Out of hours call the Sussex Mental Healthline on 0300 500 0101. In a life threatening situation call 999. The advice at the moment is not to go to A&E direct.

CAMHS and mental health services
Brighton and Hove: The Wellbeing Service is still operating although not doing face to face work. They are offering video and telephone appointments and taking new referrals. Find out what the Brighton & Hove Wellbeing Service do and how to self-refer. This is also the route for new referrals to CAMHS in Brighton & Hove if you think they may now need that level of specialist help.

All Sussex Partnership Foundation trust (SPFT) services including CAMHS are continuing to run in Brighton & Hove.  As much as possible has been moved to telephone or online video consultation. Brighton & Hove CAMHS are running virtual workshops, structured groups and drop- in groups for referred cases. This includes a virtual weekly ASD and ADHD drop in advice and support session for those already referred who are either waiting to be assessed and/or are waiting for input re low mood and or anxiety. Assessments may be delayed.

For mental health emergencies call CAMHS duty care on 0300 3040061 or in a life threatening situation call 999. The advice at the moment is not to go to A&E direct.

East Sussex: All Sussex Partnership Foundation trust (SPFT) services including CAMHS are continuing to run in East Sussex, apart from group-based services which have stopped. As much as possible has been moved to telephone or online video consultation. For more about how Sussex CAMHS is working currently and to find advice for young people

If your child is not already being seen by CAMHS but you think they now need that level of mental health support you need to contact your child’s GP or the Single Point of Access 01323 464222 (East Sussex) who deal with all new referrals to CAMHS in East Sussex.

For mental health emergencies out of hours call the Sussex Mental Healthline on 0300 500 0101. In a life threatening situation call 999. The advice at the moment is not to go to A&E direct.

Bereavement
In the unhappy event that you need to know about how to support yourself and your family to deal with a bereavement there is a Sussex bereavement guide that covers both the practical and emotional aspects you will have to handle. For advice about how to help a child when someone they are close to dies or is very seriously ill, there is some help and resources from charities like Winston’s Wish. Read lots of advice on the Childhood Bereavement Network website.

National bereavement charity Cruse have advice for anyone bereaved at this time, whatever their age.

Locally the Schools Wellbeing Service (Brighton & Hove) or Educational Psychology Service (East Sussex) can offer advice and support. Contact details above.

Your mental wellbeing as a parent carer
Many people are experiencing additional stress, anxiety or feelings of isolation during the coronavirus crisis. Looking after your own well being is essential when you are a carer. You can contact the Amaze helpline via sendiass@amazesussex.org.uk  or 01273 772289 for ideas about where to get support. Amaze are running some online groups and drop ins for parents using video calls. You can find peer support from other parent carers on the Amaze Facebook Group or other online groups for parent carers. The following resources may also be useful:

The NHS Every Mind Matters site has all round mental well being advice

Anxiety UK are helpful if you are feeling anxious

Mind have advice on managing your mental health during coronavirus

If you recognise that your own mental health is becoming worrying, you can contact the Sussex Mental Health Line  0300 5000 101. This service is now open 24/7 as a response to the Covid-19 situation and the impact it is having on mental health across the community. It is run by Sussex Partnership Foundation NHS Trust and can give direct support for mental wellbeing and signpost you to other services appropriate for your needs.

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