The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of children’s services, has called for a Scottish Budget for mental health. It urged greatly increased investment in mental health services against a backdrop of concerns over a mental health pandemic as the impacts of Covid-19 on the young become clearer.
The call comes as new figures published today (7th December 2021) from Public Health Scotland indicate that at the end of September 2021, 1,978 children and young people had been waiting over a year for treatment from specialist child and adolescent mental health services (CAMHS) provided by the NHS.
This figure represents a doubling from September 2020 (959).They also represent 16.7 per cent of those waiting for specialist treatment.
With already under-resourced and overstretched services facing overwhelming pressure due to increased demand, the SCSC has raised concerns over a potential “lost generation” of vulnerable children and young people whose mental health is being impacted by Covid-19.
Even prior to the pandemic cases of poor mental health were at unprecedented levels and in crisis, and there are a growing number of vulnerable children who cannot access adequate support.
While 3,792 children and young people were treated over the period July to September 2021 by CAMHS, only 78.6 per cent were seen within the Scottish Government’s waiting time target for the NHS of 18 weeks from referral to treatment (met for at least 90 per cent of patients). Nine out of 14 health boards failed to meet this target.
Waiting times (with adjustments) for people who started their treatment from July to September 2021, by NHS Board of treatment.
Health board
Total number seen
% seen within 18 weeks
NHS Scotland
3,792
78.6
NHS Ayrshire & Arran
381
99.5
NHS Borders
77
55.8
NHS Dumfries & Galloway
81
33.3
NHS Fife
340
83.8
NHS Forth Valley
87
64.4
NHS Grampian
392
94.9
NHS Greater Glasgow & Clyde Valley
1,021
75.5
NHS Highland
170
76.5
NHS Lanarkshire
183
68.3
NHS Lothian
661
67.9
NHS Tayside
352
84.1
NHS Island Boards
47
100.0
In addition to increased investment in mental health services through a Scottish Budget for mental health, the SCSC has called for a renewed focus on expanded prevention and early intervention services, reducing the need for referral to costly specialist CAMHS.
It has also called for greater partnership working between the public, private and third sectors as well as greater awareness of the services on offer, especially those at a community level.
A spokesperson for the SCSC commented: “We are urging the Scottish Government to make the forthcoming budget a Budget for mental health for our children and young people.
“For some time we have raised concerns over a potential lost generation of vulnerable children and young people, whose mental health is being impacted even further by the Covid-19 pandemic. It is more important than ever that children can access the support they need, when they need it, irrespective of where they live.
“To achieve this there must be a radical transformation of our mental health services, investing in specialist services and with a focus on preventing such problems arising in the first place and intervening early.
“This is a crisis we can overcome, but it will require a similar energy and commitment to that demonstrated for Covid-19 if we are to achieve this and prevent many young people giving up on their futures.”
Vaccination programme has been a phenomenal success with almost 120 million doses administered, saving countless lives and reducing pressure on the NHS
A year ago today the UK became the first country in the world to deploy an approved COVID-19 vaccine
Vaccination programme has been a phenomenal success with almost 120 million doses administered across the UK, saving countless lives and reducing pressure on the NHS
Booster programme accelerating, with new vaccine sites opening, support from military and new vaccinator recruitment drive to offer top-up jabs to all adults by end of January
UK approaching 21 million boosters and third doses administered
The UK administered the first COVID-19 vaccine in the world, outside of clinical trials, one year ago today as the Health and Social Care Secretary Sajid Javid urges people to get their booster jab as soon as they are eligible.
On 8 December 2020, 90-year-old Margaret Keenan received a Pfizer-BioNTech vaccine at University Hospital in Coventry, administered by Matron May Parsons.
Thanks to the UK Government’s quick action to secure the most promising vaccine doses in advance, almost 120 million doses have been administered across the UK in a year, saving countless lives and helping stop the NHS from being overwhelmed.
In light of the new Omicron variant and following advice from the Joint Committee on Vaccination and Immunisation (JCVI), the government is expanding the booster programme to all adults over 18 and announced that all eligible people will be offered a top-up jab by the end of January, as well as halving the minimum gap between second doses and boosters.
To speed up the vaccination programme, around 450 military personnel have been drafted in to support deployment, with extra community pharmacy sites, hospital hubs, and pop-up sites opening in convenient locations across the country. Payments to GPs, community pharmacies and primary care staff will help boost capacity and encourage more visits to those who are housebound.
NHS England has also launched a recruitment drive for 10,000 new vaccinators, administration staff, healthcare support workers and volunteers to join the national vaccination mission.
Almost 21 million boosters and third doses have been administered in the UK and, on Saturday, more than 450,000 top-up jabs were administered in a single day. In the last week, the booster programme reached more people than the adult population of Greater Manchester.
Everyone over the age of 40 who had their second dose at least three months ago will soon be able to book an appointment for their booster jab. Younger age groups will be invited by the NHS in order of age in due course. The BT Tower in London will celebrate the anniversary with a message encouraging people to get vaccinated, get boosted and get protected.
Prime Minister Boris Johnson said: “Since the first jab was delivered one year ago today, our phenomenal vaccine rollout has saved hundreds of thousands of lives and given us the best possible protection against Covid-19.
“So many people have been involved in this national vaccination effort, including our brilliant NHS staff, pharmacists, the military, the thousands of volunteers who dedicated themselves to the rollout, the incredible scientists, researchers and their teams who developed these life-saving vaccinations, and crucially every single one of you who has taken up the offer of a jab with such enthusiasm.
“Our fight against the virus is not over yet, but vaccines remain our first and best line of defence against the virus – so the best way to continue to protect yourself and your loved ones is to get behind the vaccine programme and get boosted as soon as you’re eligible.”
Health and Social Care Secretary Sajid Javid said: “I’m incredibly proud of our phenomenal COVID-19 vaccination programme. In one year we have administered almost 120 million doses across the UK, saving countless lives and giving us a powerful weapon to fight this devastating virus.
“The battle is not yet over and we are working around the clock to boost the booster programme to maximise immunity following the emergence of the Omicron variant.
“It is absolutely crucial everybody comes forward for their vaccines and booster jabs as soon as you are eligible so we can strengthen our wall of defence against COVID-19 and enjoy Christmas safely with our families and loved ones this year.”
The first real-world study on the effectiveness of booster vaccines against the dominant Delta variant by the UK Health Security Agency shows top-up jabs boost protection back up to over 90% against symptomatic COVID-19 in adults aged over 50 two weeks after being vaccinated.
As shown in the COV-Boost study, the booster vaccines, Moderna and Pfizer, increase the immune response substantially, which makes it more likely that protection will be maintained against Omicron. The best thing anyone can do given the new variant, is to get a booster.
People who have had their booster vaccine by 11 December will likely have very high protection against COVID-19 by Christmas Day.
Vaccines Minister Maggie Throup said: “Our COVID-19 vaccination programme has been an incredible success. Booster jabs will top-up the immunity people have already developed to ensure we are protected during the winter and ahead of Christmas.
“I encourage everybody to come forward for the first, second, booster and flu vaccines to protect yourself and those around you.”
The COVID-19 vaccination programme is the largest in British history and was established at unprecedented speed. The UK Government’s Vaccines Taskforce secured early access to almost 340 million doses of the most promising vaccine candidates in advance for the entire UK, Crown Dependencies and Overseas Territories, enabling a rapid deployment once approved by the medicines regulator.
New deals have been signed to buy an additional 60 million doses of the Moderna vaccine and 54 million more Pfizer/BioNTech doses for 2022 and 2023. These future supply deals include access to modified vaccines if they are required to combat Omicron and future Variants of Concern.
The UK has one of the highest COVID-19 vaccine uptake rates in the world, with 4 in 5 people aged over-65 in England already receiving their booster jab.
Flu is another winter virus that can be serious. To give people the best protection over winter, those eligible for a free flu vaccine should come forward and book an appointment at either their GP practice or their local pharmacy, or take it up when offered by their employer or other healthcare provider.
Stats from the COVID-19 vaccination programme:
The highest number of new vaccinations reported in one day in the UK was 844,285 on 20 March 2021 – that’s equivalent to vaccinating the entire population of Liverpool in one day.
The highest number of new vaccinations reported in a 7-day period in the UK was 4,215,859 between 15th-21st March 2021 – that’s equivalent to vaccinating the entire population of Birmingham more than four times in a week.
More than 27,000 deaths averted in Scotland
More than ten million vaccination doses have been administered in Scotland since the first jabs against COVID-19 were given exactly one year ago.
The biggest vaccination programme ever undertaken has seen 4,355,063 first doses, 3,962,203 second doses and 1,922,604 boosters and third doses administered from around 1,200 locations.
Staff at 750 GP practices and more than 17,800 vaccinators have worked to protect people from the pandemic.
Recent figures from the World Health Organisation (WHO) estimated that more than 27,000 deaths have been prevented in Scotland as a direct result of the rapid uptake of vaccinations.
Health Secretary Humza Yousaf said: “This has been a year like no other and firstly I would again like to extend my deepest sympathies to all those who have lost loved ones to the virus.
“The national vaccination programme has provided us all with hope for the future. It is an overwhelming success. From the outset, our Health Boards and vaccination teams have worked tirelessly and at extraordinary pace to give everyone the opportunity to be protected against coronavirus over the past twelve months.
“In fact, they have delivered more first, second, booster and third doses per head than any of the other UK nations and we are so grateful for their professionalism and ongoing dedication.
“And of course to those who have taken up the offer of vaccine – thank you. Not only do vaccines reduce the severity of illness and prevent deaths, getting vaccinated may prevent you from unknowingly infecting someone in your household.
“The vaccines we have are extremely safe and highly effective and I urge anyone who is eligible and not yet vaccinated to book an appointment.
“While vaccination is the bedrock of our fight against COVID-19, with the emergence of the Omicron variant it is particularly important that we take other precautions to prevent transmission.
“So test regularly for the virus, particularly before socialising and meeting up with others from outside your household, wear face marks where required and open windows to improve ventilation.”
Edinburgh artist Johnathan Elders illustrates the scale of Scotland’s electronic waste with powerful installation
Reindeer, penguins, and polar bears are the sort of animals you would usually expect to see taking pride of place in a retail display at this time of year. However, one Edinburgh shopping centre is adding a little more ‘bite’ to its seasonal offering with the installation of a powerful new sculpture – Betty the e-waste shark!
The work of Edinburgh artist Johnathan Elders, Betty is a life-sized basking shark which aims to illustrate the sheer scale of Scotland’s electronic waste problem.
The sculpture was created using a range of second-hand electrical devices including more than 200 keyboards and water cooler panels, all of which have been saved from landfill, plus two projector lenses and TV screens which display a hard-hitting film about the true impact of e-waste.
Previously displayed at the National Museum of Scotland, local sustainability campaigner Sara Thomson of The Leith Collective has successfully secured Betty a residency at Ocean Terminal, and the artwork is available to view now.
Created in response to a call-out from the Edinburgh Science Festival, Jonathan had a clear vision of what he hoped the artwork would achieve. Firstly, it needed to demand attention.
He was determined to craft something that was simply too big to be missed, and instantly recognisable in order to create a reaction. Secondly, it needed to be engaging – something that people would want to touch and interact with.
It was also important that the piece was inclusive and accessible in its entirety to people of any height or level of mobility. Finally, it needed to inform viewers of the immense problem of e-waste faced by Scotland.
Commenting on the piece, Jonathan Elders explains: ‘I chose the basking shark, native to Scotland, as I encountered one as a child whilst on a boat trip to Bass Rock in North Berwick. This moment had a huge impact on me, and it has stayed with me ever since.
‘I didn’t want to be subtle. As a nation, we have so much to be proud of – like these magnificent creatures – but we also have a massive problem that we’re just not doing enough to address. Like producing such vast quantities of e-waste.
‘As the footage shows, much of this waste is shipped away to other parts of the world so that we can forget about it. But that needs to stop.’
When asked about the name, Jonathan said: “Betty is the name of a lovely local lady – a total character who knows everybody. She lives overlooking Newhaven Harbour but won’t go anywhere near it because she is scared of the sea. Hence the reason I called the shark Betty, because like the real-life Betty, this shark will never go to the sea!’
Betty the e-waste shark is available to view now at Ocean Terminal, Edinburgh. Guided tours and talks about the artwork are available upon request for schools, clubs, and organisations.
If you are interested in giving Betty the e-waste shark a home after her residency at Ocean Terminal ends, please email info@theleithcollective.com to discuss.
Lifelong Heart of Midlothian supporter, Stevie Morris, is speaking out about his diagnosis of motor neurone disease (MND) to raise awareness, in support of the Club’s partnership with MND Scotland.
Thanks to an innovative sponsorship deal with Dell Technologies, MND Scotland’s logo is taking pride of place on the front of the Hearts home kit for the 2021/22 season. To help raise more awareness, Stevie, from Mid Calder, is sharing his experience of living with MND and what the partnership means to him and his family.
Before being diagnosed with MND, the Tynecastle Park season ticket holder used to love playing sport, including football, walking football and golf multiple times a week.
He said: “I used to live a very active life before my diagnosis, and it has been really tough having my ability to play sport gradually fade away to the point where I just can’t do it anymore.
“I’m someone who likes to take care of their garden, but this past gardening season I was even starting to find mowing the lawn to be too much.”
Stevie, who is married to Mary (61) and dad to Craig (37), used to attend every Hearts game, both home and away, but due to his worsening condition, is sadly unable to travel to watch away games anymore.
“Hearts has always been a huge part of my life. It’s really important to me and I used to love travelling to the games on the Livingston Hearts supporter’s bus, but I can’t do that now. The walk to the ground from the bus is just too far. Even going to home games, I have to get dropped off right at the entrance and am in the process of moving my season ticket seat, so I don’t have to walk as far.
“Right now, I am still able to get down to the pub on a Sunday to watch other TV games, something I’m still really glad I can do.”
Stevie first suspected something was wrong during a round of golf, when he experienced a freezing cold sensation in his foot, something which seemed even more unusual given the warm weather on the day.
He said: “From visiting my doctor to being diagnosed took around nine months in total. There was a lot of testing involved and other things that had to be ruled out. At first, I thought it might have been a trapped nerve but sadly it was more serious than that.”
Stevie was diagnosed with MND in February 2021 and less than a year on is having difficulty getting up and down stairs, as well as relying on a breathing machine at night.
“Being diagnosed with MND was devastating obviously. It just floored us and the whole family went through a period of complete disbelief. Although I found it very difficult to tell my family and friends, the hardest part was definitely having to tell my dad.
“For the past three games, I’ve taken my dad for hospitality at Hearts, which has been an amazing experience for us both and something very special we could do together.”
Stevie and his son Craig are extremely happy about the partnership between Hearts and MND Scotland and have both got the strip with the charity logo.
He continued: “MND is a horrible disease. For my team to be involved in such a positive and direct way is tremendous. I hope the money raised from the partnership will allow MND Scotland to continue helping people in my situation. The support and services they provided me with really helped to take a load off my family – they are magnificent.
“I hope the message gets through that MND can affect anyone. I’m a fan, who is there every week. I’m your midweek, go to Inverness or Ross County fan. I’m a fan that will have a sing a long on the supporter’s bus, and a beer before and after the match. Hearts are my team. My wish is that no one else misses out on future games because of MND.”
MND Scotland’s Head of Fundraising, Iain McWhirter, said:“Our partnership with Hearts has been amazing so far, and both the club and its supporters have played an enormous role in our effort to raise vital awareness and funding, to help change the lives of people living with MND today.
“I want to thank Stevie for bravely speaking out about his story and sharing his experience with us.”
To help people like Stevie, and to join MND Scotland’s search for a cure, please donate today.
The child protection charity is urging the Scottish Government to prioritise resources for early years services, as it sets out its spending plans for 2022/23 at Holyrood tomorrow (Thursday, December 9).
NSPCC Scotland received 435 pairs of baby booties, after it put out a call for people to knit in support of its Fight for a Fair Start campaign. The charity has sent over 120 pairs to MSPs with message cards to raise awareness of the importance of investing in early childhood. The remaining booties are being donated to families supported by the NSPCC and other organisations.
The charity says providing support for very young children and their families is vital because people’s experiences in early childhood affect their future mental and physical health. It wants to see substantial investment in specialist services that support the parent-infant relationship, which is so important for a child’s healthy development.
Joanne Smith, Policy and Public Affairs Manager for NSPCC Scotland, said: “A baby’s experiences can greatly impact the rest of their life. Yet, this is a stage of life that is too often overlooked and under-supported.
“Too many children in Scotland do not have a fair start in life. Last year, around half of those on the child protection register and over a third coming into the care system were younger than five years old.
“We have been overwhelmed by the support we have received from the Scottish public for this campaign. And we hope our MSPs also show their support for the needs and rights of vulnerable infants by pushing for greater investment in the early years.
In studies carried out before the pandemic hit, NSPCC Scotland found that very few services across the country specifically addressed the emotional and developmental needs of children under the age of two.
And the charity is concerned the pandemic has put babies at greater risk, with Public Health Scotland data revealing a higher than expected proportion of children having one or more developmental concerns recorded at their 13-15-month review, since February this year.
Daisy*, a mother-of-two, had her eldest child taken into foster care during the first lockdown because of a breakdown in family relationships and was referred to the NSPCC’s Together for Childhood2 project in Glasgow. She was struggling with her mental health and managing her children’s needs. An NSPCC practitioner supported her and worked through the Circle of Security parenting programme3 with her.
Daisy* said: “The Circle of Security parenting work made me realise the way I was parented has affected the way I was parenting my kids. Even though I thought my upbringing was good, there were obviously tactics my parents used that have affected the way that I was parenting my kids and it’s obviously not been healthy.
“My parents didn’t listen when I went to them with my problems and I was guilty of that with my kids before doing the Circle of Security work. It’s been very helpful to realise that’s not the way things should be, so I’ve put an end to that and have found new strategies to better my relationship with my kids and how they feel about themselves as well.
“I used to use distraction, even with the baby when he was crying, like jangling a set of keys in his face to distract him and make him laugh. But now I pick him up and give him a cuddle and be with him and how he’s feeling.
“He calms down much quicker and his smiles come naturally again, rather than me trying to force them, because he’s feeling better, because I’ve tended to that need that he had, because he just wanted a cuddle and love.”
People can show their support for our Fight for a Fair Start campaign by signing our petition here.
Coronavirus (COVID-19) update: First Minister’s statement:– 7 December 2021
Presiding Officer,
I will give an update on the general COVID situation.
I will also share the most up to date information we have on the Omicron variant – both its transmission in Scotland and the world’s developing understanding of it – and set out the steps we must take to slow its spread, and to stem transmission of the virus more generally.
First, though, today’s statistics.
3,060 positive cases were reported yesterday – 9.2% of all tests carried out.
576 people are in hospital with COVID – which is 15 fewer than yesterday.
And 38 people are in intensive care, which is five fewer than yesterday.
Sadly, a further 12 deaths have been reported in the past 24 hours, which takes the total number of deaths registered under the daily definition to 9,661.
I want once again to send my condolences to everyone who has lost a loved one.
I am pleased to report, however, that the vaccination programme continues apace.
4,355,063 people have now had a first dose, 3,962,203 have had two doses, and 1,922,604 have had a booster or third dose.
On first, second, third and booster doses, Scotland is still the most vaccinated part of the UK.
Indeed, at this stage on booster doses we are comfortably ahead of the other UK nations, with around 40% of the over 12 population having had a booster jag.
So I want to again record my thanks to everyone involved in organising and delivering the vaccine programme.
Today’s weekly update coincides with the latest three-week review point for all of the remaining COVID regulations. I can therefore confirm that at our meeting this morning, the Cabinet agreed to keep all of the current protections in place, with no immediate changes.
Given the very significant risks posed by Omicron, and the continuing high and indeed once again rising number of cases in Scotland overall, our judgment is that it would be inappropriate to lift any of the protections currently in place at this time.
On the contrary, we agreed that it is vital at this stage to strengthen compliance with all of these existing protections.
We also agreed that, in light of the rapidly developing Omicron situation, it was important to keep the need for any additional protections under daily review at this stage.
The importance of doing that will be clear from the latest data, particularly the data I will share shortly on Omicron.
Firstly, though, let me quickly summarise the overall situation.
After two weeks of falling case numbers, the last seven days have seen a rise in the overall number of cases.
Last week, I reported that the number of new cases being recorded each day had fallen by 14% over the preceding seven days.
However in this past week, cases have increased by 11%. We are currently recording just over 2,800 new cases a day on average.
Encouragingly though cases in the over 60 age groups have continued to fall – in the past week by a further 8%. There is little doubt, if any doubt, that this reflects the effectiveness of booster vaccines.
However, in all age cohorts under 60, cases are rising again.
In total, cases amongst under 60s increased by 13% in the past week – and since people under 60 currently account for more than 90% of all cases, that has inevitably driven an increase in the total number of cases recorded.
More positively, the number of people in hospital with Covid has fallen further in the last week – from 706 to 576.
And so has the number in intensive care – from 54 to 38.
That is of course welcome news.
But we should not be in any way complacent about it.
Firstly, because we know that there will always be a time lag between rising cases and rising admissions to hospital.
And, secondly, because the NHS continues to be under very severe pressure, from direct COVID pressures, but also from the backlog of work created during the pandemic.
On top of all that, the NHS may soon face additional pressures – for example from flu – as we head further into winter.
And there has always been the potential for COVID cases to rise during December – as may now be happening – as a result of more people mixing indoors more often.
So in any circumstances, we would be concerned about the current high level of cases, and the impact this might have on the NHS.
But the emergence of the Omicron variant is now an additional – and indeed very significant – cause for concern.
Public Health Scotland’s weekly COVID report will, from tomorrow, provide more detail on both confirmed and probable Omicron cases in Scotland.
It will include data, not just on confirmed cases, but also on the number of PCR tests showing what is called the S-gene drop-out – this is not conclusive evidence that a case is of the Omicron variant, but it is highly indicative of it.
The report will also contain data on the age, sex and health board area of Omicron cases.
In weeks to come – and as soon as the quality of data allows – these reports will also provide details on the vaccination status of, and hospital admissions and deaths associated with, Omicron cases.
For now, though, let me summarise what we currently know about the presence and spread of this new variant in Scotland. I can confirm that, as of 5pm yesterday, there were 99 confirmed cases here.
This is an increase of 28 since yesterday. And to give a sense of the speed of increase – albeit at this stage from a low level – the figure I reported this time last week was nine. So we have seen more than a tenfold increase in the space of a week.
A still low – at around 4% – but nevertheless steadily rising proportion of cases also now show the S gene drop out that, that as I said a moment ago, is highly indicative of Omicron.
Our estimate at this stage is that the doubling time for Omicron cases may be as short as two to three days, and that the R number associated with the new variant may be well over 2.
I can also report that there are now confirmed cases in nine of our 14 health board areas – suggesting that community transmission is becoming more widespread, and possibly more sustained, across the country.
Now our health protection teams are working hard through contact tracing, testing and isolation to slow the spread of Omicron cases. That work will obviously continue and I want to thank them for the excellent work they are doing.
However, given the nature of transmission, I would expect to see a continued and potentially rapid rise in cases in the days ahead and for Omicron to account for a rising share of overall cases.
And all of this explains, I hope, the requirement for government to review the situation on a daily rather than a weekly basis at this stage.
Let me turn now briefly to the developing global understanding of Omicron.
The first point to make is that there still a great deal we do not yet know.
However data on cases worldwide, including here at home, gives a reasonable degree of certainty at this stage that Omicron is more transmissible than the Delta variant, and perhaps significantly so.
Early – though again unconfirmed – data also suggests that Omicron is more capable of re-infecting people who have had the virus previously. In other words, it has some ability to evade natural immunity.
And, of course, there is also a concern that it may evade to some extent the immunity conferred by vaccinations.
Let me stress again, though, at this point that even if this does prove to be the case, getting vaccinated will still be vitally important.
Vaccines being slightly less effective is not the same, nowhere near it in fact, as vaccines being ineffective.
Being vaccinated will still give us much more protection against Omicron, especially from severe illness, than we will have if we are not vaccinated.
Now further data and analysis is needed to confirm all of the hypotheses about the transmissibility, immunity evasion and severity of Omicron.
We will learn more about its characteristics and implications- in the days and weeks ahead, and this developing understanding will inform and shape our response.
However, we can assume already that the emergence of Omicron is a significant challenge for all of us.
A variant that is more transmissible than Delta, and which has even a limited ability to evade natural or vaccine immunity, has the potential to put very intense additional pressure on the National Health Service.
And a key point we must understand is this, and I want to underline this point. The sheer weight of numbers of people who could be infected as a result of increased transmissibility and some immune evasion will create this pressure even if the disease the new variant causes in individuals is no more severe than Delta.So there is no doubt, unfortunately, that this is another serious moment in the course of the pandemic.
And I will talk shortly about what that means for all of us.
But firstly, let me outline the principles that will guide any decisions government may have to take in the days and weeks ahead.
It is worth noting that the period ahead – as we learn more about the new variant – may involve very difficult judgments for governments everywhere. Indeed, many governments around the world are already taking decisions that we all hoped were behind us for good.
For the Scottish Government, our first principle will be to seek to do what is necessary to keep the country as safe as possible, even if that is sometimes at the expense of being popular.
And second, we will strive to get the right balance between acting proportionately and acting preventatively.
We know from experience, sometimes bitter experience, that with an infectious virus acting quickly can be vital – if we wait too long for data to confirm we have a problem, it might already be too late to prevent the problem.
In fact, acting preventatively is often the best way of ensuring that action can remain limited and proportionate.
However, after two years of restrictions – with the accumulation of social and economic harms that previous restrictions have caused – we also know that it is ever more important to minimise further restrictions as far as is possible.
So while recognising that it is never a perfect science, we will seek to get that balance right.
Let me turn to the action we have taken so far and what we are asking everyone to do now.
Firstly, in line with the other UK nations, we have tightened travel rules.
In the past week, Nigeria has been added to the travel red list. That means anyone arriving in the UK from Nigeria – or the 10 countries already on the list – must enter managed quarantine for 10 days.
In addition, since this morning, anyone aged 12 or over, who is travelling to the UK from outside the Common Travel Area, will be required to take a COVID test shortly before they leave for the UK. And this is in addition to the requirement to take a test on day two after arrival in the UK and to self-isolate pending the result.
My advice to anyone planning travel between Scotland and countries outside the common travel area, is to check on the Scottish Government website for detailed guidance; and to also check the requirements of the country you are travelling to. Because the requirements there may well be different to those in force here.
Presiding Officer
At this stage, travel restrictions have an important part to play in responding to Omicron.
However, given that we already have some community transmission in Scotland, what we do domestically is also important.
That is why Cabinet decided this morning to keep in force all existing protections. However, we also agreed that it is vital not just to maintain, but to strengthen compliance with these protections.
It is time for all of us to go back to basics and ensure that we are taking all of the steps required to minimise the risk of getting or spreading this virus.
Indeed, it is through heightened compliance with current protections that we will give ourselves the best chance of avoiding any additional protections.
So I am asking everyone to make an extra effort to do so from now through the festive period and into January.
Obviously, that means wearing face coverings in indoor public places; ventilating rooms by opening windows; and ensuring good hand hygiene.
However, there are two important protections that I want to emphasise particularly strongly today.
Scotland, let's all pull together and do what's necessary.
Watch FM @NicolaSturgeon's message about how to be safe this winter, including by:
🔹 Taking a test each time you're planning to meet up with others 🔹 Working from home, where possible
Firstly, working from home. We already advise people to work from home wherever practical.
Today, I am asking employers to ensure this is happening.
To be blunt, if you had staff working from home at this start of the pandemic, please now enable them to do so again.
We are asking you to do this from now until the middle of January when we will review this advice again.
I know how difficult this is, but I cannot stress enough how much difference we think this could make in helping stem transmission and avoid the need for even more onerous measures.
Secondly, testing and isolation.
Test & Protect is deploying enhanced contract tracing for all cases with the S-gene drop-out that is indicative of Omicron – for these cases, household contacts of close contacts, rather than just the close contacts themselves, are being asked to test and isolate. If you are asked to do this, please comply.
More generally, for non-Omicron cases, if you have symptoms of COVID, please get a PCR test and self-isolate until you get the result.
If your result is negative you can end isolation at that point if you are double vaccinated. If positive, you must isolate for the full 10 days.
And crucially, please remember that you can have this virus even if you have no symptoms.
So testing regularly and repeatedly with lateral flow devices is essential.
We are asking everyone to do a lateral flow test before mixing with people from other households – and on every occasion you intend doing so.
That means before going to a pub, to a restaurant, visiting someone’s house, or even going shopping.
Let me be clear Presiding Officer, I am not excluding myself from this. I am currently doing a test every morning before coming to work and I will do a test on any occasion I mix with others over the festive period. And I will ask anyone visiting my home over Christmas to do likewise. And I’m asking every member of this Parliament to lead by example, and do that too.
LFD kits are easy to get through NHS Inform or from local pharmacies or test centres. And they are very easy to use.
So please, please do this. It will significantly help us break the chains of transition.
If we all do all of these things, difficult though I appreciate they are, then even with a more transmissible variant, I do really hope we can avoid any further measures.
I cannot guarantee this however. I don’t think any responsible person in my position could guarantee this at this stage. And given the situation we face it is important to remain open to any proportionate measures, for example the extension of COVID certification, that might help us reduce the risks should the situation deteriorate.
The government will carefully analyse the data in the days ahead. I hope this doesn’t require us to take any decisions ahead of my next scheduled statement a week today, but if it does I will obviously return to Parliament.
I want to end Presiding Officer, by again reiterating the vital importance of vaccination.
We are currently the most vaccinated part of the UK – and we have more quickly than other nations implemented the JVCI advice to reduce the gap between second doses and boosters – but we are not complacent.
We are identifying and training additional vaccinators. So far we have added the equivalent of more than 300 additional full-time staff to the vaccination workforce.
We are also working to further increase vaccination capacity. A number of health boards – Fife and Tayside for example – are now using drop-in centres to make vaccination even easier.
And we are in the process of increasing the use of mobile vaccination units provided by the Scottish Ambulance Service.
In addition to these efforts – which are intended to improve the supply and availability of vaccination – we are also working to increase demand by encouraging even more people to take up the offer of vaccine.
In the past week, therefore, text or e-mail messages have been sent to those aged between 40 and 60, encouraging them to book their booster jag.
For those now able to get a booster jag – that is anyone over 40 who had the second jag 12 or more weeks ago – please arrange an appointment as quickly as possible.
You can book through the NHS Inform website, or by calling the vaccination helpline.
And if you’re 16 or 17 you can of course, and should, also book your second dose in the same way.
Last week, we also sent blue envelope letters to all 50 to 59 year olds who have not yet been vaccinated at all. A similar letter is being issued over the course of this week to everyone between 40 and 49 who hasn’t yet been vaccinated.
Take-up of the vaccine has been exceptional, but there are still a significant number of people in those age groups who have not been vaccinated.
To anyone in that position, let me be clear about this – it is not too late to get vaccinated. In fact it is now more important than ever to get your first jag and start to get that essential protection.
To conclude Presiding Officer, Omicron is a really concerning development and one of the most unwelcome developments at this stage in the pandemic. But, this is the positive aspect, the actions that have helped us against other variants, will also help against Omicron.
That means we all know what we need to do to in the days and weeks ahead.
And so my request to everyone is to follow those steps. Please go back to basics and make sure that we are all doing everything that we are asked to.
That’s the best way we have of making Christmas and the New Year as safe as possible – and of maximising our ability to navigate this next unwelcome but unavoidable challenge without any additional protections.
It will also help us protect the NHS and those who are working so hard in the NHS and social care to keep us all safe. So please do get vaccinated.
Secondly, do test regularly, on any occasion before socialising, or mixing with people from other households.
And finally, make sure you comply with all of the existing protections.
Wear your face coverings on public transport, in shops, and when moving about in hospitality.
Keep windows open. Not easy, I know, in the weather we are currently experiencing but try to keep windows open if you’re meeting people indoors. And follow all of the hygiene advice.
And if you were working from home at the start of the pandemic, please do so again for the next few weeks.
None of this is what any of us want two years into this ordeal. I know that.
But it is the best way of slowing the spread of the virus in general and Omicron in particular.
And by doing that, we do give ourselves the best possible chance of enjoying a Christmas that is more normal, but also safe – and of avoiding a new year hangover of spiraling cases.
Please – and I really hope this will be for one last time in this pandemic – let’s all pull together, do what is necessary, and get each other and the country through this winter and into what we all hope will be a better and brighter spring.
