Contact-tracing app: We trust the NHS!

The UK public want the NHS to be the controlling body in Covid-19 contact-tracing app, says new research.

The public have massive trust in the NHS, who should have control and access to data in the Covid-19 contact-tracing app, according to new research by researchers at the University of Birmingham and in WMG at the University of Warwick.

Carsten Maple, Principal Investigator of the NCSC-EPSRC Academic Centre of Excellence in Cyber Security Research at the University of Warwick, who led the research, said: “With all of the possible design choices for a contact-tracing app, many commentators and experts have argued which approach is in the best interests of the public.

“For example, some have argued that centralised apps create privacy invasions that are unacceptable; others have argued that to be effective the apps should be centralised.

“However, as yet, the opinions of the public have not been gathered and so we have undertaken a significant survey to elicit their thoughts. We have examined how important privacy is to them and how willing they are to engage and share information.”

Dr Rebecca McDonald, lecturer in experimental economics from the University of Birmingham said: “The first encouraging results of our study are that only 9.6% of the public always chose to opt out of using the contact tracing apps we described to them.

“We asked people to express a direct preference between controlling the pandemic or preserving privacy, and we found that over half (57.4%) of participants favoured prioritising controlling the pandemic over privacy contrasting with around a fifth (20.1%) favouring  protecting privacy over controlling the pandemic.”

However the most powerful and important result from the survey was the contrasting degrees to which participants trust different agencies or individuals with their data, even when anonymised.

The group least trusted to be given access to this data was other app users but by far the most trusted group or organisation was the NHS.

Professor Carsten Maple in WMG at the University of Warwick said: “It is clear that the NHS enjoyed overwhelming trust in terms of access to personal data collected by such apps, even when anonymised. 

“Surprisingly, respondents’ choices suggest they would be most concerned about the decentralised approach that protects from Government access to information and instead shares information among other app users.

“The results indicate that users want a centralised approach, like the one currently being adopted by NHSX.”

“Our research clearly shows that the public is broadly supportive of the use of a COVID-19 contact tracing app and would download it in significant numbers, providing the app providers listen to their wishes on who should have access to their data.The NHS is by far the most trusted gatekeeper for that data.”

The table below shows in percentage terms how much more willing people are to use an app when their data is shared with different organisations (as in a centralised approach), compared to when it is shared with other app users (as in a decentralised approach).

NHS 70.5%
Researchers 53.4%
National Government 18.9%
Local Government 13.0%

The research highlights that people have a strong desire to understand the way a contact tracing app would work, and many respondents said they would need control over what data is shared about them, and who it is shared with, before they would be willing to download the app.

Since widespread uptake is needed for the app to be effective, addressing these potential barriers has to be at the heart of any large-scale roll out of the contact tracing app. The appetite is there, but the public need transparency in order to trust, download, and use the app.

The research also found that public would also have concerns about linking proximity data to other data sources. (They were particularly concerned about the linkage of their shopping location from credit/debit cards data).

Some also had concerns about practical things like the impact on their phone’s battery life, or the amount of data the app might need to use.

Scottish schools to return on 11th August

Safe return planned through mix of school and home learning

Pupils will return to schools in August subject to scientific advice that it is safe to do so, Deputy First Minister John Swinney has confirmed.

Schools will return on 11 August, one week earlier than planned for most pupils, while Early Learning and Childcare (ELC) settings will open over the summer.

An agreement reached between councils, professional associations and parent representatives means:

  • schools will implement physical distancing measures, such as providing seating that is two metres apart and staggering arrival, departure and break times
  • increased hand-washing or use of hand sanitisers, enhanced cleaning, robust protocols for suspected or confirmed COVID-19 cases and ongoing risk assessments will be implemented
  • class sizes will be significantly reduced as a result of the new way of working, with most pupils spending around half their time in class and half learning at home. Time in school will increase further as soon as it is safe to do so
  • teachers and other education staff will return in June – subject to appropriate safety assessments being completed – to prepare and plan for the new way of working and welcoming pupils back
  • existing ‘hubs’ will continue to run to provide vulnerable children and those of key workers with childcare over the summer
  • the school estate will be expanded where necessary and possible by using libraries, community halls, leisure centres, conference venues or taking short-term leases of vacant business accommodation to increase the time children can spend with their teachers
  • innovative use will be made of existing teachers and staff and, where necessary, consider the role former teachers can play either by returning to the classroom or teaching virtually to support in-home learning

To maximise the time pupils can have in the classroom and support children in the new model of schooling, including digital home learning, the Scottish Government is investing £9 million for 25,000 laptops or tablets – with internet access provided – for disadvantaged children as part of the first phase of provision to support their learning outside school.

Working with local authorities, a second phase of investment will see further funding to support digital inclusion.

Education Scotland will also deliver new national digital learning resources to support schools’ own arrangements for children and young people.

Mr Swinney said: “In reopening Scotland’s schools, our overriding priority is ensuring the health and wellbeing of our pupils and staff and giving parents the confidence schools are safe.

“Subject to public health guidance, teachers and other school staff will be able to return in June to prepare for a new model of learning from August. Comprehensive health and safety guidance will be in place prior to staff returning to school.

“This is not, however, a return to schooling as we knew it – schools are not returning to normal at this stage.

“To keep our pupils and staff safe we will implement physical distancing, staggered arrival and departure times, staggered break times, increased hand hygiene, enhanced cleaning regimes and a range of other measures

“That means a new model of teaching, learning and support will have to be delivered. Precise details will vary from school to school but for the vast majority, classes are going to be much smaller to allow physical distancing and, as a result, children are likely to spend about half their time learning at home.

“To maximise time in the classroom, we will work with local authorities to expand the size of their school estate where that is possible by using outside space, libraries, leisure centres, community halls and anywhere else that can safely be made to work.

“And, with classes being split in two or even in three, we will examine whether we can expand the number of teachers by asking those recently retired to return.

“In all of this, we recognise that some pupils will need extra help, particularly those who don’t have the technology at home to learn effectively.

“That’s why we will provide an initial tranche of 25,000 free laptops – bundled with a free internet connection – to pupils who need it. Education Scotland will support digital learning through new national digital learning resources that will bolster schools’ own arrangements for children and young people.

“We don’t know how long schools will have to work this way, just as we don’t know how long Coronavirus will be a threat. As long as that is the case, school life will feel quite different to before COVID-19.

“We have a mission to make this work, to educate Scotland’s pupils and, above all, to keep them safe. Working with our teachers, school staff, and councils this plan gives us a way to do that.

“We can safeguard our children’s future and get them learning alongside their classmates again. This plan will do that and get our young people safely back to school.”

COSLA Children and Young People spokesperson Councillor Stephen McCabe said: “In planning for a return to face to face schooling the safety of our children, young people and staff is paramount.

“In preparing for this we have been acutely aware of the impact that not being in school has on our children and young people, particularly those who are most vulnerable. The wellbeing of all of our children and young people is at the heart of everything we do.

“A key part of this agreement is that local authorities will have the flexibility to plan and deliver a return to education which suits local circumstances and takes the needs of all of the children, young people and parents in their area into account.

“Where it safe to do so and the scientific advice allows, local authorities will also have the flexibility to bring some children back to school in June with a particular focus on those at the key transition points of P1 and S1.

“This has been developed with key partners in education. To make sure we get it right for all of our children at this challenging time we will continue to work closely together.”

Scotland’s route map published

A route map setting out a phased approach to easing lockdown restrictions while still suppressing coronavirus (COVID-19) has been published.

The Scottish Government route map gives details of a gradual four phase move out of the current state of lockdown.

COVID-19: Framework for Decision Making – Scotland’s route map through and out of the crisis’ gives practical examples of what people, organisations and businesses can expect to see change over time.

It also highlights some of the things that won’t change for a while, including the continuing need for enhanced public health measures such as physical distancing.

If the evidence shows transmission of COVID-19 is under control and the number of infectious cases is starting to decline, the Scottish Government will consider moving to Phase 1 of the route map following the next end-of-cycle review date on 28 May.

The NHS Scotland test, trace, isolate and support strategy – known as Test and Protect – will be ready for expansion in all 14 health boards from 28 May.

A plan agreed between councils, professional associations and parent representatives to reopen schools on 11 August, subject to scientific advice that it is safe to do so, has also been published today.

First Minister Nicola Sturgeon said: “Today I have set out details of Scotland’s route map through and out of the COVID-19 crisis.

“The current key public health guidance remains to stay at home except for essential purposes, but the route map provides information about how and when we might ease our lockdown restrictions while continuing to suppress the virus.

“The lockdown restrictions have been necessary to reduce and mitigate the massive harm caused by the COVID-19 virus, but the lockdown itself causes harm including loneliness and social isolation, deepening inequalities and damage to the economy. That is why I have set out the gradual and incremental phases by which we will aim to ease lockdown matched with careful monitoring of the virus.

“At every one of these stages, the biggest single factor in controlling the virus will be how well we continue to observe public health advice. Continued hand washing, cough hygiene and physical distancing will continue to be essential as will wearing a face covering where appropriate.

“By doing the right thing, all of us have helped to slow the spread of the virus, to protect the NHS, and to save lives and as a result we are able – gradually, cautiously, and in phases – to plan our move towards a new normality.”

covid-19-framework-decision-making-scotlands-route-map-through-out-crisis

 

Council Leader: ‘serious about tackling homelessness for good’

The support being provided to people facing homelessness in Edinburgh has been commended but we’ll need to work together to bring about long-term change, says Council Leader Adam McVey:

Back in late March, when it was announced that the country would be entering lockdown measures, we set about creating a dedicated team to co-ordinate our support to some of our most vulnerable people – our residents experiencing homelessness.

As part of urgent measures to protect those most at risk, we stepped up an Additional Accommodation Needs Team to co-ordinate the crucial task of increasing the amount of emergency temporary bed spaces we can access as a Council, so that no one need be left without a safe place to stay.

Within weeks, empty hotels were secured. Holiday lets were turned into homes for those who might otherwise end up rough sleeping. And importantly, all families who had been living in B&B style accommodation were safely moved into self-contained homes. We now have over 200 extra bed spaces and counting as a result of this work and we’re continuing to meet the need for our services.

This rapid response is testament to our City’s dedicated volunteers, workers from across the third sector and the Council’s team of homeless support officers. It has highlighted the incredible work this service and those of our partners provides day-in and day-out, working hard to help anyone in need.

Yet, this pandemic has also highlighted the very real challenge we’ve been working towards in Edinburgh when it comes to providing much-needed homes.

We’re a compact City but our population is still growing.

The property market is still one of the most expensive in the UK and losing properties which could be safe and warm homes to those without a place to stay to the short-term lets market is simply not sustainable.

A quarter of all homelessness cases in Edinburgh are linked to the private rented sector and our housing teams support people whose tenancies may be at risk to stay in their homes.

Part of their work to prevent people from becoming homeless has involved bringing forward a rent deposit guarantee scheme, to support people with the often expensive upfront costs of renting. It will be vitally important that we continue to encourage landlords to help people whose finances aren’t secure to keep their tenancies, as and when lockdown measures are eased.

We’re ready to work with the private rented sector in partnership though and to understand the very real financial challenges many tenants will face because of the outbreak in the months which lie ahead.

We’re asking landlords of residential properties previously run as short term lets in particular to lets us use their properties to give a home to our citizens who need them in exchange for a guaranteed rent.

When we’re able to, returning to construction to build new, high quality homes will remain a key priority for us too.

We’re building 20,000 affordable homes as well as investing £2bn in new Council homes over the next decade, but this takes time to deliver. In the meantime, we can help landlords to rent their properties to us through our Private Sector Leasing Scheme with Link Housing, which not only offers a solution for private landlords who are unable to receive rental income during the pandemic, but increases the number of homes available to people experiencing homelessness.

We’ve already increased the number of properties we let from the private sector, bringing in 100 extra homes, and I want this number to rise.

We’re serious about tackling homelessness for good.

We look forward to industry working with us to achieve that aim. Let’s work together on this unique opportunity to rebalance the market for the long-term by returning short-term lets to the purpose they were intended for – as homes.

Letters: Austerity – Never Again!

Dear Editor

When the banks crashed through mismanagement and greed most were bailed out by the government, using public money to do so.

People were told that everyone was ‘in it together’.

But as we know from thise years, the government embarked onn what they called Austerity, in whih wages were frozen for years; prices were rising; major cuts were made in services of all kinds;unemployment and zero hours contracts grew.

The years of tremendous sacrifices made by the people in their lives have now been forgotten by employers and government alike.

In fact there is an indication that both of these are preparing the repeat of austerity, more severe than the last – and that will last much longer.

The people must not allow this to happen again!

The investors and financial institutions are intent to make everyone pay and once again decimate the lives of all people.

Tony Delahoy

 

Three youths arrested in connection with bike thefts

Police in Edinburgh have arrested three youths in connection with bike thefts in the city.

In the last few weeks, a number of bike thefts were reported to police, including three from the Royal Infirmary of Edinburgh where NHS staff have been using bicycles to travel to and from work during the coronavirus pandemic.

To address these issues, officers teamed up with NHS Lothian to help support staff with appropriate crime prevention measures and have carried out bike marking events for staff at the Royal Infirmary of Edinburgh, along with securing funding from NHS Lothian to implement permanent prevention systems.

George Curley, Director of Operations in NHS Lothian, said: “NHS Lothian would like to say a big thank you to police in Edinburgh for their hard work and liaising with us in this matter. We hope this helps to prevent further issues like this so our staff can cycle to and from work without concerns.”

Two of the youths, aged 17 and 19, will be subject of a report to the Procurator Fiscal and a 16-year-old youth will be reported to the Scottish Children’s Reporter Administration.

Through enquiry, officers have recovered three bikes, with a combined worth of approximately £4,000.

Inspector Norman Towler at Howdenhall Police Station said: “The theft of a bicycle at any time is depriving the owner of their property and potentially their method of exercise and commute.

“During these unprecedented times, the theft of bikes from staff working at the frontline of this crisis within the Edinburgh Royal Infirmary is beyond comprehension.

“Along with partners within NHS Lothian, we have worked together to take a long term prevention approach whilst also supporting them with bike marking events, which is something we will continue to do.

“A thorough investigation has led to three youths being identified, arrested and charged in connection with thefts and they will be reported in due course.”

Care home staff and residents need support to manage their grief during Covid-19

Care home providers need to consider how they can provide support for their staff and residents during the Covid-19 pandemic, as they are likely to be experiencing significant concern and potentially grieving for residents who have died.

Covid-19 is causing thousands of deaths in UK care homes, so the British Psychological Society has launched new guidance to help staff and residents cope with this particularly frightening time.

Professor Nichola Rooney, chair of the BPS’s Covid-19 bereavement task force, said: “We have all seen distressing news reports and figures about the experience of our care homes during the Covid-19 pandemic.

“Staff are doing all that they can to protect and comfort residents at an extremely distressing time, and it’s vital that managers give them the support that they need to provide this and to cope with their own grief and concerns

“I hope that this guidance is useful for care home staff, residents and their friends and family in navigating what is an unprecedented and often harrowing time.”

While staff working in a care home may have experienced residents dying before, the guidance says that this does not make each death any easier to cope with, and that staff often develop close relationships with people that they care for.

It suggests that the contagious nature of Covid-19, requiring staff to wear personal protective equipment when dealing with residents, means that some may feel they are unable to provide the comfort to people that they would want.

Care home managers can help staff by making sure that they are given regular opportunities to talk about how they’re feeling, and accommodate regular and frequent breaks. They can consider ways that staff can collectively remember residents who have died, and celebrate their lives.

Care home residents can often face a range of challenges depending on possible medical conditions, and even those in later stages of dementia will be affected by changes in the care home’s day-to-day life.

Staff need to make sure that they maintain communication with residents, even when it feels like this is always to bring sad news. They should explain why changes, such as staff having to wear PPE, are important.

The guidance should be read alongside ‘Supporting yourself and others: coping with death and grief during the Covid-19 pandemic’. They were both produced by the BPS’s Covid-19 bereavement task force.

 

‘A Better Recovery’: TUC plan to get Britain back on road to a healthy economy

The TUC has set out how the UK can recover from the coronavirus economic crisis, stop the despair of mass unemployment and set working families on a path to prosperity.   

Alongside the report, the TUC publishes analysis showing that the fastest recoveries from economic crises in UK history were based on investment for growth, not cuts to services, deregulation and tax breaks for millionaires and bosses.

75 years on from VE Day, the UK should emulate the post-war recovery  

TUC analysis shows that the decade of investment for growth (1947-57) that followed World WarTwo achieved an average growth rate of 3.3% But the decade of cuts (2009-19) that followed the bankers’ crisis achieved average growth of just 1.9%.

These examples are part of a wider pattern for the UK’s responses to economic crises over the last century. The UK recovers better and faster when the approach is investment for growth, prioritising workers’ wages, strong public services, a decent safety net and building the capacity of both private and public sectors.

Approaches based on cuts to spending only serve to hold back the whole economy. This can be seen not only during 2009-2019, but also during 1921-31, when severe cuts meant growth averaged just1.9%.

In both 1921-1931 and 2009-2019, slow growth led to higher national debt. By contrast, periods of recovery based on investment for growth have reduced national debt, because they are successful at generating broad growth and making the country wealthier.

A plan to get Britain growing out of the crisis – and stop mass unemployment  

The pandemic alone did not cause this economic crisis. It was made worse by a decade of austerity and failure to strengthen the UK’s economy. Choosing the wrong approach to recovery now risks embedding low growth, long-term unemployment and all the social ills that go alongside.

An investment for growth approach means taking action on six key areas: 

  1. Decent work and a new way of doing business: New business models based on fairer employment relationships. A fairer share for workers of the wealth they create, with a higher minimum wage and new collective bargaining rights.
  1. Sustainable industry: Economic stimulus for a just transition to net zero carbon. Rebuilding the UK’s industrial capacity with modern tech and training in new skills.
  1. A real safety net: Reforms to social security to provide help faster and prevent poverty. A job guarantee scheme so everyone can work and long-term unemployment does not take hold.
  1. Rebuilding public services: Bringing our public services back to full strength, with decent pay for those who looked after us in the crisis, and a new focus on good jobs and direct employment in social care.
  1. Equality at work: Specific actions to make sure women, disabled people and BME groups do not suffer disproportionately from the impact of the coronavirus recession.
  1. International solidarity: New international rules must prioritise decent jobs and public services for all.

The evidence from the post-war recovery is that this investment for growth recovery plan can pay for itself. Millions of working families with higher disposable income create the economic demand needed for strong growth and healthy public finances. Stronger public services and an effective safety net will support people to start and grow businesses, and will better protect against a future pandemic.

TUC General Secretary Frances O’Grady said: “The UK’s weak economy and ten years of cuts left our country unprepared for coronavirus. Only the dedication of millions of individual workers kept our country going.  

“Let’s learn the lesson. Together, we can work our way safely out of this recession. Let’s make sure everyone has a decent job, with fair pay and security for their family. Let’s thank our key workers with the pay rise they have earned. And let’s not consign millions of our fellow citizens to the despair of unemployment.

“Today the TUC publishes our plan for recovery. At its heart is good jobs. Jobs in a reborn UK manufacturing sector. Jobs in a social care sector finally getting some respect. Jobs in the green tech of the future. Let’s rebuild our country through hard work, determination and investment in all our futures – not cuts to spending, deregulation and tax breaks for millionaires and bosses.”

She added:  “Seventy-five years ago, Britain was bloodied, battered – and broke. Yet after the war Britain’s economy grew faster than ever before. We did it not by pay freezes and cuts, but making the priority decent jobs for everyone, new homes, infrastructure and a new national health service.   

“So let’s channel the spirit of 1945. Coronavirus doesn’t have to equal mass unemployment and a poorer, meaner country. We can do what the post-war generation did: grow our way out of this crisis and build a better life for everyone.”

TUC Report ‘A Better Recovery’

Half a million lost bed days are symptom of poor care integration, says disability charity

‘in many areas of Scotland, the integration of health and social care is happening in name only’

The loss of over half a million bed days in Scotland’s hospitals over the past year is a symptom of the failure to integrate health and social care, according to the disability charity Leonard Cheshire in Scotland.

Figures published by ISD Scotland show that a total of 542,204 bed days in 2019/20 were occupied by people delayed in their discharge from Scotland’s hospitals.

This represents a 4% rise in the number of bed days lost due to delayed discharges between 2018/19 and 2019/20. A daily average of 1,481 beds were occupied by people delayed in their discharge over the past year.

A delayed discharge occurs when a person, clinically ready for discharge, cannot leave hospital because the necessary care, support or accommodation required is not readily accessible or funding is not available, for example to purchase a care home place.

The main reasons for patients being delayed in their discharge in 2019/20 were awaiting completion of care arrangements (35%), awaiting place availability (23%) and awaiting community care assessment (17%).

ISD Scotland estimates that in 2017/18 alone, the cost of delayed discharges in NHS Scotland was £122 million – with an estimated average bed day cost of £248.

Reacting to the figures, Leonard Cheshire in Scotland’s Director Stuart Robertson said: “These figures demonstrate that in many areas of Scotland, the integration of health and social care is happening in name only.

“More than half a million bed days have been lost over the past year in Scotland’s hospitals due to delayed discharges and it’s time the Scottish Government finally tackle this issue. Over half of patients who experienced a delayed discharge have been impacted by a lack of care arrangements, availability and assessments.

“Delayed discharges are costing the Scottish Government over a hundred million pounds every year and are badly letting down disabled people and those receiving health and social care.

“Investment on the frontline is urgently required if we are to end delayed discharges and create a person-centred health and social care system that truly meets the needs of the Scottish people.”

Extra funding to support tenants as Holyrood backs emergency measures

The Scottish Parliament has unanimously supported new emergency measures to help people in Scotland get through the crisis caused by the COVID-19 (coronavirus) outbreak.

The Coronavirus (Scotland) (No.2) Bill, now passed by Parliament, gives powers to Scottish Ministers to temporarily intervene and manage care home services where there is a serious risk to the life, health or wellbeing of any person in that home for any reason connected with COVID-19.

The Bill also includes an additional £19.2 million investment in the Carer’s Allowance Supplement, the introduction of notice to leave periods for students in purpose-built student accommodation, and additional protections for those facing bankruptcy.

During the debate, Housing Minister Kevin Stewart has also confirmed an additional £5 million will be made available to local authorities through Discretionary Housing Payments, to support tenants who are now under severe financial pressures (see below).

There are also legislative changes in areas including non-domestic rates relief, proceeds of crime and the wider operation of Scotland’s criminal justice system. The Bill also ensures that COVID-19 grant funding goes to those companies that pay their fair share of tax by excluding those who seek to minimise their tax arrangements to the detriment of the wider economy.

Constitution Secretary Michael Russell said: “Scotland remains in an unprecedented situation. This legislation provides time-limited measures that will further strengthen our ability to prioritise work tackling the coronavirus pandemic, and support those in Scotland facing real hardship as a result.

“Whether it is taking action to safeguard the population’s health such as the measures relating to care homes, helping people in debt or students with accommodation costs,  we will continue to do all we can to help Scotland get through this most testing of times.

“In a spirit of cooperation and consensus we have worked across parliament and with all parties as much as possible as we take these important steps to tackle the impact of this ongoing crisis.”

£5 million for Discretionary Housing Payments

Housing Minister Kevin Stewart has announced £5 million additional investment to support tenants under financial pressure during the COVID-19 outbreak.

The extra funding, announced during the Stage 3 debate of the emergency Coronavirus (2nd) (Scotland) Bill, will go to local authorities to provide support to tenants through the Discretionary Housing Payment (DHP) scheme. This takes the total funding from the Scottish Government for DHPs to almost £16 million – as well as £60 million funding budgeted to mitigate the impact of the bedroom tax.

Mr Stewart said: “We all know that the wider impacts of Covid-19 are increasing pressures on households and leading to greater financial hardship, including paying rent.

“Many more people will now be on benefits for the first time and be subject to the UK Government’s benefit cap while others will have seen their household income decrease substantially and  may be struggling to pay their rent.

“We have been looking closely at how to support people during the crisis and I am pleased to announce that we are increasing the amount we have made available for other DHPs – those that are available outside of our full mitigation of the bedroom tax – by a further £5 million to almost £16 million. This will support tenants who are now under severe financial pressures and where the UK welfare state is not providing the safety net it should.”

The funding announced today takes to £77.1 million the amount of Scottish Government Discretionary Housing Payment fund to support tenants struggling with their housing costs or affected by the bedroom tax, where Universal Credit or Housing Benefit does not cover the cost of their rent.

That includes: Bedroom tax mitigation, £60 million; other DHPs paid already, £10.9 million; Administrative funding of £1.2 million; and today’s announcement of a further £5 million for DHPs.

First Minister Nicola Sturgeon will unveil details of a ‘route-map’ towards easing the country’s lockdown restrictions later today.