73.8% of attendances were seen and resulted in subsequent admission, transfer or discharge within four hours – an increase of 3 percentage points compared to the previous month, October 201
There were 103,726 attendances, a 4% decrease when compared to the previous month, October 2021
More than one in four patients were delayed by four hours or more
5,697 patients were delayed by eight hours or more, equal to 5.5% of all attendances
1,729 patients were delayed by 12 hours or more
Responding to these figures, Dr John Thomson, Vice President of the Royal College of Emergency Medicine Scotland, said:“The reality on the ground is that many Boards are under enormous strain, as there has been a significant increase in staff absences due to the surge in covid. Staff are isolating with a positive test or due to a contact with someone with a positive test.
“Emergency Departments were overstretched prior to the new variant. But current winter pressures met with widespread staff absences mean staff are put under more and more strain on each shift which affects the quality of care provided and both the patient and staff experience alike.
“For many staff, there hasn’t been a Festive break, and they have had no rest or respite but continue to work tirelessly in Emergency Departments.
“The pressures are mounting on the health service once again. It is imperative that we are able to continue delivering vital care to patients.
“But the surge of covid across Scotland is affecting all parts of the system, not just Emergency Care.
“It is a deeply concerning situation to be in, and what concerns us most is the functionality of the health system and our ability to continue delivering urgent and emergency care to those who need it.”
NHSGGC issues urgent public A&E appeal as staff struggle to cope with demand
Amidst unprecedented and unsustainable demand on emergency services, NHS Greater Glasgow and Clyde is urging the public not to attend A&E without a very urgent or life-threatening condition and to use more appropriate services instead.
A&Es across the health board remain extremely busy, with all operating well over normal capacity which is having a huge impact on service provision.
Unless very urgent or life-threatening, patients should not attend A&E without first calling NHS24 on 111. This will ensure they are directed to the most appropriate urgent service for their needs and A&Es are safeguarded those who need them.
Commenting Dr Scott Davidson, Deputy Medical Director for Acute Services for NHSGGC, said: “Our A&Es remain open and continue to assess, treat and admit emergency patients, however they are extremely busy and staff are facing huge challenges to ensure we’re able to treat patients safely and as quickly as possible.
“We continue to see large numbers of people attending with symptoms that could be managed by speaking to a GP, local pharmacy, or, by calling NHS24 on 111 before attending A&E.
“As a result of current demand at A&E, people are facing long wait times and our staff are under severe pressure.
“There are other services geared up and ready to see and treat you. If you’ve had a slip, trip or fall, we have numerous Minor Injuries Units (MIUs) across NHSGGC which can look after you, including if you’ve broken a limb.
“GP practices across Greater Glasgow and Clyde are operating normal hours, and community pharmacies are also open to help you get the treatment you need.
“Unless very urgent or life-threatening, please do not attend our A&Es unless you are referred.”
Across NHS Greater Glasgow and Clyde there are three standalone Minor Injuries Units (MIUs) – at the Vale of Leven Hospital, Stobhill Hospital and the New Victoria ACH.
MIUs operate in a similar manner to A&Es and can take care of a vast range of injuries.
Patients who attend MIUs following a call to NHS24 are far more likely to be seen, treated and discharged quicker than if they present to an A&E. They will also be helping to protect vital frontline A&E services for those people whose lives are at risk.
Heart Research UK Healthy Heart Tip, written by the Health Promotion and Education Team at Heart Research UK
Veganism is on the rise and this January many people will challenge themselves to ‘Veganuary’, a month-long campaign aimed at encouraging people to try out a vegan diet. A vegan diet contains only plant-based food and drink options and this can offer benefits for the environment, animal welfare and health.
The health benefits of a vegan diet depend on what food and drinks you choose. People who follow a vegan diet generally consume more fruit, veg and fibre, and less saturated fat than non-vegans, and this can have a positive impact on heart health.
Tips for healthy eating as a vegan:
Eat at least five portions of fruit and vegetables every day – keep it varied and colourful.
Base your meals on starchy carbohydrates, such as bread, pasta and rice, and choose wholegrain versions to increase your fibre intake.
Include dairy-free alternatives, such as soya drinks and yoghurts and choose lower-fat and lower-sugar options where possible.
Eat protein-rich foods such as beans, pulses, tofu, unsalted nuts, and seeds.
Ensure you include some unsaturated oils and spreads in your diet. Rapeseed and flaxseed oils contain omega-3 fats, which can be beneficial for heart health.
Top yourself up!
To make sure your body isn’t missing out on essential nutrients, a vegan diet needs to be well-planned, and you might need to top up on some vitamins.
At this time of the year, when sunlight exposure is limited, everyone in the UK should consider taking a vitamin D supplement. This is especially important if you’re cutting out animal products.
You’ll also need to supplement on vitamin B12 as you can’t get this from plant-based foods. Check food labels for the word ‘fortified’- most vegan spreads, breakfast cereals and soya products have vitamin D, calcium and B12 added to them.
The vegan diet isn’t the be all and end all to good health but taking a leaf out of the vegan way could set you off in the right direction when it comes to heart health. Why not give Veganuary a go? You could start with just one vegan meal a day, or one vegan day a week, and see how you like it!
To help keep your heart healthy, why not try out some of our Healthy Heart recipes from our website:
St Luke the Evangelist Church in St Andrews flies the flag for Scotland
Voting is now open to select the national winner in Ecclesiastical’s Good News church competition
Five regional winners received £1,500 each after submitting their Good News stories
A final overall winner will be selected following a public vote with the winner receiving £6,000 for their church
Voting has opened to decide the national winner of Ecclesiastical Insurance’s ‘Good News’ competition and give one church £6,000.
Good News launched last year to shine a light on the vital work Anglican Churches do by sharing their good news stories and showcasing all the ways that people in their local area have pulled together to make a difference.
Almost 200 entries were submitted from across the UK, covering stories about home delivery services for people self-isolating, community cafés and virtual events.
Five regional winners were chosen in November, receiving £1,500 towards their work. They now stand a chance of winning the grand prize of £6,000 – bringing their total winnings to £7,500.
Picture by Clint Randall www.pixelprphotography.co.uk
The public now has the chance to vote for their favourite before a panel of Ecclesiastical Insurance and church representatives select an overall winner.
Helen Richards, church operations director at Ecclesiastical, said: “Despite the challenges that the pandemic has brought with it, churches have remained a beacon of hope to the communities they are based in.
“The response to the competition was fantastic and we received lots of incredible entries showing how churches pulled together with their local communities during what has been an incredibly difficult time for so many of us.
“The five regional winners really stood out to the judges and we’re now urging the public to show their support for their local church to be crowned as national winner.”
Picture by Clint Randall www.pixelprphotography.co.uk
Voting for the national winner opened on Wednesday 5 January and closes on Monday 28 February.
Prime Minister Boris Johnson made a statement in the House of Commons on the Omicron variant yesterday:
Mr Speaker, with permission I will make a Statement on the Omicron variant, and our measures to contain this virus, fortify our NHS and keep our country open.
First, I am sure the whole House will join me in paying tribute to everyone working in our NHS and social care, for their extraordinary efforts in the teeth of yet another wave of this pandemic, and for all they have done, together with thousands of volunteers, to get Britain boosted.
Since we began the Get Boosted Now campaign just over three weeks ago, we have delivered 10 million extra boosters across the UK; we have doubled the rate of vaccination from 450,000 doses a day to a peak of more than 900,000; we have matched the NHS’s previous record day, and then beaten it again and again; and we have met our target of offering a booster to every eligible adult in England a whole month early.
As a result, we have a higher level of booster protection than all our European neighbours, with over 34 million boosters administered across the UK, including in England reaching more than 90 per cent of the over-70s, and 86 per cent of the over-50s.
Together with the evidence that Omicron causes less severe disease than previous variants, and the way the public have conscientiously changed their behaviour in response to Plan B, this level of protection means we are in a very different position than during previous waves.
I know some Hon Members might therefore ask whether this means we can now do away with measures altogether. But I am sorry to report that hospital admissions are rising rapidly, doubling around every 9 days, with already more than 15,000 Covid patients in hospital in England alone.
We are experiencing the fastest growth in Covid cases that we have ever known, with over 218,000 cases reported yesterday, although that included some delayed reporting.
And potentially of greatest concern, case rates are now rapidly rising among the older and more vulnerable, including doubling every week among those over 60, with the obvious risk that this will continue to increase the pressures on our NHS.
So in response to the latest data, the Cabinet agreed this morning that we should stick with Plan B for another three weeks, with a further review before the regulations expire on 26 January.
People in England should carry on working from home whenever they can, wear face coverings on public transport and in most indoor public places, and take a test before going to high risk venues or meeting the elderly or vulnerable.
All of these measures are helping to take the edge off the Omicron wave, slow the spread of infection, manage the immediate pressures on our NHS and buy time for the boosters to take effect.
And those in Scotland, Wales and Northern Ireland should, of course, continue to follow the rules where they live.
Mr Speaker, faced with these pressures on our NHS, I know some Members may ask the opposite question: whether we should go even further and move towards a full lockdown. But lockdowns are not cost free. They impose a devastating toll on our physical and mental wellbeing, on our businesses, jobs and livelihoods, and, worst of all, on the life chances of our children.
So this government does not believe we need to shut down our country again. Instead we are taking a balanced approach, using the protection of the boosters and the Plan B measures to reduce the spread of the virus, while acting to strengthen our NHS, protect critical national services and keep supply chains open.
We’re building onsite Nightingale hospitals and creating 2,500 virtual beds to increase NHS capacity.
We’ve bought more antivirals per person than anywhere else in Europe. And we’re working to identify those NHS Trusts which are most likely to need military support, so this can be prepared now.
From 10th January, we will provide 100,000 critical workers in England with free lateral flow tests for every working day to help keep essential services running.
This includes those who work on critical national infrastructure, national security, transport, and food distribution and processing. And these tests are separate – and in addition – to those already allocated to our public services, such as in education, where we have delivered 31 million testing kits to schools and colleges for the start of the new term.
Mr Speaker, we have the biggest testing programme in Europe, registering almost twice as many tests as France, and four times as many as Germany.
Last month alone, we distributed 300 million lateral flow devices – enabling millions of people to get tested and keep their loved ones, friends and colleagues safe in the run-up to Christmas.
But thanks to the sheer size of the Omicron wave, we still need to take steps to ensure our testing capacity reaches those who need it most.
So we will be suspending the need to do a PCR to confirm the result of a positive lateral flow test.
From next Tuesday in England, if you test positive on a lateral flow device, you should just record that result on gov.uk and begin self-isolating.
Mr Speaker, our balanced approach also means that where specific measures are no longer serving their purpose, they will be dropped.
So when the Omicron variant was first identified, we rightly introduced travel restrictions to slow its arrival in our country.
But now Omicron is so prevalent, these measures are having limited impact on the growth in cases, while continuing to pose significant costs on our travel industry.
So I can announce that in England from 4am on Friday we will be scrapping the pre-departure test, which discourages many from travelling for fear of being trapped overseas and incurring significant extra expense.
We will also be lifting the requirement to self-isolate on arrival until receipt of a negative PCR, returning instead to the system we had in October last year, where those arriving in England will need to take a lateral flow test no later than the end of Day 2 and, if positive, a further PCR test to help us identify any new variants at the border.
Mr Speaker, all of these measures are balanced and proportionate ways of ensuring we can live with Covid without letting our guard down.
And we can only do this thanks to the biggest and fastest booster campaign in Europe.
Yet Mr Speaker, there are still almost 9 million people eligible, who haven’t had their booster. As many as 90 per cent of those in intensive care with Covid have not had their booster and over 60 per cent have not had any vaccination at all.
And there are 2 million slots available over the next week alone. So I urge Hon Members on all sides of the House to do everything possible to encourage your constituents to get boosted now.
This is the very best way to save lives, reduce the pressure on our NHS and keep our country open. And I commend this Statement to the House.
Pre-departure testing removed for vaccinated travellers
Testing and border measures are changing for fully eligible fully vaccinated travellers arriving in England
A lateral flow test can be used instead of PCR tests for eligible fully vaccinated travellers and over 5s to take on or before day 2
Eligible fully vaccinated travellers and under 18s will no longer have to take a pre-departure test or self-isolate on arrival in England – returning to the travel rules that were in place before Omicron
Scotland expected to follow suit
Omicron is the dominant variant in the UK and is spreading widely among the community
From 4am on Sunday 9 January, eligible fully vaccinated travellers and over 5s will be able to take a lateral flow test instead of a PCR on or before day 2 of their arrival in England. Lateral flow tests for travel can be booked from Friday 7 January and taken upon arrival, by the end of day 2.
Eligible fully vaccinated passengers and under 18s will no longer need to take a pre-departure test or self-isolate on arrival in England from 4am on Friday 7 January but must continue to take their post-arrival tests.
As data shows Omicron is the dominant variant in the UK and spreading widely in the community it is now proportionate to cautiously reduce testing measures at the borders.
Anyone who receives a positive result on their lateral flow test must self-isolate immediately and order a NHS PCR test from gov.uk. Positive PCR tests for arrivals will be sequenced to understand if and where variants are emerging around the globe in order to protect the UK public.
Health and Social Care Secretary Sajid Javid said: “As we learn more about the Omicron variant it is right that we keep our testing and border measures under review to ensure they remain proportionate.
“The steps we’re taking will make travel easier for people while protecting the UK public from the virus.
“Omicron continues to be a serious threat and it is important that travellers continue to get tested. The most important thing anyone can do if they haven’t already is come forward for their vaccine.”
Transport Secretary, Grant Shapps said: “I’ve always said that we won’t keep international travel restrictions in place any longer than they are necessary to protect public health.
“That’s why we’re removing the temporary, extra testing measures we introduced for Omicron in November, making travel easier and cheaper for fully vaccinated passengers and providing a big boost for the travel industry as we enter the peak new year booking period.
“We want to provide more certainty to passengers and businesses, and will do a full review of our international travel measures for 2022 by the end of the month.”
Dr Susan Hopkins UK Health Security Agency said: “It is vital anyone who receives a positive Day 2 lateral flow test self-isolates immediately and orders a PCR on gov uk. All travel PCRs with high amounts of virus are sequenced to help us understand if any new variants are emerging around the world and entering the UK.
“Everyone must continue to wear face coverings where required, wash hands regularly and work from home to help stop the spread of the virus and keep our loved ones and community safe.”
Lateral flow tests for international travel must be purchased from a private provider as NHS Test and Trace lateral flow tests cannot be used for international travel. Passengers who have already bought a PCR to use for travel do not need to buy another test as PCRs can still be used.
Unvaccinated passengers must continue to take a pre-departure test, PCR test on or before Day 2 and on or after Day 8 and self-isolate for 10 days. ‘Test to release’ remains an option for unvaccinated people to shorten their self-isolation period.
Proof of vaccination from over 15 further countries and territories will be accepted for entry into England from 4am on Monday 10 January: Bhutan, Cameroon, Cote d’Ivoire, Fiji, Iraq, Liberia, Mali, Mauritania, Niger, north of Cyprus, Palau, Papua New Guinea, Paraguay, Solomon Islands, The Gambia and Uzbekistan.
The World Health Organisation has recently granted WHO Emergency Use List (EUL) authorisation to the two versions of the ‘Novavax’ vaccine named Covovax and Nuvaxovid. Therefore, eligible travellers who have received either version of this vaccine will be recognised for international travel into England from 4am on Monday 10 January.
No countries have been added to the UK travel red list, which remains on standby. A further review of all travel measures will be carried out later in the month, and our long-term goal remains to return to safe, restriction-free travel as soon as it’s safe to do so.
Scotland is likely to follow suit with an announcement expected this afternoon.
Searches are continuing to trace 28-year-old Alice Byrne who was last seen in the Portobello area on Saturday 1 January.
Alice was last seen by her family at her home around 2am on Saturday, 1 January. She met friends in Marlborough Street and left a flat there between 8am and 10am on Saturday morning.
She may have headed towards the promenade area. Police believe the area would have been busy with the public and vehicles and it is requested that people in the area at the time check pictures, videos or dash cam footage that they may have for any sightings of Alice.
Alice is described as white, around 5ft 6ins in height and of medium build with short black hair. When she was last seen she was wearing a, black top, black jeans ripped at the knees and white trainers.
Chief Inspector Kieran Dougal from Craigmillar Police station said: “Alice is known to frequent the Portobello and New Hailes areas of Edinburgh. Since she was reported missing, officers have been carrying out extensive searches and enquiries in these areas.
“Local officers led by specialist search advisors have been assisted by resources including the air support unit, police dogs and our marine unit.
“Officers will continue to speak to people who know her and who live in the local community. Searches are continuing throughout the area and we would also ask local residents to check their outbuildings and sheds, as well as urging anyone with any information on Alice’s whereabouts to get in touch as soon as possible.”
“This is an upsetting time for Alice’s family who are extremely concerned that she has not been in contact with them since Saturday. This is completely out of character for her.
“I would again urge anyone who has seen Alice since Saturday morning, or anyone with information on her whereabouts to contact us as soon as possible. If Alice reads this appeal, I would urge us to phone her family, friends or the Police. Contact 101 quoting reference 0647 of 2 January.”
Changes are being made to self-isolation rules in line with public health advice and testing requirements to help maximise testing capacity and ensure a speedier start to the process of contact tracing.
In a statement to the Scottish Parliament yesterday, First Minister Nicola Sturgeon announced that anyone who tests positive for Covid-19, regardless of vaccination status, must still self-isolate for 10 days.
However, from today, Thursday 6 January, new cases will be advised they can end self-isolation if they don’t have a fever and test negative on a Lateral Flow Device (LFD) on Day 6 and again at least 24 hours later.
Triple vaccinated close contacts of those who test positive, both household and non-household, or those under the age of 18 and four months, do not need to isolate as long as they return a negative LFD test result each day for seven consecutive days, and remain fever free.
The intention is for the public to be sufficiently reassured of a negative Covid-19 status during the potential incubation period.
Any close contact who is not fully vaccinated (three doses) will still have to self-isolate for the 10 days and take a PCR test.
Changes are also being made to testing after a positive LFD – people will no longer be asked to take a PCR test to confirm the result.
Instead, anyone with a positive LFD should report the result online as soon as the test is done. This ensures that people can get the advice they need as quickly as possible. After reporting their result, people should then fill in the online form they will receive, so that contacts can also be informed and rapidly given the correct advice.
First Minister Nicola Sturgeon said: “When the Omicron variant started to take hold, we strengthened self-isolation requirements, so that all household contacts had to self isolate for 10 days.
“That step was intended to slow the spread of the variant. It also reflected the fact that we knew less about the severity of the virus at that time, and that less of the population had protection from booster and third jags.
“We are now in a very different position – and so we can now adopt different rules.
“These changes are significant, but we believe they are also justified at this phase of the pandemic. They balance the importance of self-isolation – in slowing the virus’s spread and reducing the harm it can cause – with the wider harms to the economy that broader self-isolation rules can cause.”
If you have symptoms of Covid-19 (a fever, new continuous cough, or loss of sense of taste or smell) it is important to isolate and book a PCR test (even if you have already tested positive with an LFD) – that advice has not changed.
Getting a Lateral Flow Test:
People in Scotland who need a Lateral Flow Test can do so in the following ways:
By ordering online for home delivery. A box of 7 lateral flow test will arrive within 24-48 hours. Additional booking slots are added throughout the day.
At over 1,000 Community Pharmacies. People will be able to collect one pack of 7 lateral flow tests. Pharmacies can receive a box of around 60 packs of lateral flow tests each day.
At over 60 Testing Sites. People will be able to collect one pack of 7 lateral flow tests from any regional or local test site in Scotland.
At many other collect points established by Local Authorities. Follow this link to find information on additional local sites in your community.
From where they learn or where they work if in education, health and social care or any workplace with more than 10 employees which have signed up for our workplace testing programme.
First Minister’s statement – 5 January 2022
Presiding Officer,
Firstly, I wish you, members and staff in Parliament, and everyone across the country a happy new year.
Today, I will report on the continuing rise in COVID cases.
I will outline our approach to managing this phase of the pandemic
As part of that, I will set out immediate changes to the requirements for self-isolation and testing.
And while we are not proposing any additional measures at this stage, I will confirm that existing protections and guidance will remain in place for the coming week, pending further review.
And finally, given that Omicron may not be the last new COVID variant that we face, I will also signal some longer term work to consider the adaptations necessary to enable us to deal more proportionately and sustainably with any future phases of the pandemic.
First, though, today’s statistics.
16,103 positive cases were reported yesterday – 26.9% of all tests carried out.
1,223 people are in hospital with COVID. That’s 71 more than yesterday – but it’s 544 more than at this time last week.
42 people are in intensive care – which is the same as yesterday.
Sadly, a further five deaths have been reported, taking the total number of deaths under the daily definition to 9,872.
Once again, I send my condolences to everyone who is mourning a loved one.
The surge of cases, driven by the extremely infectious Omicron variant, is continuing here in Scotland, across the UK, and indeed in many other countries around the world.
Here in Scotland over the past week, the total number of new reported cases has increased by 87%.
Tomorrow’s figures will almost certainly see us pass 1 million reported cases since the outset of the pandemic.
However, the rapid and very widespread transmission of Omicron is such that the daily recorded tally of cases – which has always been an underestimate of the true level of infection – now gives us an even less comprehensive indicator of how prevalent the virus is.
The weekly survey published by the Office of National Statistics (ONS) gives a better indication. In the week to 23 December, it suggested that one in 40 people in Scotland had COVID.
The results of the most recent ONS survey – published just a few minutes ago – suggest that in the week to 31 December that had risen to one in 20.
The proportion of people with COVID is though likely to be even higher than that now, a few days later – and I would anticipate that we will see continued growth in the level of infection as work and school resume after the holiday period.
In short, COVID is significantly more widespread now than at any stage in the pandemic so far, and will almost certainly become even more so in the days to come.
This, of course, has extremely serious implications for the NHS and social care.
But it also has a severe and increasing impact on the economy and other critical services.
This is primarily due to very high numbers of people off work with COVID – but it is of course compounded by the wider requirements for self isolation.
As I said last week, we have been considering very carefully the risks and benefits of changes to self isolation requirements and I will update on that shortly.
More generally, as I said a moment ago, we are not proposing any new protective measures today.
However, with the virus so prevalent, we do consider it important to continue to apply some brake on transmission, particularly in settings posing the highest risk.
Accordingly, I can confirm that the restrictions on large gatherings, the requirement for distancing between groups of people in public indoor places and for table service in hospitality venues serving alcohol on the premises will remain in force for now and indeed, I expect, until 17 January.
In addition, while this is not a legal requirement, we are continuing to strongly advise the general public to limit contact with people in other households as far as possible, and to limit the number of households in any indoor gathering that does take place to a maximum of three.
After two long years of this pandemic, I know that asking people to cut all social interaction is just not feasible – and it would be damaging of course to mental health and wellbeing.
However, limiting contacts insofar as we can, and thinking carefully about the interactions that matter most to us, is important just now.
It helps stem, at least to some extent, increases in transmission – and so has a collective benefit.
But it also helps protect us as individuals.
When at least one in 20 of us have the virus – as is the case now – the risk of getting it when we mix with others is significant.
So if we limit the occasions on which we do mix, we also reduce our own risk of catching a virus that we know could have a nasty impact on our health.
Trying to stem transmission – at least to some degree – is also important for the NHS which is under increasing pressure.
On the upside, the evidence that Omicron causes less severe illness than previous variants – at least amongst the under 60s, where the virus is most prevalent at the moment – does appear to be strengthening.
Indeed, the fact that the numbers here in intensive care are so far remaining stable while the numbers in hospital generally rises quite sharply, may be indicative of this.
We also know for certain that a booster jag provides strong protection against serious illness for people of all ages.
However, notwithstanding the success of the booster programme and indeed the apparent lower rate of hospitalisation from Omicron, the sheer volume of people becoming infected means more people with COVID are being admitted to hospital.
There is also remaining uncertainty about the impact on hospital admissions if Omicron continues to spread from younger age groups – where the risk of falling seriously ill from COVID has always been lower – to those in older age groups.
As I reported last week, work is also underway to better understand the detail behind the headline hospital numbers.
I can advise Parliament that the first results from analysis to differentiate those who are in hospital because of COVID from those in hospital with COVID but who were admitted for different reasons will be published on Friday.
Work is also being done to assess whether the average length of hospital stay resulting from Omicron is any different to that associated with other variants.
So, in short, our understanding of the precise nature and extent of Omicron’s impact on hospitals and the wider health and social care system is still developing.
However, what is beyond doubt is that it is already having a considerable impact.
The number of people in hospital with COVID has increased from 679 to 1,223 in the last week. That’s a rise of 80%. That is putting significant additional pressure on the NHS.
Indeed, the NHS is now facing increasing pressure on three related fronts.
First, from dealing with non COVID backlogs built up over the course of the pandemic.
Second, many NHS staff are absent and self-isolating either because they have COVID, or are close contacts of people with it.
This means the increasing pressure on the NHS is being managed by a depleted and ever more exhausted workforce. Let me say at this stage we owe each and every one of them an enormous debt of gratitude.
And third, as we keep saying, even with a lower rate of hospitalisation, the sheer volume of cases caused by the much greater transmissibility of Omicron will lead, is leading, to more patients with COVID ending up in hospital.
And, with reference to the analysis that will be published on Friday that I spoke about a moment, it’s important to remember, even if COVID is not the primary reason for someone’s admission to hospital, the fact they have COVID means enhanced infection control measures are required, and that further constrains NHS capacity so exacerbates that pressure.
We continue to support health boards and staff to manage this pressure – this includes working with councils to reduce delayed discharge and targeting additional capacity where possible.
Work is also underway importantly to develop alternative patient pathways for people with COVID, enabling them where possible to remain at home, where appropriate, with appropriate monitoring and advice rather than be admitted to hospital. This work will also help identify at an earlier stage patients likely to benefit from new antiviral treatments.
Of course, we can all help the NHS by taking steps to reduce transmission of the virus as much as possible.
Presiding Officer
While abiding by current guidance and protections is at this stage vitally important, we do know that measures which restrict our lives are not sustainable indefinitely.
And with a variant as infectious as Omicron, the kind of protections that are still possible within our financial resources and without causing greater harm in other ways – while still very important at this stage – won’t control transmission to the same extent as these measures would have done with other less transmissible variants.
So in light of this, coupled with the fact that unfortunately COVID won’t suddenly disappear and that Omicron is unlikely to be the last new variant we encounter, we need to continue to adapt our thinking about how to manage the virus and become more resilient to it in future.
Let me be clear at this stage, this does not, in my view, mean giving up on trying to control COVID completely – the impact of it on individual health and on our collective wellbeing is too significant for that.
But it does mean seeking ways of doing so that are more proportionate, sustainable and less restrictive.
There are no easy answers here, but adapting to the ongoing challenge of COVID is inescapable. The Scottish Government is therefore currently working on and will publish over the next few weeks a revised strategic framework, which will set out more fully how that process of adaptation can be managed with a view to building that greater resilience.
We will seek views from across Parliament as we develop this new framework in more detail. However, the changes I am about to confirm to the requirements on self isolation and testing are an early indication of an already adapting response.
I said last week that it was important to consider carefully changes to self isolation rules.
We wanted to ensure such changes are made only when in the view of clinical advisors, the benefits of them outweigh the risks of them.
I also want to make changes, as far as possible, in a coherent not a piecemeal manner, given the importance of clear public understanding of what is required.
As a result of this consideration, we are now proposing two changes to the self isolation rules, and one change to the requirement for PCR testing. And all of these changes will take effect from midnight tonight.
The first change to self isolation applies to those who test positive for COVID.
While the initial advice when someone tests positive will still be to self-isolate for 10 days, there will now be an option to end isolation after seven days as long as you, firstly, have no fever and, secondly, you record two negative lateral flow tests, one no earlier than day six after testing positive and another at least 24 hours after that.
The second change applies to close contacts of positive cases – and this includes household contacts – who are either under the age of 18 years, four months, or who are older than that and fully vaccinated.
Let me be clear, by fully vaccinated, we mean first, second and booster or third doses.
For close contacts in these categories the requirement to self-isolate will end and be replaced by a requirement to take a lateral flow test every day for seven days. Obviously, if one of these tests is positive, self-isolation will then be required.
Anyone identified as a close contact who is over 18 years and four months and not fully vaccinated will still be asked to self-isolate for 10 days and to take a PCR test.
These changes are significant and they are not completely without risk. However, at this stage of the pandemic they do strike an appropriate balance between the continued importance of self-isolation in breaking chains of transmission, and reducing the disruption self isolation causes in the economy and other critical services.
We are also proposing an important change to the advice on testing. And let me be clear again, this has been very carefully considered.
Scotland, indeed the UK as a whole, has one of the most extensive PCR testing systems anywhere in the world.
However, with infection levels are as high as they are, we must fully utilise all available testing capacity – PCR and lateral flow. And make sure isolation and advice happens as quickly as possible.
For those who have symptoms of COVID, the advice remains to book a PCR test, even if you have a positive lateral flow test.
And of course the advice to everyone is to test regularly with lateral flow devices, especially before meeting up with others.
However, from tomorrow, if your lateral flow test is positive, and you do not have symptoms, you will no longer be required to take a PCR test to confirm the result.
Instead, you must immediately isolate and also report your result online so that Test & Protect can commence the contact tracing process and give you advice as quickly as possible. You will also receive an online form that you must fill in, as would happen with a PCR positive in to ensure your contacts are notified.
Other countries, Canada for example, have already made this change.
It has been made possible because lateral flow tests are now widely available and work well.
Also, and really importantly, the Test & Protect system in Scotland can start contact tracing on the strength of a reported positive lateral flow result as well as a PCR.
And, crucially, at times of very high levels of infection the risk of a false positive lateral flow result is very low indeed – around just three in 10,000.
So the safest thing to do at this stage is treat a positive lateral flow test as confirmation of COVID. Even if you have no symptoms.
This allows us to maximise testing capacity and ensure a speedier start to the process of contact tracing and advice.
Presiding Officer
There are a few further points I want to briefly touch on today.
Firstly, the current situation continues to take its toll on every one of course, but it continues to take a toll on businesses.
Last week, I confirmed the allocation of more than £200 million of the £375 million in business support we are making available.
Today, I can confirm the allocation of a further £55 million.
Up to £28 million will be allocated to taxi and private hire drivers and operators. £19 million will support services such as beauticians and hairdressers.
£5 million will be provided for sport, and an additional £3 million for tourism.
Local authorities are as we speak working to get money into bank accounts as quickly as possible.
Secondly, in light of the widespread community transmission of Omicron in the UK just now, discussions are taking place today between the four UK governments about possible changes to travel rules, including the requirement for pre-departure testing.
If these discussions result in proposed changes, we will inform parliament as quickly as possible.
My third point relates to education, and the start of the new term.
All secondary school children are being asked to take a lateral flow test on the night before or morning of their first day back, and thereafter to test twice a week and also in advance of mixing socially with people from other households.
Likewise, university and college students should take a test immediately before travelling from home to term-time accommodation, and thereafter test twice a week and before socialising with people from other households.
And staff in all educational and early years settings should take a lateral flow test just before starting back at work, and in line with broader advice after that.
Our priority is to keep schools open and to minimise further disruption to education.
But with community transmission high, I know the next few weeks will be challenging for pupils, staff and parents.
Using lateral flow tests will help. So too will the changes to isolation rules – and updated education guidance reflecting these changes will issue shortly.
We will also work with councils to ensure the guidance issued before Christmas is followed to keep schools not just open but as safe as possible.
Presiding Officer, my final brief update today is on vaccination.
I am immensely grateful to everyone involved in delivering vaccines – and to everyone who has been vaccinated.
By the bells on Hogmanay, around 3 million people – 77% of those eligible – had received their booster or third dose.
If you weren’t one of these people – and you are eligible – please come forward now.
You can arrange an appointment online, or go to a drop-in clinic. There is plenty of capacity and you can get details at NHS Inform or your local health board website.
Getting a booster doesn’t mean we won’t get COVID, although it does reduce the chances of that, but it significantly enhances our protection against serious illness. It could quite literally save your life.
12 to 15 year olds can also now go to drop-in centres to get the second dose.
I encourage everyone in that age group to do so. If you are the parent or carer of someone in that age group, you can go with them to the vaccination centre.
The vaccine programme has been an outstanding success – but there are still many people eligible but not yet vaccinated.
If you are one of them, then for your own sake and indeed for the sake of all of us, please rectify that. It is not too late and no one will judge you for not having done it before now.
On the contrary, you will be welcomed with open arms.
Presiding Officer,This phase of the pandemic is possibly the most challenging we have faced so far.
The most infectious variant so far is creating a volume of cases that, notwithstanding its possibly reduced severity, still has the potential to overwhelm us.
And of course two years in, the kind of measures that have helped us control transmission in past phases are becoming less tolerable and causing more harm.
So while not easy, we do need to continually adapt our ways of managing this virus, and we will do so.
But in the meantime, we must continue to do what we know makes a difference now.
So get fully vaccinated as soon as you can – please do it this week.
New pension regulations came into force on 30 November 2021. The new regulations permit Trustees to block or suspend a suspicious-looking pension transfer if they believe that the transfer could be to a scheme that is fraudulent.
These new regulations could prove to be the most significant development in preventing pension scams.
Paul Higgins of Pension Justice, a law firm that has helped recover millions of pounds in mis-sold pensions, says: “I am delighted that the Government has brought in this new rule, and I hope that this will prevent pension scams taking place so that pension investors will not lose their life savings.
“Unfortunately, there are still hundreds of thousands of people who have previously taken their money out of pensions and handed over their life savings after being badly advised to invest in worthless, unregulated investments like carbon credits, ethical forestry, storage pods, to name but a few”.
One of Pension Justice’s clients, Mrs F from Burnley, lost her entire life savings worth over £157,000 after being persuaded by an “advisor” from Asset Management Advisory Services (AMASS) Ltd (t/a AMASS Europe) to transfer her pensions into a SIPP and “invest” in an EPS Portfolio with Avalon.
The advisor paid themselves £3,842.10 in commission and then arranged to “invest” Mrs F’s £149,000.00 in what turned out to be unregulated funds promising unrealistically high returns.
The investments subsequently failed, and Mrs F lost her entire life savings. It then transpired that the advisor and their company had minimal authorisation from the Financial Conduct Authority and were not authorised to provide advice on pensions and investments.
Pension Justice took up the case with the FSCS (Financial Services Compensation Scheme) and recovered compensation of £85,000.00 on behalf of their client which was the maximum payable under the scheme.
Paul says: “One of Mrs F’s pensions was a gold-plated defined benefit scheme pension with Proctor and Gamble. Under the new rules Proctor and Gamble could have prevented the transfer from taking place and, in which case, Mrs F would not have lost her life savings.
“Unfortunately, we know that there are still hundreds of thousands of pension investors who have lost all their pensions and are facing a miserable retirement with little or no money apart from their state pensions. Some are even being forced to carry on working way past retirement age”.
Paul and his team at Pension Justice have managed to recover sums up to £189,591.37 for his clients, many of whom have been scammed by cold callers and told that they could “double their money” or are promised potentially incredible returns if they transfer their hard-earned pension pots.
A 37-year-old man was arrested & charged with drugs offences on Monday (03/01/22) after officers on mobile patrol stopped and searched a vehicle on Ferry Road, recovering cannabis valued at £17,000.
The man will appear at Edinburgh Sheriff Court at a later date.