Occupational Therapy News OTnews May 2020 | Page 47

COVID-19 FEATURE the questions; and allowing more time during the assessment to support vulnerable and lonely people. Acknowledgement is given to applicants that this assessment method is a reasonable adjustment, that is important at this time. The majority of applicants have been willing to participate in this new way and have been generous with their time and the giving of information over the telephone. For many people, the assessor might be the first person that has asked how they are getting on, or may even be the first human contact that individual has had in some days. People can often become tearful when speaking about their problems. During a face-to-face assessment, the assessor is able to hand over a tissue, give reassurance and empathy. It is much harder for health professionals to respond in the way they would like to a tearful applicant over the telephone, however they can offer verbal support and local information on accessible help during the outbreak. A robust scrutiny of applications can still be offered when using all of the resources available, including all of the information provided in the application, cross-referencing with health and social care records, and information provided by the applicant in person. It is acknowledged that further assessment may be required should the applicant reapply at a future date, as assessing particular elements of mobility can be difficult over the telephone, for example gait patterns and checking the appropriate use of mobility equipment. It is really important to consider that the independent mobility assessment provides more than just the outcome of a Blue Badge application. It is a contact with a registered health professional who uses all of their clinical skill to ensure there are good outcomes for the applicant. In a few cases, the inability to conduct face-to-face assessments makes eligibility more difficult to determine. Where doubt remains, awarding a temporary badge (from one year – three years is possible in the legislation) and recording that, should You can find the latest advice on symptoms and self- isolation here: www.nhsinform.scot/coronavirus The Scottish Government has launched a new helpline for people who are at high risk from coronavirus and do not have a support network at home, including disabled people. Tel: 0800 111 4000 In a recent telephone call made to a gentleman in his 70s, while the assessor was asking questions about his walking he volunteered that he likes to walk daily to his local shop to buy the newspaper. Following some further questioning, it became clear that he was in the shielding category and had received a letter from the Scottish Government advising that he should not be leaving his home. The gentleman did not think that walking to the local shop – because this had been his daily routine for years – was included in the advice to ‘stay at home’. With a little explanation about how the virus is transmitted via human to human contact, the gentleman realised that he was putting himself at risk by going out into the community daily. There have been challenges for assessors to continue to offer person centred approaches, including: ensuring that the applicants are able to communicate using their preferred method and language; supporting people via telephone or video call who have sensory loss; arranging for family members or carers to be present to offer support and, where necessary, to help the applicant answer National guidance is being updated regularly here: www.gov.scot/coronavirus-covid-19/ Parking information is available at: www.britishparking. co.uk/write/Documents/COVID-19/Local_Authority_ Parking_Operational_Advice_during_Covid_19_-_ Scotland_V2_6_April_2020.pdf the applicant reapply they will be reviewed at a face-to-face assessment, is possible. Where a decision cannot be made without a face-to-face assessment, applicants are advised that their application cannot be processed at this time, but will be completed when the appropriate level of assessment can be undertaken. Applicants who clearly do not meet the eligibility criteria will routinely have been refused at desk-based assessment, therefore the numbers of applicants where extreme doubts remain is anticipated to be low. The onus remains with the applicant to provide supporting evidence and where there is not enough the application may be declined. Local authority parking teams have been advised that they should not issue Penalty Charge Notices to citizens using Blue Badges with an expiry date of 1 January 2020 onwards. This relaxation of enforcement against expired Blue Badges will continue until 30 September 2020, and applies to local authority parking only. Individuals are encouraged to continue to submit applications. Practical hurdles, such as getting photographs taken, submitting paperwork, accessing systems while working remotely are being addressed. As much as possible, electronic systems are being used along with telephone payments being taken by administration teams. Applicants can directly contact their local Blue Badge administration teams for support and information. The Code of Practice review and development that the Scottish Blue Badge Assessors Working Group were working on in collaboration with Transport Scotland has been postponed until further notice. Claire Reid, senior practitioner occupational therapist, Aberdeenshire Health and Social Care Partnership, and the Scottish Blue Badge Assessors Working Group. Email: claire.a.reid@ aberdeenshire.gov.uk OTnews May 2020 47