Month: May 2020

Care sector ‘safety net’ proposed

New measures have been proposed to ensure swift intervention if care home residents are being put at serious risk due to services failing.

The move comes after the Care Inspectorate began legal action which could prevent operator HC-One running the Home Farm Care Home in Portree, where nine residents have now died.

The planned emergency powers are being put forward as a Scottish Government amendment to the Coronavirus (Scotland) (No. 2) Bill ahead of Stage 2 next week.

The amendments make clear that, if there was a significant risk to the life, health or wellbeing of individuals, or that a provider was unable to deliver care due to failure, that strengthened emergency powers will be available to ensure continuity of care.

If passed by the Scottish Parliament, the emergency powers will provide assurance to those who depend on care services, their families, and the staff that deliver care, that additional oversight and support is available in the rare circumstances that it may be required.

Health Secretary Jeane Freeman said: “The coronavirus pandemic has significantly impacted social care services around the world. In the face of this challenge, staff in care homes across Scotland have been working incredibly hard to care for their residents.

“It is of paramount importance that anyone living in a care home or using other care services, as well as those supporting them, are provided with the best possible care. We will do everything we can to ensure that remains the case. We are fortunate that this high standard of care is the norm for the vast majority of care home residents in Scotland.

“However, for the duration of this pandemic I believe that it is critical that a clear safety net is in place to ensure that if a care provider was unable to continue to deliver services, that the people who depend on those services should not be impacted. Our proposals build on established powers and would put beyond doubt that immediate action can be taken if continuity of care was jeopardised for any reason.

“The Care Inspectorate has a robust inspection regime for the care sector and the further steps we are hoping to take, if the parliament agrees, help bolster that work and would only be exercised as a last resort. There is guidance available for care providers on how to manage the current situation, which the Scottish Government expects to be followed.

“Every resident in our care homes, their family and the staff who work there should be kept safe from harm and we are prepared to take action where this is not the case.”

Hancock urges England to ‘stick with the rules’

Health and Social Care Secretary Matt Hancock gave the 15 May 2020 daily press briefing on the government’s response to the COVID-19 pandemic.

He urged people to stick to the newly relaxed lockdown rules, but with a weekend of sunshine forecast beauty spots and seaside resorts are braced for high numbers of visitors – and all the challenges and dangers that will bring.

NOTE: England’s guidance now differs from that of Scotland, Wales and Northern Ireland.

Good afternoon and welcome to Downing Street for the daily coronavirus briefing. I’m joined by the Deputy Chief Medical Officer Dr Jenny Harries and by NHS England’s Medical Director for Primary Care Dr Nikki Kanani.

I want to take this chance to update you on the latest coronavirus data. 2,353,078 tests for coronavirus have now been carried out in the UK, including 133,784 tests yesterday.

236,711 people have tested positive for the virus, an increase of 3,560 since yesterday. 10,024 people are currently in hospital with coronavirus. This is a 13% fall from the same time last week.

And very sadly of those who tested positive, across all settings, 33,998 people have now died. That’s an increase of 384 since yesterday. And we mourn each one. The number of deaths is falling each day, in all settings thankfully, and we are past the peak of this virus.

I want to take a moment to remind everyone about our plans for this second phase. We have set up the new COVID Alert Level System. That’s the five levels of threat – based on the R value and the number of new cases.

The alert level in turn guides the social distancing rules, which are vital in our efforts to control the virus.

A higher alert level means stricter rules. Throughout the lockdown, we have been at Level 4 which means that Covid-19 is in general circulation and transmission is high or rising exponentially.

But, thanks to your shared sacrifice, we’ve brought R down. Cautiously, carefully and responsibly, we are now in a position to start moving to Level 3.

We’ve set out the first of the three steps that we’ll take to carefully to modify the social distancing rules and start to restore freedom to this country all the while avoiding a disastrous second peak that could overwhelm the NHS.

At each step, we will closely monitor the impact on R, on the number of new infections, and on of course all available data. And we’ll only move to the next step when we judge it is safe to do so.

In the first step, as of this week if you work but can’t work from home, you should speak to your employer about going back in. People can now spend time outdoors and exercise as often as you like and you can meet one other person from outside your household in an outdoor, public place. But please keep 2 metres apart.

This weekend, with the good weather and the new rules, I hope people can enjoy being outside but please stick with the rules, keep an eye on your family and don’t take risks.

We’ve also updated what we’re asking to people to do, which is to Stay Alert, Control the Virus and Save Lives.

For the vast majority of people, staying alert still means staying at home as much as is possible. Working from home when you can, limiting contact with people, keeping your distance if you go out: 2 metres wherever possible. washing your hands regularly. This is still the single most effective thing that you can do to keep yourself safe and of course, self-isolating if you or anyone in your household has coronavirus symptoms.

By staying alert and following the rules, you can play a part in the national effort getting the R down and keeping R down controlling the virus so that we can save lives, rebuild livelihoods and start to recover our freedom.

First Minister: polling support for Scotland’s lockdown

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House on Friday 15th May:

Good afternoon. Thanks for joining us for today’s briefing.

I want to start – as I always do – with a statistical update on COVID-19 in Scotland.

As at 9 o’clock this morning, I can report that there have been 14,260 positive cases confirmed – an increase of 143 since yesterday.

A total of 1,449 patients are in hospital with the virus – 1,066 of them have been confirmed through a test as having COVID-19, and 383 are suspected of having the virus. That overall number represents a decrease of 31 since yesterday.

A total of 71 people last night were in intensive care with confirmed or suspected COVID-19 – which is no change since the figure I reported to you here yesterday.

I am also able to confirm that since 5 March, a total of 3,290 patients who had tested positive and required hospitalisation for the virus have now been able to leave hospital, which is good news for them and their families.

Unfortunately I also have to report that in the last 24 hours, 46 deaths have been registered of patients who had been confirmed through a test as having the virus – that takes the total number of deaths in Scotland, under that measurement, to 2,053.

As always, because it is so important every single day that we never see these numbers as statistics, as always I want to stress that point. Behind every single one of these statistics I read out to you here today, is an individual whose loss is being mourned by friends, family and all of their loved ones.

I want to send my deepest condolences to everyone who has lost a loved one to this virus. The thoughts of me, the government and I’m sure everybody across Scotland are very much with you at this time.

I also want to thank – as I always do – again, our health and care workers.  Once again last night, I joined with people across the country, in the applause at 8pm.  That is a small – but I hope powerful – way of demonstrating our deep appreciation, our ongoing appreciation for your incredible efforts at this very, very challenging time.

There are of course many, many other people who, in various different ways, are keeping the country going during this crisis. I can’t list all of them every day, but if you are in any of these categories know my deep appreciation and gratitude is with all of you. From time to time, I want to single out particular groups of workers so that they know that their efforts are not forgotten at this time.

Today I’m going to highlight the role of our telecoms workers and especially telecoms engineers.

The fact that we are being forced to stay physically distant from each other, has made many of us rely more than ever on technology. We’re reliant much more now on technology for access to public services.  Our children are relying on technology for access to education.  Many are working from home and need technology for that. We’re all using technology for staying in touch with family and friends at a time when we cannot physically see them.

So the contribution of those who keep all of these systems working, our phones and our broadband networks going at this time are so important to our everyday lives. That is true at all times but it is particularly true right now so I wanted to take the opportunity to say thank you to all of you.

I’m going to keep my general update today relatively brief.

As you know, the lock down restrictions here in Scotland remain very much in place. The message to you today, over the weekend and into next week, is still stay at home. The only change we’ve made to the guidance in place, which of course we announced last weekend, is the change on exercise.

That position we have in Scotland, now I want to be very clear, continues to be based on our assessment of the evidence – and on what we judge is right for the protection of people across the country.

However, as I also said on Sunday, we will continue to monitor the evidence very closely on an ongoing basis. And as we hopefully see more evidence of a downward trend in the virus – we will then consider further changes, but we will do so on a very careful and gradual basis.

When we know that lives are at stake and we have learned that everyday over these past seven or eight weeks as I’ve stood up here day in day out and read out numbers of people who have died. We do know that lives are at stake with this virus.

Then for as long as that continues to be the case, I’m going to continue to err on the side of caution, err on the side of saving lives and reducing the number of people who might die unnecessarily.

And I hope I have your continued understanding in doing so.

However, I also want to give you as much visibility and advance notice of future changes as possible.

We can’t live like this forever so we need to get some normality back as we continue to suppress the virus. We’ve tried to set out, as we have done in recent weeks on an ongoing basis, as much of our thinking and consideration as we can. As we can’t yet confirm dates of when things will open up again, at least we will seek to share with you share the order of priority and potential phasing.

So I will give you an indication now that next week, I will share with you more information on the assessments we are making and the range of options that we are looking at and any further minor changes that we might make in the short term.

And, as I have said before, as we make these decisions fairness and quality of life will be really important factors.

We are, of course, keen to get the economy moving again – I am very keen to get the economy moving again – that matters to all of us, not just to businesses.

But we also have to consider very carefully our social interactions.

A life where we go to work but stay locked down with no family interaction for the rest of the time is not one that many of us, if any of us, would enjoy.

So given that we are likely to have for quite a while to come very limited room for manoeuvre – and I want to stress that is the case –  we will need to get these balances as right as possible. That’s why we are paying close attention to the ideas that many of you are taking the time to share us.

Our considerations will be informed, as we have always said, by the scientific evidence and advice and the clear principles we have set out.

In all of this continuing to set out clearly to you why we are asking you to live your lives in such a restrictive way is vital – so that you understand we are not asking you to do this for no reason and will not ask you to do this for any longer than we judge to be necessary.

It is not enough, and never be enough in my view, for me simply to tell you what I want you to do. I have to explain, I’ve got a duty to explain to you, on an ongoing basis my reasons for it.

Compliance with any measures we may need to keep in place will, I think, always be higher if I am clear, rational and straight with you about the difficult judgements they are based on.

So on that theme, I thought I’d just very briefly share with you today the results of some polling on attitudes that we have undertaken.

And you’ll understand that we do this just to check that the messages that we are trying to convey are being understood and getting across.

Though I’m not complacent about this at all, this polling that I’m going to share with you suggests that the really important bond of understanding between government and you, the public in Scotland, right now is currently very strong. And I want to do everything I can to keep it that way.

The polling reveals that there is widespread endorsement for the approach that we are taking in Scotland.

So, for example:

  • 84% of you agree with a slow and gradual lifting of restrictions
  • 82% of you agree that before further significant changes to lockdown restrictions are brought in, the impact of those already introduced should be assessed
  • 86% continue to agree that decisions on when and how to lift restrictions must be based on saving lives and protecting the NHS

So, I want to take the opportunity again today to thank you for your support. These last few weeks have truly been a collective endeavour – we’ve all been making sacrifices not just for our own sake, but for the sake of each other as well.

We’ve been putting those values I keep talking about – of love, kindness and solidarity – into practice.

My ask of you is that we keep doing so for a bit longer. Let me, therefore, end with this fundamental point.

The way in which we save lives, but also the way we emerge from this lockdown that bit more quickly, is by sticking now with the current guidance.

So before I hand over firstly to the Chief Nursing Officer, and then to our National Clinical Director, I want to reiterate – once again – what that guidance says.

Please stay at home.   Except for essential work that you can’t do at home, for buying food or accessing medicines, or for exercising, you should not be going out.

Of course, you can now exercise more than once a day, if you want to. But when you are out, please stay more than two metres from other people and don’t meet up with people from other households.

Please wear a face covering if you are in a shop or on public transport. And remember to wash your hands thoroughly and regularly.

Finally, if you or someone else in your household has symptoms of the virus, then please stay at home completely.

I know that these restrictions are tough, I say this every day but I’m always conscious on a Friday of just how much tougher these restrictions feel for all of us over the weekend, particularly when the sun is out, which as we know, is sometimes a rare occasion in our country.

But these restrictions are essential for now and crucially, and this is the point I really want to leave you with – they are making a difference and I hope you can see that in the statistics, albeit the difficult statistics that I’m sharing with you everyday.

By staying at home we are slowing down the spread of this virus, we are protecting the NHS, we are undoubtedly saving lives and we’re also bringing much closer that day when we can start that return to normality.

So thank you very much for doing the right thing. Thank you for the sacrifices you are making. Please keep doing it. For your own sake and your families sake and for the sake of everybody across the country. Thank you very much indeed for listening and I’m going to handover now to Fiona McQueen, our Chief Nursing Officer, and then to Professor Leitch, our National Clinical Director.

Food for thought: ‘pandemic eating’ research

People’s eating habits during the pandemic are providing food for thought in a new piece of research, co-led by the University of Northampton.

The ‘Food, Mood and You’ study is looking to survey people over the age of 18 each day for a single week in which they note their activities, their emotions and how they are eating.

The results for the UK will be collated over the next two weeks and volunteers can register and take the survey online.

The study is also being rolled out across countries including Australia, Canada, USA, Finland, Spain, Italy, Russia, Portugal, China, Taiwan, the Philippines and Korea.

Dr Josephine Chen-Wilson, Senior Lecturer in Developmental and Educational Psychology, is the UON lead. She said: “There are lots of anecdotal conversations about how we are supposedly eating more during lockdown – perhaps due to boredom – but no firm evidence about this and, more importantly, why that is happening, if at all.

“It will be fascinating to see what’s actually going, so I encourage people to take part in our survey and help us add another piece to the complex jigsaw puzzle of human behaviour during our ‘new normal’.”

Professor Tracey Devonport at University of Wolverhampton has been working collaboratively with colleagues from UON and University of Jyväskylä, Finland (Dr Montse Ruiz).

She adds: “It is likely that we have all heard friends and family talking about eating more during the COVID-19 pandemic because they are experiencing emotions such as boredom, stress or frustration.

“We wanted to develop a research project that explores emotions and eating and in doing so provide simple interventions that may help manage emotional eating during these challenging times.”

*The survey can be taken online.

Health visitors continue to provide crucial lifeline for families

Frontline community work continues despite COVID-19, thanks to the efforts of health visitors (HVs) like Laura Gordon. 

Since the pandemic began, Laura continues to manage a caseload maintaining frequent contact, building therapeutic relationships and providing a crucial role in providing support and advice to children and families in the Inverclyde community.

Home visits have had to be reduced, but Laura remains in the community doing face-to-face consultations at least two to three days per week. She believes providing swift support is key, and despite restrictions on face-to-face contact, health visitors around Greater Glasgow and Clyde have adapted to ensure families in need are able to receive the care and advice they require.

From increased telephone consultations and video calls to provide high quality care and support, to risk assessments over the phone before visiting to ensure use of the correct PPE, keeping children and families safe is a top priority.

Raising a new baby can be a stressful and challenging time in normal circumstances, and many new mothers rely on Laura as a key source and primary contact to help answer their questions, and support their babies and children with appropriate development.

Laura provides practical advice and support for topics relating to breastfeeding, nutrition, safety -including safe sleeping arrangements, illnesses and mental health, among others.

As well as the child’s physical and mental wellbeing, Laura works with families to ensure they have access to any services that they may require, including for urgent needs such as  financial aid or for food banks in the area.

HVs also continue to visit families with additional support needs, for example to support postnatal depression, parenting advice, and also in partnership with third sector agencies and social work for child protection support plans.

The nature of Laura’s remit means working collaboratively with families to find tailored solutions for their individual needs and circumstances.

Laura, who has worked within Inverclyde for a number of years, said: “Family life has changed massively since the pandemic began, and many families are under even more pressure than normal.

“Having a new baby is a huge transition and at this time most parents don’t have the support they would normally rely on. They can feel isolated and overwhelmed.  Having somebody to turn to during this time is extremely  important and contributes to the ongoing safety and wellbeing of their children.

“Inverclyde is among the most deprived areas in Scotland and some familes experience challenging circumstances and may have specific and urgent health needs without necessarily knowing what’s available and how to access the appropriate support. We can help them with that and facilitate access. This support can often provide lifelines when families are most in need.”

Inverclyde HVs are very much looking to the future and how they can embrace new methods of communicating effectively with families. Laura explains how they work on social media platforms to engage with patients.

Laura said: “By using Twitter and Facebook we can easily reach our families and provide key messages on all aspects of public health, including child development, brain development, perinatal mental health, weaning, nutrition, safety, safe sleep, immunisations, parental wellbeing, behavior management strategies, play and stimulation.

“The way we engage with patients may have changed due to COVID-19, but we are all still here, and we are all still working within the communities to help families access the services they need while providing them with practical advice and support so they get the best outcomes for their children.”

Shapps: ‘We want to keep this momentum going’

Transport Secretary Grant Shapps gave the UK Government’s daily media briefing yesterday.

He described how the time during lockdown has been used to fix and upgrade road and rail infrastructure, including plans to help the economy bounce back.

Good afternoon and welcome to today’s Downing Street press conference. I’m pleased to be joined by Professor Jonathan Van-Tam.

Latest data

Let me start by updating you on the latest information from the Government’s COBR data file.

Through our monitoring and testing programme, as of today:

  • 2,219,281 tests for coronavirus have now been carried out in the UK, including a new record of 126,064 tests carried out yesterday
  • 233,151 people have tested positive, that’s an increase of 3,446 cases since yesterday
  • 11,041 people are in hospital with COVID-19, down 14% from a week ago, when 12,802 patients were hospitalised
  • and sadly, of those tested positive for coronavirus, 33,614 have now died – that’s an increase of 428 fatalities since yesterday.

This new figure includes deaths in all settings not just in hospitals.

Our deepest sympathies go out to the families and friends as the nation battles to defeat the disease.

Main content

Today I’m going to set out how – whilst the country has been at a virtual standstill – this downtime has been used to fix and upgrade the nation’s road and rail infrastructure, along with plans to help our economy bounce back.

But before I set out today’s transport announcements, let me briefly remind you of the government’s roadmap out of this crisis.

As you know, we have established a new COVID Alert System, with five levels – based primarily on the R value and the number of cases.

Throughout the lockdown, we have been at Level 4.

Thanks to the British people, we have brought the R down and we can now begin moving carefully to Level 3.

From this week we’re at Step 1, meaning that:

  • those who cannot work from home should now speak to their employer about going back to work
  • you can now spend time outdoors and exercise as much as you like
  • you can meet one person who’s not part of your household outside, provided you stay 2 metres apart

Step 2 – from June 1, at the earliest, as long as it’s safe, we aim to allow:

  • primary schools to reopen for some pupils, in smaller class sizes
  • non-essential retail to start to reopen
  • cultural and sporting events to take place behind closed doors, without crowds

And then Step 3 – no earlier than July 4, and again, only if the data says it’s safe, we aim to allow:

  • more businesses to open, including those offering personal care, those in the leisure sector, together with places of worship

We can control this virus if we stay alert.

But what does staying alert actually mean?

Staying alert, for the vast majority of people still means staying at home as much as possible, and working from home if you can.

But it also means:

  • limiting contact with other people
  • keeping your distance if you go out
  • washing your hands regularly
  • wearing a face covering in enclosed spaces where it’s difficult to be socially distant – for example on public transport
  • and if you or anyone in your household has symptoms, you all need to self-isolate

If everyone stays alert and follows the rules, we can control coronavirus by keeping the R down and reducing the number of infections.

This is how we can continue to save lives, and livelihoods, as we begin as a nation to recover from coronavirus.

Transport context

Today I want to update you on the measures we’re taking to speed up our economic recovery while keeping people safe.

For 2 months, we’ve remained in lockdown, travelling as little as possible, and in doing so, the whole country has protected the NHS and helped reduce the number of COVID infections.

But as we begin making tentative steps towards restarting our economy and people in some sectors who can’t work from home begin to return to their workplaces, it is clear that transport has a critical role to play.

Last Saturday, I explained why it’s our civic duty to avoid public transport, if at all possible.

Because, even when we have 100% of services up and running, there may only be socially-distanced space available for 1 in 10 passengers.

Therefore, in order to help reduce crowding, we set out a £2 billion programme to put cycling and walking at the heart of transport, with £250 million emergency spending already underway.

Over the past week, we have followed this up by publishing 3 pieces of detailed guidance.

First, for local authorities in England, explaining how they should prepare for significantly-increased numbers of cyclists and pedestrians.

Next, for the transport sector, to ensure they provide safer services for those travelling, and safer workplaces for their staff.

And third, and most importantly, for passengers.

We’re asking the public to help ensure that the transport system does not become significantly overwhelmed by returning commuters.

The guidance makes clear, that if you can’t walk or cycle but you do have access to a car, please use it, rather than travelling by bus, train or tram…..

Especially where that public transport is liable to be overcrowded.

And, for those people who absolutely need to use public transport…

It also explains how you can best protect yourself and those around you.

Transport upgrades during lockdown

In the coming weeks, as we carefully and cautiously restart sectors of our economy, and people begin to travel once again…

They should notice that, whilst the country has been in down-time …

…with the roads and railways quiet…

We’ve been busy…

Getting on with essential work….

Fixing the nation’s infrastructure…

So we can recover faster when the time comes.

This upgrade programme…

…the kind of work that – at any other time – would cause inevitable disruption and service delays, whilst costing the taxpayer more…

…has instead been carried out in previously unimaginable circumstances of a largely unused transport network.

For example, we completed 419 separate Network Rail projects over Easter, with a further 1,000 upgrades being carried out throughout the May bank holidays.

Meanwhile, Highways England has been busy accelerating maintenance projects on the nation’s roads.

Last week, for example, we opened the vital A14 upgrade 7 months ahead of schedule.

This is a route normally used by 85,000 drivers daily, which will dramatically improve access to the UK’s largest container port at Felixstowe and permanently boost the distribution of goods around the UK.

As Northern Powerhouse minister – I can report that – in the North, we’ve delivered £96 million of rail infrastructure improvements during April.

And throughout the country, we’ve accelerated maintenance projects on road and rail…

Whilst always sticking to PHE safety guidelines…..

So that altogether, Highways England has delivered over £200 million of upgrades, and Network Rail £550 million worth, during April alone.

I’d like to thank the army of transport and construction workers who have been grafting very hard throughout the lockdown.

Building future infrastructure

But to make sure that Britain is ready to bounce-back from coronavirus…

Today I can announce nearly £2 billion to upgrade our roads and railways, to put our transport infrastructure in the best possible shape and to get our economy growing once again.

This package includes £1.7 billion for local roads – making journeys smoother and safer for drivers, hauliers, cyclists, motorcyclists, pedestrians and others…

By filling millions of dangerous potholes, we will make our roads safer – and encourage more people to cycle, or even take part in the upcoming e-scooter trials…

Helping more people play a part in relieving pressure on public transport.

This investment will also help fix damage caused by winter flooding, repair roads and bridges, and fund numerous road improvement schemes.

As more people become mobile again, we’ll be building a network of rapid charging stations for electric cars…

Including a big expansion of rapid-charging facilities at motorway service stations…

Helping the country to lock-in the dramatic air-quality improvements we’ve experienced during the coronavirus lockdown.

A better future

Amid all the sad news and tragedy of loved ones we’ve lost, we’ve somehow managed to do things in weeks that would normally take years…

Building new hospitals…

Moving public services online…

Making instant reforms and fast-tracking new laws…

Extraordinary changes in the way that employers and employees work…

Effectively taking large swathes of the economy online almost overnight…

Now we want to keep this momentum going.

If building a new hospital takes 2 weeks, why should building a new road still take as long as 20 years?

If GP surgeries can quickly move online, why are most rail passengers still travelling on cardboard tickets?

We must exploit our newfound capacity to respond at pace and apply it to rapidly improving our infrastructure.

And we must examine why it is that bureaucratic bindweed makes British infrastructure some of the costliest and slowest in Europe to build.

Because whilst many will continue to work from home even after this immediate crisis…

…both the long-term transport trend and the pressing need to level-up communities across the country, dictate that infrastructure will be even more important in stimulating our recovery and supporting new jobs.

So by combining fast home-internet access, with vastly upgraded transport connections, we can help revive many of our small and medium-sized towns which over decades have been left behind.

Closing remarks

This has been a devastating start to the year, not just for Britain, but for the world.

And we are only at Phase 1 of the recovery plan.

But we all know that it is our reaction to adversity that will ultimately define how we recover.

We must harness our approach to tackling the pandemic….

And apply it to rebuilding our own infrastructure.

With the same swift action, innovation, and collective determination that has characterised the past few months…..

And in doing so, we can emerge stronger.

Increased health risks later in life for child abuse survivors, new study finds

People who have experienced maltreatment during childhood are significantly more likely to develop conditions such as heart disease, high blood pressure and type two diabetes in adulthood, a new UK study has found.

Childhood maltreatment, which includes any form of physical, sexual or emotional abuse or neglect experienced by those under the age of 18, is a prevalent global public health issue thought to affect 1 in 4 children in the UK and 1 in 3 globally.

This study, led by the Universities of Birmingham and Warwick, reviewed anonymised data from 241,971 patients using medical records from GP surgeries between 1995 and 2018. 80, 657 patients were identified to have a history of childhood maltreatment compared with a control group of 161 314 unexposed patients.

The study is the first to use UK primary care data to explore the relationship between childhood maltreatment and cardio-metabolic disease.

Results of the study, published today in the Journal of the American Heart Association, showed that those with a history of childhood maltreatment were 71% more likely to develop cardiovascular disease, and 42% percent more likely to develop high blood pressure as well as the risk of developing type 2 diabetes doubled. Patients were also at a 75% increased risk of dying of any other cause during the study period.

Although the research could not ascertain why this relationship exists, previous research suggests that exposure to childhood maltreatment can influence the alteration of the immune, metabolic, neuroendocrine, and the autonomic nervous system.

Additionally, this group may experience greater exposure to other risk factors which may be associated with cardio-metabolic disease.

Lead author Dr Joht Chandan of the University of Birmingham’s Institute of Applied Health Research and Warwick Medical School at the University of Warwick said “Considering the high prevalence of childhood maltreatment globally, these findings suggest a substantial, but preventable burden of cardio-metabolic disease.

“The findings are particularly notable within the United Kingdom, where conditions such as heart disease, high blood pressure and type 2 diabetes pose an increasing burden on the health service.

“Considering that an estimated 1 in 4 children within the UK are affected by maltreatment, our findings could suggest that a significant proportion of the cardio-metabolic disease cases may be attributable to maltreatment.

“Therefore, there is a clear public health message that requires a population- based approach to not only prevent childhood maltreatment but also the negative consequences as a result of it.”

This latest study adds to a growing body of research published by the team at the two Universities examining the physical and psychological effects of domestic abuse and childhood maltreatment.

Earlier this year, the team published research that found that women who have experienced domestic abuse are 40 per cent more likely to die from any cause compared to the general population while a study in 2019 found that abused or neglected children are four times more likely to develop serious mental illness.

Council under fire over ‘undemocratic’ process

Edinburgh campaigners are concerned about the way the Council is operating during the Covid crisis. So far there has been no action to set up accessible virtual meetings of the Council – and Edinburgh East Save Our Services argues that people want an immediate return to a more transparent decision-making process.

“Since mid-March the city council has changed its way of operating,” said Lorna Frost of Edinburgh East Save our Services. “Other organisations have already formulated guidelines for meetings and it is timely for our Council to rethink the way it proceeds during the Covid crisis.

“Our community group wanted to take these issues up with the Council but our attempt to ‘talk about it’ has been rebuffed. In addition, our councillors,  who are our elected representatives, have been told any issues they raise with a council officer must be virus-related, but we think the current crises across our city – in care homes, schools, Lothian Buses and regarding poverty and mental health – are all virus-related.

“It is crucial that the Council re-engages fully with the people of Edinburgh,  their elected representatives,  and voluntary groups immediately.

“Community councils should also be reactivated in a secure way. We need to work together to tackle the severe issues of poverty and inequality arising from the Covid-crisis.”

Edinburgh East Save Our Services emailed council leader Adam McVey on Wednesday:

Dear Convener McVey

We would appreciate clarification on governance concerns, particularly on the following matter.

We have read the minutes of the April EDC LAP meeting and our understanding of: ‘To note that the Chief Executive would report to the first meeting of the Policy and Sustainability Committee in May 2020 on potential options for holding meetings of Full Council‘ is that accessible/transparent meetings of the Council and its committees may or may not go ahead depending on the report of the Chief Executive  tomorrow.

Our opinion is that it is very important that the affairs of the city are conducted in an open way, particularly in this time of crisis, and we want to let the Council know this.From our reading of the minutes it seems this decision has not already been taken, but that it will be taken tomorrow, and that is why we wanted to influence this decision.

You are responsible for and entrusted with the wellbeing of the people of Edinburgh and we are disappointed with your response and also the lack of any additional explanation.

It seems very difficult for residents to interact with their local authority in a meaningful way, if at all.

Regards

Lorna Frost (for Edinburgh East Save our Services)

The campaigners also sent the following questions by email:

EESOS submission to EDC PSC 14/5/20

Edinburgh East Save our Services submits the following questions to the meeting of the Policy and Sustainability Committee on Thursday 14th May 2020 at 10am.

The questions relate to the Council’s Interim Political Management Arrangements for 2020 (item 4 Minute of the LAP 23/4/20)

Why have no measures been taken to set up accessible virtual meetings of the Council and its committees since mid-March ?

How long does the Council intend to continue proceeding in this way? ( The Scottish government has already formulated guidelines for meetings.)

Why have restrictions (namely that any issues should be virus- related) been put on our councillors (our elected representatives) raising issues with a council officer?

What exactly are the criteria which define virus-related?

Aren’t the current crises across Edinburgh, in care homes, schools, Lothian Buses, poverty, and mental health virus-related?

Lorna said: “In reply we were told that the council refused to accept our submission. Convener Mcvey says it does not meet the requirements of a deputation as it relates to a decision that was taken in April.

“This is an astonishing response since the decision was not taken through the council’s normal democratic processes.”

Health and social services staff to get free access to mental health apps

  • Daylight and Sleepio apps available to everyone working in health and social services in Scotland to support their mental health during the crisis
  • Staff can download mental health apps for free to help with sleep and anxiety during COVID-19 pandemic
  • Announcement part of nationwide drive to digitise healthcare, starting with workforce mental health

All health and social services staff in Scotland can now access free apps to cope with insomnia and anxiety as part of a nationwide effort to support the mental health of key workers during the COVID-19 pandemic. 

NHS Scotland has this week launched a national programme to provide those working in health and social services with access to practical, everyday advice and support, as well as mental health apps and tips on self-care to help staff cope with the challenges they are facing with the pandemic.

As part of the PRoMIS National Wellbeing Hub, the apps on offer include programmes designed to help maintain healthy and restorative sleep, reduce anxiety and worry, and to help staff learn evidence-based techniques to address mental health issues when they arise.

The NHS-accredited apps Daylight – designed to help with worry and anxiety – and Sleepio – a digital sleep improvement programme featuring Cognitive Behavioural Therapy (CBT) techniques – are both developed by digital therapeutics company Big Health.

Sleepio has already been made available to almost 30,000 residents in the Western Isles, and both Sleepio and Daylight were recently made  available at no cost to all NHS employees across England thanks to a partnership with NHS England.

As the UK’s response to the COVID-19 pandemic continues, health and social services staff remain at the frontline and are being placed under mounting pressure. The news comes as first Minister Nicola Sturgeon has stressed that the “stay at home” message remains in place in Scotland after Boris Johnson announced his “conditional plan” to reopen society.

Big Health co-founder and Professor of Sleep Medicine at the University of Oxford, Professor Colin Espie, has praised NHS Scotland’s timely response in protecting the mental health of NHS staff as well as their physical health during the pandemic.

Commenting on Big Health’s partnership with NHS Scotland Professor Espie said: “I’m honoured that Big Health is able to support our colleagues in NHS Scotland to help safeguard their mental health during these most challenging of times.

“NHS staff are working under enormous pressure whilst also experiencing significant changes to their lives at home as a result of COVID-19. We built Sleepio and Daylight to help people effectively manage their mental health whether the challenges occur during the night or day.”

Dr Sandra Ferguson, Associate Director Psychology and Lead for National Trauma Training Programme at NHS Education for Scotland added: ““There is increasing evidence that insomnia and sleep difficulties is an area that staff in health and social care are increasingly reporting.

“We are delighted to have worked with Sleepio who have designed this evidence-based app to support staff in resolving these difficulties. A good night’s sleep is a central part of overall wellbeing.”

Sleepio and Daylight are available at no cost to everyone working in the NHS to support their mental health during the COVID-19 pandemic.

These solutions aim to support staff to maintain healthy and restorative sleep, reduce anxiety and worry, and to help them learn evidence-based techniques to address mental health issues when they arise.

70 million face masks for NHS and care workers through new industry deal

  • Government agrees deal with technology company Honeywell to manufacture 70 million face masks for frontline workers
  • New deal part of plan to unleash potential of UK industry to scale up domestic personal protective equipment (PPE) manufacturing
  • The production line has capacity to produce up to 4.5 million masks each month and will create 450 new jobs at the production site

More than 70 million face masks will be manufactured in Scotland and delivered to frontline health and care workers following an agreement with a global technology company, the UK government has announced.

FFP2 and FFP3 masks will be produced over an 18-month period at Honeywell’s site in Newhouse, Scotland, with production set to begin as early as July. Each month will see up to 4.5 million masks roll off the production line, ready for distribution to frontline NHS and social care workers.

It marks a significant moment in the government’s ‘make’ programme, headed up by Lord Deighton, which seeks to unleash the potential of UK industry to scale up domestic PPE manufacturing.

The move supports the government’s continued efforts to ensure PPE reaches those fighting the virus on the frontline, with over 1.25 billion items of PPE delivered to health and social care workers since the outbreak began.

Additionally, the new production line will create approximately 450 new jobs at the Scotland site.

Health and Social Care Secretary Matt Hancock said: “These 70 million masks are the result of our challenge to UK industry to scale up domestic PPE manufacturing.

“This deal is brilliant news for the whole United Kingdom which will not only deliver the masks we need but create around 450 jobs in Newhouse, Scotland.

“I’m delighted to team up with Honeywell to open up another avenue to get millions of masks to the frontline and strengthen our ongoing response to the outbreak.

Lord Paul Deighton, adviser to the Secretary of State on PPE, said: ““As countries around the world face unprecedented demand for PPE, British industry is stepping forward to make sure vital pieces of equipment reach our workers on the frontline.

“My role is to increase our homegrown PPE supplies, both now and in the future, by investing in the potential of UK manufacturing. This fantastic deal announced with Honeywell today marks a significant step along the way.”

The government has ordered 70 million of the locally produced FFP2 and FFP3 Honeywell SuperOne disposable respirator masks. These are certified to the highest international PPE standards, compliant with EU regulations, and must meet UK quality and safety standards before being delivered to healthcare settings via the NHS Supply Chain from July.

Will Lange, President of Honeywell’s PPE business, said: “As a global leader of high-quality personal protective equipment, Honeywell is committed to getting safety gear to those who need it most, including workers on the frontline in the fight against COVID-19.

“Our Newhouse facility has both the physical capacity and technical capabilities to launch a large-scale respirator production line in such a short timeframe, and we are proud of our teams who are bringing new manufacturing capabilities to the United Kingdom as quickly as possible to support the country’s response to the pandemic.”

Scottish Secretary Alister Jack said: “As well as creating 450 new jobs and boosting the local economy it is great a company with manufacturing facilities in Scotland can help ensure our heroic frontline workers have the PPE they need to carry out their lifesaving work.

“Our UK-wide strategy is continuing to manage and supply protective equipment to the people that need it in all 4 nations.”

The agreement announced today is the latest in a number of steps the government is taking to ramp up PPE production and distribution. New collaborations between the government and organisations including Amazon, the Royal Mint and Jaguar Land Rover, will see increased production and delivery across all PPE products.

A PPE distribution network with the NHS, industry and armed forces, and a 24-hour NHS-run helpline that’s received around 35,000 calls since it was set up, have also been established as part of the government’s national PPE plan.