Building for the future: £20m investment in Western General Hospital

A £20.6 million investment from the Scottish Government has been granted to improve cancer care services for patients at the Western General Hospital.

It will fund a range of construction and refurbishment projects to Oncology wards, services and facilities at the hospital. This includes building two new Linear Accelerator (LINAC) bunkers to house specialist cancer treatment machines, improvements to patient accommodation increasing the number of ensuite single rooms and relocating the Cancer Assessment Unit.

The project forms part of a wider masterplan for the Western General Hospital to transform services, create more space, comfort and privacy and provide access to modern facilities and cutting-edge equipment. 

Jim Crombie, Deputy Chief Executive of NHS Lothian, said: “This Scottish Government funding marks a key milestone in an ambitious programme of investment to ensure the Western General hospital continues to provide high quality treatment and services into the future.

“It will greatly enhance the hospital as a centre of excellence and help us work towards our longer-term vision of opening a new Regional Specialist Cancer Centre.”

Additional projects currently being funded by other capital investments at the Western General include the modernisation of Haematology inpatient services and construction of a new outpatient facility, funded by an exceptional and incredibly generous charitable donation of circa £12 million.

A £1 million investment will create new facilities to expand the Clinical Trials footprint and a £6.2 million Renal Dialysis facility is also being constructed which will offer improved clinical areas and better clinical team facilities.

These projects are supported by a programme of ongoing infrastructure improvements and upgrades in and around the hospital to enable the construction and refurbishment works.

Chris Stirling, Site Director at the Western General Hospital added: “This work will greatly enhance the care, services and environment at the Western General. We are committed to the long-term future of the Western General and ensuring we provide staff and patients with the clinical space and services they deserve. 

“We are grateful to everyone who has supported the projects so far and to our neighbours and the community for their patience and understanding whilst work progresses.”

Health Secretary Jeane Freeman said: “The Scottish Government is pleased to be supporting improved cancer facilities at the Western General Hospital in Edinburgh. It is a mark of improved population health that more of us are living longer overall, however this also means the incidence of cancer is rising.

“Improved treatments also mean more of us live longer with cancer as a chronic condition. It is therefore vital our NHS facilities keep pace with demand and offer the best environment possible for people with cancer and those who treat and care for them.”

Work across the projects is expected to be completed over the next three years, finishing in 2022.

Lothian MSP, Miles Briggs said: “This much needed investment at the Western General Hospital is welcome news and the improvement of cancer care service is crucial for the South East of Scotland.

“Cancer care has been significantly impacted by the Covid-19 pandemic and getting services fully resumed is critical for patients who are diagnosed with cancer.

“Ultimately a new Cancer centre, based at the Western General, will be needed going forward. This funding, which I have previously called for, will significantly improve cancer services until the new centre is built.

“I have called on SNP Ministers to update Parliament on plans for a new build Edinburgh Cancer Centre.”

New debt letters rules will support people in problem debt

New rules for debt letters will help people to better understand and manage their debts, reducing distress and supporting mental health

The letters borrowers receive from their lenders when they are seriously behind on repayments will be easier to understand and less intimidating as a result of new rules proposed by the Treasury today.

Default Notices are designed to give people who are falling behind on their debts fair warning before lenders take further action, but much of the formatting and content has not been updated in nearly 40 years.

Research from the Money and Mental Health Policy Institute and debt charities has shown that large amounts of capitalised text and legal terms can make the information contained in the letter hard to understand, which has the unintended consequence of confusing and distressing people. This has a negative impact on people’s mental health as well as their ability to effectively manage their debt.

As part of the government’s effort to support people in problem debt, it will legislate to change the language and presentation of information in debt letters. T

The new rules will make debt letters less threatening by restricting the amount of information that must be made prominent and requiring lenders to use bold or underlined text rather than capital letters. Lenders will also now be able to replace legal terms with more widely understood words and letters will clearly signpost people to the best sources of free debt advice.

John Glen, Economic Secretary to the Treasury, said: Being behind on your credit repayments can be a really distressing experience which is made worse by a confusing and intimidating letter from your lender.

“As part of our effort to help to people struggling with their finances, it’s right that we look again at the legislation around these letters. These new rules will help to take the fear out of finance by ensuring that letters are easier to understand, less threatening, and empower people to take control of their finances.

“Some vital work has been done by charities, the industry and the Money and Mental Health Policy Institute and I am grateful for their support in tackling this important issue.”

Martin Lewis, Founder and Chair of the Money and Mental Health Policy Institute charity, said: It’s no exaggeration to say that this change could save lives. Over 100,000 people in England alone attempt to take their lives each year due to debts, and four times that consider it.

“So we’re delighted the government has agreed to back this element of our campaign and change the default demand rules. The last thing people struggling with debt need is a bunch of thuggish letters dropping through the letterbox, in language they can’t understand, written in shouty capitals alongside threats of court action.

“And the timing is crucial, with millions of people facing debt and distress due to the pandemic, the sooner we end these out-of-date laws which force lenders to send intimidating letters the better. Today’s changes will make the most distressing debt letters much less intimidating, and crucially will also easily and calmly point people in serious debt to get the free, non-profit, debt advice they need.”

Eric Leenders, Managing Director, Personal Finance at UK Finance said: “The banking and finance industry understands the impact that debt can have on a customer’s wellbeing and has been working closely with government to help support customers, especially those in vulnerable circumstances.

“Lenders have to send Default Notices and these important changes announced today will ensure that customers receive more appropriate and supportive communications.”

These new rules are the latest in a wide package of support put in place to help people struggling with their finances, especially through coronavirus.

This includes £38 million of extra funding to debt advice providers this year and working with lenders and financial regulators to give people access to payment holidays on their mortgages and a range of consumer credit including credit cards, personal loans, motor finance and payday loans.

The government has also given the Financial Conduct Authority strong powers to protect consumers who borrow money, including cracking down on payday lenders, capping the cost of rent-to-own, and taking action on overdraft fees.

The new rules will be delivered through secondary legislation and are expected to come into force in December 2020. All lenders will then be required to make the changes within six months.

If you are experiencing debt problems, don’t ignore it and hope it will go away – it won’t; it will get worse. Seek help NOW.

Granton Information Centre can help. Telephone 0131 551 2459 or 552 0458 or email info@gic.org.uk

Clean Air Day: are cars electric?

To encourage more people to drive an electric vehicle on Clean Air Day Scotland, (today, Thursday 8th October), the UK’s largest national car club network, Enterprise Car Club, is offering members up to £40 free driving credit when they book any of its 24 electric cars based in Scotland.

The vehicles are located in in dedicated bays with their own charging points in Edinburgh, Glasgow, Dundee, Stirling and Fife (at Lochgelly and Cardenden).

Enterprise has also permanently expanded its Scottish car club fleet with 10 brand new electric vehicles to give more drivers the opportunity to try the technology for free on Clean Air Day Scotland, and beyond, bringing the total up to 24 plug-in electric cars. All 24 cars are either a 2019 or 2020 40kWh Nissan Leaf and feature the latest environmentally friendly technology and 180 miles of range.

Every Enterprise Car Club vehicle is cleaned between each rental and is backed by the Complete Clean Pledge, an enhanced series of cleaning and hygiene measures to bring reassurance to renters since COVID-19 and ensure that car club use continues to be a reliable motoring option.

The Complete Clean Pledge includes vacuuming and sanitising with a disinfectant that meets leading health authority requirements, with particular attention to more than 20 high-touch points.

Clean Air Day is the UK’s largest air pollution campaign. Dozens of ‘virtual’ promotional events involving hundreds of people, including school children, are being held across Scotland with the campaign led by Environmental Protection Scotland (EPS) on behalf of the Scottish Government.

Enterprise is seeing growing support for its electric vehicle fleet across the UK. While the majority of renters drive fewer than 50 miles when they use an electric vehicle, many are regular users and happy to drive an electric car for 100 miles or more per day. People booking the vehicles can check the charge level on the Enterprise app to ensure that it is ready to meet their needs.

Transport Secretary Michael Matheson said, “We know that the number of people in Scotland who would consider buying an electrical vehicle continues to increase year on year, so what better way to mark Clean Air Day than to allow them to try driving one for free?

“We also know that the price point for new vehicles remains high for many, despite prices coming down as demand increases. Car clubs are a fantastic opportunity for more drivers to enjoy the benefits of an electric vehicle and will help us in our bold ambition to phase out the need for new petrol and diesel cars and vans by 2032.”

EPS Policy and Communications Officer John Bynorth said: “Having recently hired an electric vehicle to drive from Glasgow to Inverness and back, I can say this is a fantastic way to travel about the country in an environmentally friendly way.

“There are zero exhaust tailpipe emissions from EVs, making them the cleanest vehicles on our roads and helping to improve air quality. The average distance between any given location in Scotland and the nearest charging point is just 2.78 miles and there are over 3,600 charge-points, with multi-vehicle charging hubs in Dundee and Falkirk. We encourage motorists to rent an Enterprise Car Club electric vehicle and help make October 8 the cleanest Clean Air Day yet.”

“We are delighted to be supporting Clear Air Day Scotland by giving people an extra incentive to try driving an electric vehicle,” said Diane Mulholland, General Manager for Enterprise Scotland.

“Car clubs benefit communities in many ways and have been proven to reduce mileage because people only pick them up when a car is absolutely the right vehicle for a trip. A shared electric vehicle not only reduces road traffic – it also means zero emissions. We’re very proud to have Scotland’s largest publicly available EV fleet, and we’re looking forward to seeing more people trying them out.”

Enterprise Car Club is the UK’s largest national network of on-street low emission car club vehicles and is one of the most convenient ways to get motoring quickly. Members can book Enterprise Car Club with an app, open the vehicle with a smartphone and head off on their trip within moments.

Members of Enterprise Car Club can pick up any of the 1,400 on-street vehicles currently available for rent in more than 180 cities, towns and communities across the UK at many locations including on-street, at Enterprise Rent-A-Car branches, at railway stations and in many housing development.

Car clubs have been shown to bring a range of benefits. They can reduce CO2 emissions, help towns and cities to improve air quality, encourage the adoption of electric vehicles, make business travel policies greener, promote shared transport and encourage active travel.

Membership to Enterprise Car Club costs from £2 per month. Vehicles can be booked either by the hour or by the day. Check the Enterprise Car Club website for more information on the Scotland Clean Air Day promotion.

Together Let’s Care for your Mental Health

You’re not alone with your mental health. We’re here to help you.

This is the clear message coming from NHS 24, Police Scotland and the Scottish Ambulance service as they launch a new campaign to support mental health and wellbeing for people across Scotland in time for World Mental Health Day on 10 October 2020.

The Together Let’s Care for your Mental Health campaign aims to raise awareness of a range of mental health information and services that support mental health.

It’s been developed to support wider partnership working between NHS 24, Police Scotland and the Scottish Ambulance service as part of a joint response to the Scottish Government Mental Health Strategy 2017-2027.

Over the past 18 months, the three organisations have been working together to develop new ways to support people in mental health distress when they contact their services.

NHS 24 has created a new 24/7 Mental Health Hub that provides support for those contacting the 111 service. In addition, people calling Police Scotland in mental health distress are also now offered access to the 111 Mental Health Hub service. Collaboration work with Scottish Ambulance Service is also underway to develop a similar pathway.

Under the banner ‘Together Let’s Care for your Mental Health’ the partners are able to signpost to a range of self-help guides and options for further support at www.nhsinform.scot/youmatterwecare.

This campaign page also offers additional information for a range of day to day concerns such as anxiety, depression, young people’s mental health needs, alcohol, gambling and drug use.

NHS 24 offers a range of mental health services in addition to the 111 Mental Health Hub, including Breathing Space’s telephony and web chat services, NHS inform self-help guides, and Living Life’s CBT service.

Stephanie Philips, Director of Service Delivery at NHS 24, said: “We are pleased to be working together with Police Scotland and the Scottish Ambulance Service to provide the best possible outcomes for people in mental health distress.

“We are able to support many of those who come into contact with our services to find support and self-care options in their own communities but we are also absolutely reinforcing the message that if you need help now there are a range of services available to you.

“We really want people in mental health distress to know that they are not alone. Our team are here to help those getting in touch with our services with a compassionate response.”

Mental Health Minister Clare Haughey said: “I doubt there is a single one of us who has not thought about our own mental health and wellbeing at some point over the past few months.

“In many ways, the pandemic has helped to destigmatise mental health, and reminded us that it is okay not to feel okay. More people have been asking each other how they are doing and the importance of good mental health is clear.

“Since the beginning of the pandemic, we have invested £6 million of additional funding to support the population’s mental health, including £2.1 million to expand the NHS 24 Mental Health Hub so that it is now available to the public 24 hours a day, seven days a week.

“Round the clock, trained practitioners at NHS 24 will offer callers a compassionate and empathic listening service based on the principles of psychological first aid, as well as advice, signposting and onward referral to local services if required.”

Police Scotland Assistant Chief Constable Gary Ritchie (Partnerships, Prevention and Community Wellbeing) said: “Protecting vulnerable people is a priority for Police Scotland as part of our statutory requirement to improve the safety and wellbeing of people, places and communities.

“Much of the demand on the organisation now comes from incidents which no longer result in a crime report being raised, such as people in distress or experiencing a mental health crisis. Calls of this nature can come to the police from concerned family and friends, passers-by, and other agencies, as well as individuals themselves.

“Police Scotland has recently completed the national roll-out of a new way of assessing calls to its 101 and 999 service to improve the way we respond to contact from the public.

“Where appropriate, we engage in partnerships with colleagues around the country in health, social care and third sector organisations to help people to access the most suitable support at the appropriate time.”

Frances Dodd, Director for Care Quality and Professional Development for the Scottish Ambulance Service said: “We are delighted to be working with our partners in NHS 24 and Police Scotland on ‘Together Let’s Care’.

“Integrated working across services on issues like mental health means we can deliver a joined up approach to supporting patients and working together to deliver improved care for those suffering mental health across Scotland.

“The ‘Together Let’s Care’ campaign is designed to assist patients to access the right mental health services first time, and allow health professionals, Police and community-based staff to further enhance the support and services currently in place. 

“This campaign increases signposting to a wide variety of self-help guides with the aim to support clinicians improve mental health outcomes by increasing access to specialists and services within local communities.

“It’s so important for all of us to be mindful of our mental health and wellbeing, address mental health issues early and seek help if needed. This service is one part of the system that will ensure we as a community can help identify and address mental health issues early, enabling people to find pathways to healthy, productive and fulfilling lives.”

Latest plan to stop COVID spread

Temporary steps announced to tackle record infection rates.

Further measures to reduce the spread of coronavirus (COVID-19) are to come into effect tomorrow as Scotland recorded more than 1,000 new positive test results in a single day.

First Minister Nicola Sturgeon told parliament yesterday that actions are needed now to prevent a return to the peak level of infections experienced in spring by the end of this month.

She said: “While there are significant restrictions still in place – and they are hard and painful – we are living much more freely now than in the spring and early summer.

“We are determined – if at all possible – that this will continue to be the case. We are not going back into lockdown today. We are not closing schools. We are not halting the remobilisation of the NHS for non-Covid care. And we are not asking people to stay at home.

“The need for action is highlighted by today’s figures and, more fundamentally, in the evidence paper published today. To try to interrupt this trajectory, we must act now. While the measures will feel like a backward step, they are in the interests of protecting our progress overall.

“It is by taking the tough but necessary action now that we hope to avoid even tougher action in future.”

The new restrictions, backed by a new £40 million support fund for business and the existing UK Job Retention Scheme, will be in place nationwide for 16 days, with tighter restrictions across central belt areas where the infection rate is highest.

Restrictions on licensed premises will come into force from 6pm tomorrow (Friday 9 October), with all other restrictions applying from 00:01 Saturday 10 October.

The new measures are:

Nationwide (excepting central belt areas):

  • Hospitality (food and drink): all premises may only open indoors between 6am and 6pm, with no sales of alcohol
  • Hospitality (food and drink): premises may open outdoors until 10pm, with sales of alcohol (where licensed)
  • Takeaways (including from pubs and restaurants) can continue
  • Evening meals may be served in accommodation for residents only but no alcohol can be served
  • Current meeting rules, maximum of six people from two households, continue to apply
  • Specific life events, such as weddings and funerals, may continue with alcohol being served, with current meeting rules for these events (20 person limit in regulated premises only)

Central belt area focusing on five health board areas (Ayrshire & Arran; Forth Valley; Greater Glasgow & Clyde; Lanarkshire; Lothian):

  • All licensed premises will be required to close, with the exception of takeaway services
  • Cafés (unlicensed premises) which don’t have an alcohol licence will be able to open between 6am and 6pm
  • Takeaways (including from pubs and restaurants) can continue
  • Evening meals may be served in accommodation for residents only but no alcohol can be served
  • Specific life events, such as weddings and funerals, may continue with alcohol, with current meeting rules for these events (20 person limit in regulated premises only)
  • No group exercise classes for indoor gyms and sports courts, pools with an exemption for under 18s
  • No adult (18+) contact sports or training, except professional sports, indoor or outdoor
  • No outdoor live events
  • Snooker/pool halls, indoor bowling, casinos and bingo halls are to close
  • Public transport use should be minimised as much as possible, such as for education and work, where it cannot be done from home
  • Current meeting rules, maximum of six people from two households, continue to apply

Additionally, from this weekend, shops across Scotland are asked to return to two metres physical distancing and reintroduce the mitigations they put in place earlier in the pandemic, including one-way systems.

The challenge Scotland faces has also been set out in an evidence paper published today by senior clinical advisors: the Chief Medical Officer, the Chief Nursing Officer and the National Clinical Director. It shows the R number is currently higher in Scotland than in other UK nations and that three weeks after opening hospitality, the R number rose to 1 and above.

In the seven days up to Monday, the number of people in hospital with Covid increased by almost 80%. In the past week, cases in people over 80 years old increased by 60% and cases in the 60-79 year old age group more than doubled.

During the period these measures are in place, the Scottish Government will work with all sectors to review guidance in place to ensure all steps are being taken to minimise COVID-19 transmission and support compliance with regulations.

Edinburgh Chamber of Commerce has reacted to the announcement, which will decimate many of Scotland’s businesses – in particular, the hospitality sector which employs tens of thousands of people in Edinburgh.

In particular, businesses in the sector believe:

  • The evidence base on which the Government is making decisions which have such devastating impacts needs to be more robust and compelling. The Government’s own analysis is that 1 in 5 of those reporting infections have visited hospitality venues, and acknowledges that there is no evidence confirming where they acquired the virus
  • The First Minister acknowledges that the vast majority of hospitality businesses have spent scarce resources and significant time making their premises as safe as possible, yet still hospitality venues bear the brunt of restrictive measures
  • There has been NO genuine consultation with the sector on what measures are necessary and NO desire to seek any potential alternative solutions with businesses.

Joanne Davidson, Director of Policy at Edinburgh Chamber of Commerce, said: “Everyone in the country acknowledges the pandemic is a serious public health issue and we appreciate that Government has to make hard decisions in the current climate.

“However, it is an issue we need to tackle together, and that means involving businesses in the process. Taking decisions without recourse to those whose lives, businesses, employment and well-being are torn apart by these decisions is not the way to bring our country through this process successfully.

“Along with all of our colleagues in the Chamber network, we call on the Scottish Government to consult in a genuine way with business, to provide more robust data on which serious decisions are being based, and to seek solutions and meaningful engagement with the business community which minimise the impact and ensure adequate and appropriate financial support is made available to protect jobs and livelihoods.”

Federation of Small Businesses Scotland is warning that the mental health of small business owners and the self-employed has suffered during this pandemic.

FSB’s Andrew McRae said: “The vast majority of those in business want to be – and are – playing their part in tackling the crisis. But this year has taken its toll on the mental health of those that work for themselves, especially those that operate in certain sectors.

“Governments north and south of the border need to ensure there’s enough help on offer to see smaller firms through a crisis that’s not of their making. These local firms aren’t expendable, and care needs to be taken not to treat them as such.”

FSB offers a range of mental health support advice for members and the wider small business community.  

Charities concerned over increased risk if ‘DIY’ home abortions are made permanent in Scotland

On Thursday 30th September, the Scottish Government launched a public consultation on whether the temporary measures allowing ‘DIY’ home abortions should be made permanent.  Many medics and charities have criticised this move, including Right To Life UK, CARE Scotland and Christian Medical Fellowship, claiming it lacks the necessary safety checks and is putting women at significant risk.

This public consultation comes weeks after the Scottish Government revealed its intention to expand access to abortion across the nation, despite Scotland already having the second-highest abortion figures on record.

Women seeking a medical abortion take two types of tablet: mifepristone and misoprostol. Prior to the change in law, both sets of pills would only be prescribed following a face-to-face consultation. The first pill, mifepristone, would then be taken in the safety of a hospital or clinic, while the second set of pills could be taken at home.

The change in law, which was done without any parliamentary debate or scrutiny, means the pills can be obtained over the phone and then taken at home, where a woman will be left to abort her unborn child without any direct medical supervision.

Dr. Antony Latham, the chairman of the Scottish Council on Human Bioethics and a General Practitioner says, “I know as a GP how important it is to see someone face-to-face when making such decisions. Phone calls, or video calls, are completely inadequate.

“We need to sit down and  discuss the options in a relational and non-judgmental way that gives proper dignity to the person making the decision and allows space for reflection.  There are so many dangers to ‘DIY’ abortions. One is that the woman may be under pressure to have an abortion in an abusive relationship or from relatives who will not support her. Such situations are only discussed and discerned properly with face to face meetings. 

“Another danger is that she may not fully understand the trauma of having an abortion, potentially all alone, at home. This is a very unpleasant and painful thing to have to go through and needs to be fully discussed.

“Significant bleeding and sepsis are not uncommon. There have been at least two recorded deaths of women having such ‘DIY’ abortions in the UK so far. It is highly questionable whether one can have informed consent for such a procedure over the phone. Without any examination she may be getting the abortion pills for a pregnancy that is over 10 weeks gestation, which is the legal limit for such ‘DIY’ abortions.

“Another significant danger is that there is real scope for people abusing the system and obtaining the pills for someone else other than the person phoning up. “

The temporary provisions have already placed the physical health of thousands of women and girls at risk.

A leaked email sent by a Regional Chief Midwife at NHS England revealed that two women have died from taking medical abortion pills, one of whom died ‘very quickly’ with sepsis and a second found dead at home the morning after starting the abortion process.

The email also revealed a woman at 32 weeks of pregnancy was able to receive ‘at-home’ abortion pills. There are currently three police investigations linked to late ‘at-home’ abortions including a ‘murder investigation as there is concern that the baby was live born’.

Speaking about the Scottish Government’s consultation, Catherine Robinson from charity Right To Life UK said, “The consultation is extremely one-sided. The Scottish Government appears to have repeatedly ‘cherry-picked’ anything that supports making ‘DIY’ home abortions permanent and ignored evidence highlighting serious issues.

“There is no mention in the consultation background evidence that two women have died using these ‘DIY’ home abortion services and no mention of the police investigating the death of an unborn baby after its mother took ‘DIY’ home abortion pills while 28 weeks pregnant.

“This is clearly a rigged consultation which is seeking to make dangerous ‘DIY’ home abortion permanent in Scotland. We are calling on constituents in Scotland to make it clear to their MSPs that these dangerous ‘DIY’ home abortion schemes should be suspended immediately and not introduced on a permanent basis.”

More information can be found on  https://righttolife.org.uk/diyabortionscotland/

The consultation is available online and will run until 5 January 2021.

LAST ORDERS!

CAPITAL’S PUBS TO CLOSE ON FRIDAY AT 6pm FOR TWO WEEKS

Statement given by the First Minister Nicola Sturgeon to the Scottish Parliament, Edinburgh this afternoon (7 October 2020):

Presiding Officer, I will update the chamber today on the current position in relation to Covid.

I will give an assessment of the current course of the pandemic; propose difficult but important temporary measures to stem the increase in cases; set out how we will support businesses affected by them; and update the chamber on the longer term work we are doing to further improve our ability to live with Covid.

In all of this, I will be very frank about the challenges we face and the difficult balances we must try to strike.

None of this is easy, I am acutely aware that in every decision we take lives and jobs are at stake and I want to assure, not just the chamber but the country, that none of these decisions are taken lightly.

First, though, I will provide a summary of the daily statistics that were published a short time ago.

Since yesterday, an additional 1054 cases have been confirmed. That represents 13% of the people newly tested, and takes the total number of cases to 34,760. A total of 319 patients are currently in hospital with confirmed Covid-19, which is an increase of 57 since yesterday.

And 28 people are in intensive care, which is an increase of 3 since yesterday. I regret to report that 1 further death has been registered of a patient who had been confirmed as having the virus. The total number of deaths in Scotland under that measurement is therefore now 2,533.

National Records of Scotland has also just published its weekly update, which includes cases where COVID is a suspected or contributory cause of death.

Today’s update shows that by last Sunday, the total number of registered deaths linked to Covid was 4,276.

20 of those deaths were registered last week. That is the highest weekly number of deaths since late June.

Every single one of these deaths represents the loss of an irreplaceable individual. 

So once again, I want to send my deepest condolences to all those who are currently grieving.

These figures illustrate the rising challenge we again face from this virus.

That challenge is also set out – starkly – in an evidence paper published today by the Scottish Government’s senior clinical advisors – the Chief Medical Officer, the Chief Nursing Officer and the National Clinical Director.

It assesses our current situation in relation to Covid.

And it explains – as I will try to do in this statement – why we need to introduce additional measures to control the virus; why it is urgent that we act now; and why we have decided upon the specific actions that I am setting out today.

Before I come onto that let me emphasise some of the more positive elements of our current position.

It is important – for the morale of all of us – that we don’t forget that progress has been made. It might not feel this way, but the situation now is better than it was in March.

We are benefiting from the sacrifices we made over the summer. By driving the virus to very low levels then, we have helped to ensure that – even after several weeks of increases – the estimated total number of cases is currently just 13% of the peak level back in March.

Cases are rising, but they are not rising as quickly as they were then.

In addition, and most importantly of all, we now have Test & Protect teams across the country, who are doing exceptional work. Test & Protect is now bearing a lot of the strain of controlling the virus.

And of course we understand more now about how to reduce the risk of transmission – for example, by meeting outdoors rather than indoors if possible, wearing face coverings, cleaning hands thoroughly, and keeping our distance from people in other households.

So while there are significant restrictions still in place – and they are hard and painful – we are living much more freely now than in the spring and early summer.

We are determined – if at all possible – that this will continue to be the case.

So let me be clear. We are not going back into lockdown today. We are not closing schools, colleges or universities. We are not halting the remobilisation of the NHS for non-Covid care. And we are not asking people to stay at home.

So while the measures I announce today will feel like a backward step, and in many respects I know they are, they are in the interests of protecting our progress overall.

It is by taking the tough but necessary action now, that we hope to avoid even tougher action in future.

Let me turn now to more detail to the state of the virus.

The need for action is highlighted by the daily figures I reported a moment ago, more fundamentally, in the evidence paper published today.

It’s worth remembering that when I updated Parliament just over two weeks ago, the average number of new cases being reported each day was 285. That was up from 102 three weeks previously.

Now, we are reporting an average of 788 new cases each day. In addition, I can report that in the 7 days up to Monday, the number of people in hospital with Covid increased by almost 80%.

And the number of people who died with Covid last week was the highest for 14 weeks. In fact, there was the same number of deaths in the last week alone as in the whole of the previous month.

The increase in the numbers of people in hospital with, and sadly dying from Covid reflect the rise we are now seeing in new cases among older age groups. In the second half of September, cases were rising most rapidly in the younger age groups.

However, in the past week, cases in people over 80 years old increased by 60%, and cases in the 60 to 79 year old age group more than doubled.

And we are seeing geographic as well as demographic spread.

Without a doubt – and by some distance – the highest levels of infection are across the central belt.

We are particularly concerned about Greater Glasgow & Clyde, Lanarkshire, Ayrshire & Arran, Lothian and Forth Valley – and that will be reflected in some of what I say later.

But that should not obscure the fact that numbers are rising across Scotland. The majority of our health board areas are now recording more than 50 new cases per 100,000 of their population each week. And virtually every heath board area has a rising number of cases. The only exceptions are Orkney and Shetland, and even they have had cases in recent weeks.

There is also, as we speak, a significant outbreak in the Western Isles.

So the need to act – and to act across the country – is clear. What is also clear is the need to take additional action now.

I mentioned earlier that prevalence of the virus is currently around 13% of its March peak.

However, we estimate that the number of new Covid cases is currently growing by around 7% each day.

So without action – and this is perhaps the starkest warning in today’s evidence paper – we are likely to return to the peak level of infections we had in the Spring by the end of this month.

It’s also instructive to consider the experience of other countries. Our modelling suggests that we are approximately four weeks behind France and six weeks behind Spain in the resurgence of the virus.

Their resurgence, like ours, was initially concentrated among younger people. However it spread to other age groups and they are now seeing significantly more hospital admissions, more people in intensive care, and more deaths.

It is to interrupt that trajectory that we must act now.

Of course, we have already taken perhaps the most important – and certainly the most painful – step we can to reduce transmission.

For the last 12 days, apart from certain limited exceptions, we have not been able to meet up in each other’s homes.

That should already be making a difference to infection rates even if, because there is always a time lag between introducing new measures and the impact they have, we are not yet seeing it reflected in our figures.

And let me take the opportunity to emphasise again today how vitally important it is that we all stick to that rule. It’s incredibly hard for all of us not to visit friends and family, or have them visit us. But it is the single most effective measure we can take to stop Covid passing from one household to another.

So please stick with it.

That measure is vital, but the clinical advice I have received now is that it is not sufficient. We need to do more and we need to do it now.

And to those who may wonder and ask, understandably, if the measures I set out today go too far, let me be clear about this.

If this was a purely one-dimensional decision – if the immediate harm from Covid was all we had to consider – it is quite likely that we would go further. But, 7 months into this pandemic, I am acutely aware that this is not and cannot be a one-dimensional decision. We have a duty to balance all of the different harms caused by the pandemic.

We must consider the direct harm to health from the virus – which must be reduced – but do that alongside the harm being done to jobs and the economy, which in turn has an impact on people’s health and wellbeing.

And we have to consider the wider harms to health and wellbeing that the virus – and the restrictions deployed to control it – are having on all of us.

For all of these reasons, we are applying a far more targeted approach than we did in March – one which reduces opportunities for the virus to spread, while keeping businesses and other activities as open as possible.

And we are not recommending that people who shielded over the summer, should return to staying completely indoors. We know how damaging that is to your wellbeing. But we do recommend that you take extra care – especially if you live in the central belt. You can now access information about infection levels in your local neighbourhood on the Public Health Scotland website.

Presiding officer, let me now set out the additional measures that we are proposing.

The measures on hospitality are intended to be in force for 16 days, from Friday at 6pm to Sunday 25 October inclusive – in other words across the next two weeks and three weekends.

So, firstly, with the exception of the five health board areas I will talk about shortly – pubs, bars, restaurants and cafes will be able to operate indoors on the following very restricted basis only:

During the day, from 6am to 6pm, for the service of food and non-alcoholic drinks only.

Hotel restaurants will be able to operate beyond 6pm, but only for residents and without alcohol.

The reason we are not closing indoor hospitality completely is that we know the benefits, in terms of reducing loneliness and isolation, of giving people – particularly those who live alone – somewhere they can meet a friend for a coffee and a chat.

But the restrictions will be strictly applied. And all the current regulations and the limits on meeting a maximum of 6 people from 2 households in indoor public places will still apply.

Again with the exception of the central belt areas I will mention shortly, bars, pubs, restaurants and cafes can continue to serve alcohol outdoors up to the existing curfew time of 10pm, and subject to the 6/2 rule on group size.

There will be an exemption to these rules – in all parts of Scotland – it’s important to stress this, for celebrations associated with specific life events such as weddings that are already booked and funerals. The current rules for those will continue to apply.

These are the new measures that will take effect nationwide.

However, because of higher levels of infection in the central belt, we are introducing stricter restrictions in the following five health board areas – Greater Glasgow & Clyde, Lanarkshire, Ayrshire & Arran, Lothian and Forth Valley.

In these areas, all licensed premises – with the exception of hotels for residents – will be required to close indoors and outdoors, though takeaways will be permitted. Hotels will remain open for residents.

Cafes which don’t have an alcohol license will be able to stay open until 6pm to support social isolation.

In addition, snooker and pool halls, indoor bowling alleys, casinos and bingo halls will close in these areas for two weeks from 10 October.

Contact sports for people aged 18 and over will be suspended for the next two weeks – with an exception for professional sports.

And indoor group exercise activities will not be allowed – although the current rules will remain in place for under 18s.  Gyms can remain open for individual exercise.

Outdoor live events will not be permitted in these five regions for the next two weeks.

And finally, we are asking people living in these 5 health board areas to avoid public transport unless it is absolutely necessary – for example for going to school or to work, if home working is not an option.

We are not imposing mandatory travel restrictions at this stage, and specifically, we are not insisting that people cancel any half term breaks they have planned.

However, in general, we are advising people living in Greater Glasgow & Clyde, Lanarkshire, Ayrshire & Arran, Lothian and Forth Valley not to travel outside the health board area they live in, if you don’t need to – and likewise people in other parts of Scotland should not travel to these areas if they don’t need to.

More detail of all that I have just set out will be available on the Scottish Government website.

I now want to set out some of the reasoning behind these decisions, and the focus on hospitality.

I know that the vast majority of pubs, bars and restaurants have worked exceptionally hard over the last few months to ensure the safety of their staff and customers. I am grateful to them for that.

However the evidence paper published today sets out why these settings present a particular risk. The R number seems to have risen above 1 approximately three weeks after the hospitality sector opened up. We know that more than 1/5 of people contacted by test and protect, report having visited a hospitality setting.

It doesn’t mean that is absolutely where they got the virus but it does show these settings pose a particular risk of transmitting the virus.

That makes sense from what we know about how the virus is spread.

Indoor environments, where different households from different age groups can mix, inevitably present a risk of transmission.  That risk can be increased, in some hospitality premises, if good ventilation is difficult, and if it is hard to control the movement of people. And the presence of alcohol can of course affect people’s willingness to physically distance. 

For all of these reasons, significantly restricting licensed premises for sixteen days temporarily removes one of the key opportunities the virus has to jump from household to household. It is an essential part of our efforts to get the R number back below 1.

It is also worth noting that many other countries are also introducing restrictions on hospitality – Ireland, France, Germany and Belgium have announced a variety of different measures over the past few days.

I mentioned earlier that one of the things we are trying to do is to balance the public health harm caused by Covid, with wider economic and social harms. 

I know that the measures we are proposing today, although they are temporary, will have a significant impact on many businesses and I am sorry for that. But since the Government is placing an obligation on businesses, we also have an obligation to help them financially.

I can announce that we are making available an additional £40 million to support businesses that will be affected by these measures over the next two weeks. We will work with the affected sectors – obviously especially hospitality – in the coming days to ensure that this money provides the most help, to those who most need it and gets to them as quickly as possible.

For the rest of this month, businesses can also use the UK Government’s job retention scheme. However, that now requires a significant contribution from employers – so one of the things we will discuss with businesses, in relation to our own support package, is how we can mitigate some or all of that contribution.

As I have indicated, our intention is that these additional measures will be in place for just over two weeks, incorporating three weekends – from 6pm on Friday to Sunday, 25 October. Of course, we will keep the situation under review between now and then, and keep Parliament updated.

We hope that the restrictions already in place and those I have announced today will stem the increase in new cases. But I can’t stress enough that is fundamentally is down to all of us.

The more we comply with all of the restrictions and advice the more effective they will be.

It is also important because we want these restrictions to be temporary that we use the next two weeks to prepare, protect and prevent – to further strengthen our resilience and our ability to live alongside this virus. So I can confirm over the next period we will also take the following steps.

Firstly, we will introduce regulations to extend the mandatory use of face coverings in indoor communal settings – this will include, for example, staff canteens and corridors in workplaces.

We will take action to strengthen compliance with the different strands of the FACTS advice – focusing on areas where we know from research that compliance is not yet high enough, for example, the need to self isolate.

I can also confirm that, from this weekend and across Scotland, we are asking shops to return to 2 metre physical distancing and asking them to reintroduce the mitigations they put in place earlier in the pandemic – for example, one way systems in supermarkets.

We will also work across all other sectors to review – and where necessary tighten – the guidance and regulation on their operating practices.

In addition, over the next two weeks, we will conduct a further review of our testing strategy – setting out the further steps we will take to further expand capacity, which is already underway, and build resilience and also the further steps we will take to extend testing to more people and more groups of people without symptoms.

And, lastly, we will finalise a strategic framework, setting out the different levels of intervention which can be adopted in future – either locally or across Scotland – depending on how the virus is spreading. We very much hope to align the broad framework with those being considered by other UK nations – although each nation will take its own decisions on implementation.

We will put, subject of course to Parliament’s agreement, put this strategic framework to a debate and vote in Parliament in the week after the recess.

Presiding officer, I am well aware that the measures I have outlined today are disruptive to many businesses – obviously especially hospitality businesses – and will be unwelcome to many people across the country.

However although they are significant – as they need to be, to make an impact – they do not represent a lockdown. In fact, they are designed to reduce the likelihood of a future lockdown.

We are not requiring people to stay inside all day as we were earlier in the year.

Schools will stay open.  Learning will continue in our Universities and Colleges.

Shops will continue to trade, and businesses like manufacturing and construction will continue.

And these new restrictions are intended to last for 16 days. They are intended to be short, sharp action to arrest a worrying increase in infection.

Although they are temporary, they are needed.

Without them, there is a very real risk the virus, presiding officer, will be out of control by the end of this month.

But with them, we hope to slow its spread. That will help us to keep schools and businesses – including hospitality businesses – open over the winter. And fundamentally it will save lives.

So please follow these new rules. And continue to take the other basic steps that will protect you and each other.

Do not visit other people’s homes.

Work from home if you can.

Download the Protect Scotland app, if you can and haven’t already done so.

And remember FACTS.

Face coverings; avoid crowded places; clean hands and hard surfaces; 2 metre distancing; and self isolate, and get tested if you have symptoms.

Sticking to all of this isn’t easy, after seven long months it is harder than it has ever been. But it is essential. It’s the best way to look out for each other, and now more than ever, we all need that spirit of love and solidarity that has served us so well.

And hard through it is to believe it right now, all the hard sacrifices we are making will hasten the brighter days that do lie ahead. The pandemic will pass.

So, let’s all stick with it – and above all, let’s stick together.

My thanks, again, to everyone across the country, for all you are doing.

‘DEVASTATING NEWS’

Responding to the First Minister’s announcement for further restrictions for pubs, CAMRA’s Director for Scotland Joe Crawford said:  “The First Minister’s announcement banning the serving of alcohol indoors for 16 days across the country – and forcing pubs in five health board areas in the central belt to close altogether – is absolutely devastating news for pubs and breweries.  

“Publicans who have been operating at reduced rates, and who have already invested thousands of pounds of their dwindling reserves making their premises COVID-secure, now face 16 days without any turnover whatsoever. Understandably, they feel like pubs have become the scapegoat for the pandemic. 

“The £40 million in support for the hospitality sector is welcome and necessary but the devil will be in the detail.

Without proper financial compensation now – and longer-term financial support to help deal with reduced trade as a result of restrictions like the curfew – we risk seeing thousands of pubs, clubs and breweries closing for good before Christmas.” 

 LICENSED TRADE IS THE ‘SACRIFICIAL LAMB’ – SLTA

Responding to the announcement Colin Wilkinson, Scottish Licensed Trade Association (SLTA) managing director, said: “The recent introduction of the 10pm closing time plus the two-household group of six rule is having a devasting effect on the industry – closures are looming and now today’s announcement of further restrictions and temporary lockdowns will only accelerate business failure and job losses.

“A recent survey highlighted that nearly 40% of hospitality businesses were considering closure or business exit. In September, an SLTA survey of 600 on-trade premises highlighted that within the pub and bar sector, 12,500 jobs could go.

“These figures have increased dramatically in only a month. When the industry reopened after lockdown and with the then restrictive measures in place, it was estimated that two-thirds of hospitality businesses could still be viable, but only just, with one-third of businesses unable to open.

Now that figure has flipped and in our estimation two-thirds of hospitality businesses could be mothballed or go under. Over 50% of jobs in the pub and bar sector could also be lost which will have a particularly deep impact on the employment of young people as over 40% of staff employed are under the age of 25.

“Our research already tells us that many in the industry are on the precipice of business failure and these further restriction measures announced today and the much quieter winter season approaching leads us to only one conclusion: the sector is now heading into a scenario of ‘last man standing’.

“Details of the First Minster’s announcement of a £40m financial support package are awaited, but the question is will this be enough?  In our opinion the hospitality sector in general needs substantially greater and far more reaching support than has just been announced and does not come anywhere near to saving our industry.  

“The SLTA will be working with the Scottish Government on how this funding will be distributed to those affected by today’s announcement.

“Responsible operators are running safe, carefully monitored establishments so in our opinion there is no need for the Scottish Government to ‘go further’ on pubs.

“Actions by governments are meant to be proportionate and evidence based and despite reference today to newly released “evidence paper” the industry continues to call on the Government to provide the evidence for infection rates stemming directly from the licensed trade.

“Industry figures suggest that there are very low infection rates of staff within our pubs and bars which suggests to us that the industry is doing everything that it can and is providing as safe an environment as possible – otherwise, if we were a major causal route of infection, this would surely be reflected in the infection rate of hospitality staff.

“It would appear again that Scotland’s licensed trade is the sacrificial lamb and paying the price for other sectors that do not operate under such restrictive measures as we have seen recently.”

Blackwood staff at the forefront of driving future change

Staff are being put at the forefront of a housing and care charity’s strategy to plan its future direction as it prepares for life with COVID-19.

Blackwood will be assessing the responses of all of its 549 employees and using them to implement strategies to improve the work and lives of everyone involved in the charity.

Staff were asked to answer two surveys over a six week period to assess opinions on a range of issues.

Blackwood Operations Director Angela Currie (above) said: “We couldn’t care for our customers without the hard work of all of our staff, from those on the frontline providing care and housing services, to our corporate team.

“Many of us have felt the additional pain and pressure of working in the social care sector during the pandemic. The vital, company-wide support we have had from our colleagues has been a huge factor in our management of the pandemic.

“At Blackwood we believe it is essential to ask for the input of all of our staff. We recognise how important feedback is in creating a strong organisation. We want our staff to be a part of our planning and influence how we move forward, especially as we look to progress out of the pandemic to a more ‘normal’ life.

“All of our employees were sent the surveys, which take into account how staff are feeling about working from home, their work-life balance, and what they would like to see more of in the future.”

Blackwood’s commitment to staff has been evident throughout the pandemic. The charity launched a campaign, #ImInAwe, to showcase its appreciation for the vital work of front-line social care workers, which can often go unnoticed.

As part of the campaign, Blackwood gifted all 284 of its care staff a £90 Aldi voucher to help with their essential shopping.

In addition, Blackwood have further endorsed its desire to recognise the impact of its workforce by giving its support for World Patient Safety Day.

Angela added: “Our colleagues have gone above and beyond over the past few months, we cannot thank them enough.

“Through World Patient Safety Day we celebrate and value our teams as they continue to put customers first in unprecedented times. Utilising practical solutions to empower our staff, even outside of the work environment, is the key to a safer Scotland.

“Working with our colleagues on this survey will hopefully provide us with some interesting insights on how staff are feeling, and how we can retain some of the more positive elements of working we have seen over the past six months.”

Blackwood aims to help people live their life to the full, by providing services which support individuals to live independently. It specialises in technology and design innovation to support the role of its housing and care staff across Scotland.

For more information, please visit: https://www.blackwoodgroup.org.uk  

Debt, dole, worry: Student midwives facing triple whammy threat

Many student midwives are struggling under the weight of financial concerns, poor mental health and an unpredictable job market, according to new findings by the Royal College of Midwives (RCM).    

Student midwives in England, who must pay tuition fees and take out maintenance loans to cover living costs, will have, on average, a debt of £41,000 when they qualify. Even for those who receive a training bursary, the financial future is bleak.

A staggering 91 per cent of student midwives in Scotland, Wales and Northern Ireland said their training bursaries were not enough to live on.   

Gill Walton, Chief Executive of the RCM, said: “Our student midwives should not be facing a triple threat of debt, worry and an unpredictable job market  Unlike other students, the demanding nature of their course mean they have little opportunity to seek part-time work to supplement their income.

“They have a longer academic year, they work nights, weekends and bank holidays, and are often on-call to go in a at a minute’s notice.  They show incredible dedication to their chosen career and there is an overwhelming case to give them better financial support, and to ensure they get jobs in our NHS when they qualify.”   

The pandemic’s impact on student midwives cannot be underestimated. The RCM found that 96 per cent of student midwives reported having mild or moderate mental health problems since the pandemic began.

Our survey shows that by the end of July just 36 per cent of students in their final year of midwifery training had been offered a job in the NHS. At the same time, midwifery educator numbers are not keeping pace with the rise in student midwife numbers, potentially leaving students less supported throughout their training.   

Gill Walton added: “Throughout the pandemic student midwives have made enormous efforts, working in our maternity services while also continuing their studies. At the same time the pandemic has disrupted midwifery education heavily.

“Some UK governments and institutions are doing better than others, but most are selling our student midwives short. They need to step up and ensure we continue to have the best educated, best prepared new midwives in the world. They are the future carers of mothers, babies, and families and we must invest in them.”   

Morrisons introduces new measures to help people who are self isolating

– Customers can order a delivery to their doorstep from items across the supermarket –

Morrisons has launched a service aimed at ensuring customers who are self-isolating can get a delivery of food to their doorstep.

With coronavirus cases rising, Morrisons wants no customer to be left behind and the ‘doorstep delivery’ service will offer all customers who are self-isolating a next-day food delivery (from 10am-6pm). 

Customers simply have to ring the doorstep delivery service where they can choose the items for their emergency delivery. The service was previously only available for elderly and clinically vulnerable people. 

Now anybody who is self-isolating can: 

  • Phone 0345 611 6111 and select option five. 
  • Choose from a items across the supermarket, guided by the telesales operator
  • Place the order and then the delivery is made the following day by a store colleague from their local store, often the store’s Community Champion, who is tasked with helping the community.
  • Pay for delivery on their doorstep via a mobile chip and pin device. The delivery charge is £4.50 (students £2). There is no delivery charge for elderly and vulnerable people.  

Students can also contact Morrisons on email: students-ug@morrisons.co.uk.

Anna Lane, Morrisons Local Director, said: “This doorstep service will ensure that more people who can’t leave their home to go shopping will be able to get a delivery of affordable food.”

Morrisons will be delivering from more stores in order to extend the service across the country.