How is Covid-19 impacting on people's access to and experience of health and social care services in Sheffield?

Healthwatch Sheffield’s July 2020 Covid-19 briefing highlighted a range of issues affecting people’s access to health and social care services during the pandemic. A major focus was the introduction of mandatory face coverings in public places. Healthwatch received numerous enquiries from people with disabilities or health conditions, such as COPD, who found it difficult or impossible to wear face coverings. Concerns were also raised by people who could not access or print exemption cards, while others highlighted worries about stigma, discrimination and misunderstanding when relying on exemptions. 

Digital exclusion remained a significant concern. People without internet access found it difficult to obtain information and use services, while others were affected by the closure of libraries and community facilities that normally provided computer access. Healthwatch also heard about residents in care settings being unable to communicate with family members because of internet connectivity problems. Another recurring issue involved people receiving direct payments for social care, with some expressing frustration about continuing to pay for support that had been reduced or altered during lockdown and feeling that the reasons for these arrangements had not been clearly explained. 

The report also highlighted concerns relating to support for people with learning disabilities. As some day services began reopening, voluntary sector organisations reported that decisions about attendance were sometimes being made without fully involving the individuals concerned. Stakeholders felt people should be supported to make informed decisions about returning to services while balancing safety considerations.

Mental health services were another area of concern. Advocates reported that communication difficulties in inpatient settings had increased because of visiting restrictions and limited access to telephones. People using community mental health services sometimes struggled to contact care coordinators, particularly while staff were working remotely. Concerns were also raised about arrangements for Community Treatment Order hearings, with some advocates unable to participate and some patients attending important meetings without support. Overall, the briefing highlighted the continuing impact of Covid-19 restrictions on communication, inclusion and access to support for vulnerable groups.