Junior doctors in Scotland have voted overwhelmingly in favour of strike action over pay following a five week ballot of BMA Scotland members.
With more than 5000 junior doctors in Scotland eligible to vote, turnout was in excess of 71% – with a total of 3610 votes cast, and almost 97% in favour of strike action.
While negotiations with the Scottish Government over pay are ongoing BMA Scotland will use this clear mandate for strike action to push forward in our ongoing efforts to reverse the unacceptable pay erosion junior doctors in Scotland have suffered for more than a decade.
Should the Scottish Government not put forward a credible offer that the BMA believes could be put to members, junior doctors in Scotland would then begin preparations for a 72-hour walkout at dates to be confirmed in due course.
Dr Chris Smith, chair of the BMA’s Scottish Junior Doctors Committee, said: “This ballot result shows, beyond doubt, that junior doctors in Scotland have had enough.
“Years of pay erosion have seen the take home salary of a newly qualified FY1 doctor decline by 23.5% in real-terms compared to 2008, and the pay of an average registrar reduced by 23.9%. This is simply unacceptable, and we are no longer prepared to stand aside, feeling overworked and undervalued, while witnessing so many junior doctors seeking employment abroad or outside the NHS where our considerable skills are properly valued.
“Investing in today’s junior doctors by paying them the salary they deserve is essentially making a down payment on the future of Scotland’s NHS – today’s junior doctors are the GPs, specialist doctors and consultants of the future. Without a serious plan to reverse pay erosion, these doctors will go on leaving Scotland’s NHS, undermining any plans to build a sustainable NHS for generations to come.
“We have made, and continue to make, progress with Scottish Government in formal negotiations on pay, but there is still some work to do before there is an offer that we believe could be credibly put to members.
“In the meantime – we will use this mandate to urge the Cabinet Secretary to signal a clear commitment to investing in the future of Scottish junior doctors, to make Scotland’s NHS an attractive place to train, grow and progress our careers, and show us that the work we do is finally properly, and fairly, valued and appreciated.
“We are not asking for huge pay increases – we are simply asking for a tangible step towards addressing the pay erosion our profession has suffered for well over a decade, combined with a clear plan for this to be reversed and restored.
“Should a credible pay offer not be forthcoming in the wake of this overwhelming mandate, our members are clear that they would have no choice but to stage a 72-hour walkout of all services across Scotland’s NHS.”
Health Secretary Michael Matheson said that he was disappointed with the junior doctors’ ballot decision but said the Scottish Government will continue to negotiatw with BMA Scotland to find a resolution.
Responding to shadow health secretary Wes Streeting’s comments on reform of the existing GP system, Dr Kieran Sharrock, BMA England GP committee acting chair said: “There’s no doubt that the situation in general practice – for both patients and staff alike – has never been under more pressure. GPs share the frustration of patients as demand outstrips capacity, and worry that they’re unable to provide the safe high-quality care that they want to.
“But as Mr Streeting himself alludes to, when supported properly, general practice is value for money and improves health outcomes, meaning people don’t need to go on to receive expensive hospital care. We agree with Mr Streeting that the GP contract needs to be revamped, to enable the most efficient, cost-effective part of the NHS to thrive.
“This shouldn’t be about reinventing the wheel though, when we know people value the continuity of care that their GP practice should be able to provide through the partnership model. We’re not at all averse to change and, in England, the BMA’s GP committee is already looking ahead to what contract will replace the current five-year framework that ends in 2024.
“We’ve already seen changes in recent years with a wider variety of health professionals working with GP practices and more direct referrals to people like physiotherapists that both benefits patients and reduces the burden on GPs.
“But what cannot be escaped is the spiralling workforce shortage that we have, which has been made worse by a lack of political support and continuous attacks on the profession. Instead of blaming family doctors and their representatives for problems with the health service – the opposition should clearly be setting its sights on the Government that has overseen a haemorrhaging of GPs over the last decade.
“This is not about ‘vested interests’. We represent our members and also want the best for patients. The two co-exist.
“We have offered to sit down and discuss this with Mr Streeting, to ensure that he understands the pressures on the frontline and how these can realistically be alleviated for the benefit of both staff and patients.”
Prime Minister confirms next steps for living with Covid-19
Vaccines will remain first line of defence against the virus with further boosters this spring for the most vulnerable
All remaining domestic covid regulations restricting public freedoms to end this week as part of the Living with Covid Plan
Vaccines will remain the first line of defence against Covid-19 as the Prime Minister sets out the Government’s plans to live with and manage the virus.
The UK was the first country in the world to authorise the use of the Pfizer and Oxford-AstraZeneca vaccines, the first European country to vaccinate 50% of its population and has delivered the fastest booster programme in Europe.
Over 31 million boosters have been administered across England and almost 38 million UK wide helping break the link between infections and hospitalisations. In England, the number of cases, hospitalisations and deaths continue to decline and are far below the levels of previous waves, with boosters offering strong protection against severe illness and hospitalisation.
Thanks to our hugely successful vaccination programme, the immunity built up in the population and our new antiviral and therapeutics tools, the UK is in the strongest possible position to learn how to live with Covid and end government regulation.
To save lives and protect the NHS, unprecedented measures were taken on a global scale that interfered with people’s lives and livelihoods. Billions of pounds were spent on supporting a locked down economy as the public stayed at home.
The Prime Minister has been clear that restrictions would not stay in place a day longer than necessary. The British public have made extraordinary sacrifices during the 2020 lockdowns, the Roadmap, and recent Plan B measures in response to the Omicron variant.
The Plan, published yesterday, sets out how vaccines and other pharmaceutical interventions will continue to form our first line of defence. The UK Government has accepted the JCVI recommendation to offer an additional booster to all adults aged over 75, all residents in care homes for older adults, and all over 12s who are immunosuppressed.
An autumn annual booster programme is under consideration, subject to further advice. Further detail on deployment on the spring booster programme will be set out in due course. The Government will continue to be guided by the JCVI on future vaccine programmes.
The plan covers four main pillars:
Removing domestic restrictions while encouraging safer behaviours through public health advice, in common with longstanding ways of managing other infectious illnesses
Protecting the vulnerable through pharmaceutical interventions and testing, in line with other viruses
Maintaining resilience against future variants, including through ongoing surveillance, contingency planning and the ability to reintroduce key capabilities such as mass vaccination and testing in an emergency
Securing innovations and opportunities from the COVID-19 response, including investment in life sciences
The public are encouraged to continue to follow public health advice, as with all infectious diseases such as the flu, to minimise the chance of catching Covid and help protect family and friends. This includes by letting fresh air in when meeting indoors, wearing a face covering in crowded and enclosed spaces where you come into contact with people you don’t normally meet, and washing your hands.
The Prime Minister yesterday confirmed domestic legal restrictions (in England – Ed.) will end on 24 February as we begin to treat Covid as other infectious diseases such as flu. This means:
The remaining domestic restrictions in England will be removed. The legal requirement to self-isolate ends. Until 1 April, we still advise people who test positive to stay at home. Adults and children who test positive are advised to stay at home and avoid contact with other people for at least five full days and then continue to follow the guidance until they have received two negative test results on consecutive days.
From April, the Government will update guidance setting out the ongoing steps that people with COVID-19 should take to be careful and considerate of others, similar to advice on other infectious diseases. This will align with testing changes.
Self-isolation support payments, national funding for practical support and the medicine delivery service will no longer be available.
Routine contact tracing ends, including venue check-ins on the NHS COVID-19 app.
Fully vaccinated adults and those aged under 18 who are close contacts are no longer advised to test daily for seven days and the legal requirement for close contacts who are not fully vaccinated to self-isolate will be removed.
Our testing programme has been a crucial part of our response to the virus. Over 2 billion lateral flow tests have been provided across the UK since 2020 ensuring people could stay safe and meet family and friends knowing they were free of the virus.
As set out in the Autumn and Winter Plan, universal free provision of tests will end as our response to the virus changes.
From the start of April, the government will end free symptomatic and asymptomatic testing for the general public.
Limited symptomatic testing will be available for a small number of at-risk groups and we will set out further details on which groups will be eligible shortly. Free symptomatic testing will also remain available to social care staff. We are working with retailers to ensure that everyone who wants to can buy a test.
The Test & Trace programme cost £15.7 billion in 2021/22. With Omicron now the dominant variant and less severe, levels of high immunity across the country and a range of strategies in place including vaccines, treatments, and public health knowledge, the value for taxpayers’ money is now less clear. Free testing should rightly be focused on at-risk groups.
The Government remains ready to respond if a new variant emerges and places unsustainable pressure on the NHS, through surveillance systems and contingency measures such as increased testing capacity or vaccine programmes. Our world-leading ONS survey will allow us to continue to track the virus in granular detail to help us spot any surges in the virus.
Further changes being made include: * Today the guidance has been removed for staff and students in most education and childcare settings to undertake twice weekly asymptomatic testing. * On 24 February, removing additional local authority powers to tackle local COVID-19 outbreaks (No.3 regulations). Local Authorities will manage local outbreaks in high-risk settings as they do with other infectious diseases. * On 24 March, the Government will also remove the COVID-19 provisions within the Statutory Sick Pay and Employment and Support Allowance regulations.
From 1 April, the UK Government will:
Remove the current guidance on voluntary COVID-status certification in domestic settings and no longer recommend that certain venues use the NHS COVID Pass.
No longer provide free universal symptomatic and asymptomatic testing for the general public in England.
Remove the health and safety requirement for every employer to explicitly consider COVID-19 in their risk assessments.
PM statement on living with COVID
Prime Minister Boris Johnson made a statement in the House of Commons on the government’s strategy for living with COVID.
And before I begin, I know the whole House will join me in sending our best wishes to Her Majesty the Queen for a full and swift recovery.
It is a reminder that this virus has not gone away, but because of the efforts we have made as a country over the past two years we can now deal with it in a very different way, moving from government restrictions to personal responsibility.
So we protect ourselves without losing our liberties – and maintaining our contingency capabilities so we can respond rapidly to any new variant.
Mr Speaker, the UK was the first country in the world to administer an approved vaccine, and the first European nation to protect half our population with at least one dose.
And having made that decision to refocus our NHS this Winter on the campaign to Get Boosted Now, we were the first major European nation to boost half our population too.
And it is because of the extraordinary success of this vaccination programme, that we have been able to lift our restrictions earlier than other comparable countries, opening up last summer, while others remained closed, and keeping things open this winter, when others shut down again, making us one of the most open economies and societies in Europe, with the fastest growth anywhere in the G7 last year.
And while the pandemic is not over, we have now passed the peak of the Omicron wave, with cases falling, hospitalisations in England now fewer than 10,000 and still falling, and the link between infection and severe disease substantially weakened.
Over 71 per cent of all adults are now boosted in England, including 93 per cent of those 70 and over, and together with the treatments and scientific understanding of the virus we have built up, we now have sufficient levels of immunity to complete the transition from protecting people with government interventions to relying on vaccines and treatments as our first line of defence.
As we have throughout the past two years, we will continue to work closely with the Devolved Administrations as they decide how to take forward their own plans, and today’s strategy shows how we will structure our approach in England around four principles.
First, we will remove all remaining domestic restrictions in law.
From this Thursday, 24 February, we will end the legal requirement to self-isolate following a positive test, and so we will also end self-isolation support payments, although Covid provisions for Statutory Sick Pay can still be claimed for a further month.
We will end routine contact tracing, and no longer ask fully vaccinated close contacts and those under 18 to test daily for seven days.
And we will remove the legal requirement for close contacts who are not fully vaccinated to self-isolate.
Until 1 April, we will still advise people who test positive to stay at home. But after that, we will encourage people with Covid-19 symptoms to exercise personal responsibility, just as we encourage people who may have flu to be considerate to others.
Mr Speaker, it is only because levels of immunity are so high and deaths are now, if anything, below where you would normally expect for this time of year, that we can lift these restrictions.
And it is only because we know Omicron is less severe, that testing for Omicron on the colossal scale we have been doing is much less important, and much less valuable in preventing serious illness.
We should be proud that the UK established the biggest testing programme per person of any large country in the world.
But this came at a vast cost.
The Testing, Tracing and Isolation budget in 2020-21 exceeded the entire budget of the Home Office.
It cost a further £15.7 billion in this financial year, and £2 billion in January alone at the height of the Omicron wave.
We must now scale this back.
From today, we are removing the guidance for staff and students in most education and childcare settings to undertake twice weekly asymptomatic testing.
And from 1st April, when Winter is over and the virus will spread less easily, we will end free symptomatic and asymptomatic testing for the general public.
We will continue to provide free symptomatic tests to the oldest age groups and those most vulnerable to Covid.
And in line with the practice in many other countries, we are working with retailers to ensure that everyone who wants to can buy a test.
From April 1st, we will also no longer recommend the use of voluntary Covid-status certification, although the NHS app will continue to allow people to indicate their vaccination status for international travel.
And Mr Speaker, the government will also expire all temporary provisions of the Coronavirus Act.
Of the original 40, 20 have already expired, 16 will expire on 24 March, and the last 4 relating to innovations in public service will expire six months later, after we have made those improvements permanent via other means.
Second, we will continue to protect the most vulnerable with targeted vaccines and treatments.
The UK government has procured enough doses of vaccine to anticipate a wide range of possible JCVI recommendations. And today we are taking further action to guard against a possible resurgence of the virus, accepting JCVI advice for a new Spring booster offered to those aged 75 and over, older care home residents, and those over 12 who are immunosuppressed.
The UK is also leading the way on antivirals and therapeutics, with our AntiVirals Task Force securing a supply of almost 5 million – more per head than any other country in Europe.
Third, SAGE advise there is considerable uncertainty about the future path of the pandemic, and there may of course be significant resurgences.
They are certain there will be new variants and it’s very possible those will be worse than Omicron.
So we will maintain our resilience to manage and respond to these risks, including our world-leading ONS survey, which will allow us to continue tracking the virus in granular detail, with regional and age breakdowns helping us spot surges as and where they happen, and our laboratory networks will help us understand the evolution of the virus and identify any changes in characteristics.
We will prepare and maintain our capabilities to ramp up testing.
We will continue to support other countries in developing their own surveillance capabilities, because a new variant can emerge anywhere.
And we will meet our commitment to donate 100 million vaccine doses by June, as our part of the agreement at the UK’s G7 summit to provide a billion doses to vaccinate the world over the next year.
In all circumstances, our aim will be to manage and respond to future risks through more routine public health interventions, with pharmaceutical interventions as the first line of defence.
Fourth, we will build on the innovation that has defined the best of our response to the pandemic.
The Vaccines Task Force will continue to ensure the UK has access to effective vaccines as they become available, already securing contracts with manufacturers trialling bi-valent vaccines, which would provide protection against Covid variants.
The Therapeutics Task Force will continue to support seven national priority clinical trial platforms focused on prevention, novel treatments and treatment for long-Covid.
We are refreshing our biosecurity strategy to protect the UK against natural zoonosis and accidental laboratory leaks, as well as the potential for biological threats emanating from state and non-state actors.
And building on the Five Point Plan I set out at the United Nations and the agreements reached at the UK’s G7 last year, we are working with our international partners on future pandemic preparedness, including through a new pandemic treaty, an effective early warning system or Global Pandemic Radar, and a mission to make safe and effective diagnostics, therapeutics and vaccines available within the first 100 days of a future pandemic threat being identified.
And we will be hosting a global pandemic preparedness summit next month.
And Mr Speaker, Covid will not suddenly disappear.
So those who would wait for a total end to this war before lifting the remaining regulations, would be restricting the liberties of the British people for a long time to come.
This government does not believe that is right or necessary.
Restrictions pose a heavy toll on our economy, our society, our mental wellbeing, and the life chances of our children.
And we do not need to pay that cost any longer.
We have a population that is protected by the biggest vaccination programme in our history.
We have the antivirals, the treatments, and the scientific understanding of this virus, and we have the capabilities to respond rapidly to any resurgence or new variant.
And Mr Speaker it is time to get our confidence back.
We don’t need laws to compel people to be considerate of others.
We can rely on that sense of responsibility towards one another, providing practical advice in the knowledge that people will follow it to avoid infecting loved ones and others.
So let us learn to live with this virus and continue protecting ourselves without restricting our freedoms.
And in that spirit, I commend this Statement to the House.
PM statement at Covid press conference
The Prime Minister gave a press conference on the plan to live with COVID-19
Good evening, when the pandemic began, we had little knowledge of this virus and none about the vaccines and treatments we have today.
So there was no option but to use government regulations to protect our NHS and save lives.
But those restrictions on our liberties have brought grave costs to our economy, our society, and the chances of our children.
So from the outset, we were clear that we must chart a course back towards normality as rapidly as possible, by developing the vaccines and treatments that could gradually replace those restrictions.
And as a result of possibly the greatest national effort in our peacetime history, that is exactly what we have done.
Thanks to our brilliant scientists.
Thanks to the extraordinary men and women of our NHS and to every one of you who has come forwards to get jabbed and get boosted – the United Kingdom has become the first country in the world to administer an approved vaccine, and the fastest major European nation to roll out both the vaccines and the booster to half our population.
We have emerged from the teeth of the pandemic before many others, retaining one of the most open economies and societies in Europe and the fastest growth in the G7 last year.
And while the pandemic is not over, we have passed the peak of the Omicron wave, with cases falling, and hospitalisations in England now fewer than 10,000 and still falling, and so now we have the chance to complete that transition back towards normality, while maintaining the contingencies to respond to a resurgence or a new variant.
As we have done throughout the past two years, we will continue to work with the Devolved Administrations as they decide how to take forwards their own plans.
In England, we will remove all remaining domestic restrictions in law.
From this Thursday, it will no longer be law to self-isolate if you test positive, and so we will also end the provision of self-isolation support payments, although Statutory Sick Pay can still be claimed for a further month.
If you’re a fully vaccinated close contact or under 18 you will no longer be asked to test daily for seven days.
And if you are close contact who is not fully vaccinated you will no longer be required to self-isolate.
Until 1 April, we will still advise you to stay at home if you test positive.
But after that, we will encourage people with Covid symptoms to exercise personal responsibility, just as we encourage people who may have flu to be considerate towards others.
It is only because levels of immunity are so high and deaths are now, if anything, below where you would normally expect for this time of year that we can lift these restrictions.
And it is only because we know Omicron is less severe, that testing for Omicron on the colossal scale we have been doing is now much less valuable in preventing serious illness.
We should be proud that the UK established the biggest testing programme per person of any large country in the world.
But its budget in the last financial year was bigger than the Home Office – and it cost – the testing programme cost – £2 billion just last month alone.
So we must scale back and prioritise our resources for the most vulnerable.
From today, staff and students in most education and childcare settings will no longer be asked to undertake twice weekly asymptomatic testing.
And from 1st April, we will end free symptomatic and asymptomatic testing for the general public.
But we will continue providing free symptomatic tests to those at the highest risk from Covid.
And in line with the practice of many other countries, we are working with retailers to ensure you will always be able to buy a test.
We should be clear the pandemic is not over and there may be significant resurgences.
Our scientists are certain there will be new variants and it’s very possible that those will be worse than Omicron.
So we will continue to protect the most vulnerable with targeted vaccinations and treatments and we have bought enough doses of vaccine to anticipate a wide range of possible JCVI recommendations.
Today this includes a new Spring booster, which will be offered to those aged 75 and over, older care home residents, and those over 12 who are immunosuppressed.
We will also retain disease surveillance systems and contingency measures which can ensure our resilience in the face of future waves or new variants.
And we will build on the innovations that defined the very best of our response to the pandemic, including continuing the work of the Vaccines Task Force, which has already secured contracts with manufacturers trialling new vaccines which could provide protection against new variants.
Today is not the day we can declare victory over Covid, because this virus is not going away.
But it is the day when all the efforts of the last two years finally enabled us to protect ourselves while restoring our liberties in full.
And after two of the darkest grimmest years in our peacetime history, I do believe this is a moment of pride for our nation and a source of hope for all that we can achieve in the years to come.
Thank you very much.
REACTION:
Responding to the statement from the Prime Minster on the Government’s ‘Living with Covid’ strategy, which includes the removal of free Covid-19 tests for the public from 1 April in England, Dr Chaand Nagpaul, BMA council chair, said: “Today’s announcement fails to protect those at highest risk of harm from Covid-19, and neglects some of the most vulnerable people in society.
“We recognise the need, after two years of the pandemic, to begin thinking about how we adjust our lives to manage living alongside Covid-19, but as the BMA has persistently said the decision to bring forward the removal of all protective measures while cases, deaths and the number of people seriously ill remain so high is premature.
“Living with Covid-19 must not mean ignoring the virus all together – which in many respects the Government’s plan in England seems to do.
“On the one hand the Government says it will keep monitoring the spread of the virus, and asks individuals to take greater responsibility for their own decisions, but by removing free testing for the vast majority of the population on the other, ministers are taking away the central tool to allow both of these to happen.
“Far from giving people more freedom, today’s announcement is likely to cause more uncertainty and anxiety.
“Crucially, it will create a two-tier system, where those who can afford to pay for testing – and indeed to self-isolate – will do so, while others will be forced to gamble on the health of themselves and others.
“Covid-19 has already disproportionately impacted those on lower incomes, in insecure employment and from ethnic minorities. This move threatens to exacerbate these health inequalities.
“People will want to do the right thing, and not knowingly put others at risk if they are infected, but how can they make such a judgement if they have no way of knowing if they’re carrying the virus or not? This is especially important for those who come into contact with people who are at much greater risk of becoming ill with Covid-19, such as elderly relatives or those who are clinically vulnerable.
“Providing free tests to clinically vulnerable people – and only once they develop symptoms and are potentially very unwell – but not providing any free tests to friends or family who come into contact with them is completely illogical, as the priority should be protecting them from infection in the first place. The same goes for care home staff, who will only be tested if they have symptoms, by which time they could have passed on the virus to vulnerable residents.
“There must also be urgent clarity around testing provision for NHS workers. People visit hospitals and surgeries to get better, and not to be exposed to deadly viruses, and the continuation of testing for healthcare workers is invaluable in protecting both staff and patients.
“That plans are underway for a new booster programme is sensible but we must not – as we have continued to state – rely solely on vaccination to protect the nation. The necessity for further boosters underlines that Covid-19 will continue to present a challenge for healthcare services and wider society for potentially many years to come. And while the Prime Minister talks about Omicron resulting in a mild illness for most, others will still become very unwell with Covid-19, and an estimated more than one million people continue to live with long-Covid – themselves needing ongoing care.
“As part of ‘learning to live with Covid’, protections must be maintained for the most vulnerable, including the provision of enhanced face masks, and clear guidance for both patients and clinicians.
“Meanwhile, all people must be financially supported to do the right thing, and the removal of self-isolation payments, and then access to statutory sick pay in a months’ time, is incredibly concerning, as it will mean people cannot afford to stay at home if they are unwell. In healthcare settings, enhanced infection prevention measures – including mask-wearing for patients and enhanced PPE for staff – must remain, while in the longer-term premises are in desperate need of improvements, such as higher standards of ventilation, to limit the spread of infections.
“And with such a planned scale back of free testing, it is imperative that the Government keeps its commitment to continue other surveillance methods, including the ONS infection survey1, and to not hesitate to act on worrying surges of infections or new dangerous variants.”
Responding to today’s ending of Covid restrictions, Morgan Vine, Head of Policy and Influencing at older people’s charity Independent Age, said: “We know that many people aged 65 and over are worried about the upcoming relaxation of Covid restrictions, particularly the ending of self-isolation.
“We are concerned that this sudden change in direction of public safety is likely to increase anxiety among older people, and even cause some to shield themselves and limit daily activities.
“Our research revealed that the challenges faced by those in later life due to the pandemic have worsened many people’s mental health with many people we spoke to expressing fear at catching the virus in public settings. If the requirement to isolate is removed at the same time free lateral flow tests for most age groups stop, this fear is likely to increase as is the likelihood of coming into contact with someone who has Covid.
“Recent polling showed that a majority (56%) of older people thought isolating should always be a requirement for somebody who has tested positive for Covid, and a further 27% said it should at least be a requirement for the next few months.
“It’s essential that older people are able to live their daily lives safely. Now the government has announced the relaxation, it must clarify how it plans to protect those in later life from the virus.”
First Minister Nicola Sturgeon will lay out Scotland’s response when she addresses the Holyrood parliament this afternoon.
So Boris Johson urges ‘personal responsibility’? Yes, Boris ‘Partygate’ Johnson – the great leader who would not even follow the rules he wrote himself? Oh, the irony! It really would be funny it it wasn’t quite so serious.#covid #gieyetheboak
Living with Covid doesn’t mean ignoring it, says BMA ahead of PM announcement
Prime MinisterBoris Johnson says his latest “living with Covid” recovery plan will return people’s freedom as he prepares to scrap the legal duty to self-isolate in England.
The prime minister will meet the Cabinet later this morning before updating parliament on his plans this afternoon.
Mr Johnson said the end to restrictions would “mark a moment of pride as we begin to learn to live with Covid” – despite serious concerns being expressed by health professionals.
Health organisations have warned that Johnson’s determination to sweep away Covid regulations are premature.
WHATEVER HAPPENED TO ‘FOLLOWING THE SCIENCE’?
Responding to calls from NHS leaders for free Covid tests and self-isolation rules to continue ahead of the UK Government’s Living With Covid Strategy announcement today, Dr Chaand Nagpaul, BMA council chair, said: “It’s clear that we will have to learn to adjust to the reality of Covid-19.
“However, the BMA agrees with NHS leaders that living with Covid doesn’t mean ignoring its continued harm to many, and must not result in removing protections to some of the most vulnerable in our society.
“Scrapping all restrictions and allowing the infection to spread in an unmonitored and unfettered manner would be damaging to the health of millions, including for those who go on to suffer Long Covid symptoms.
“Without access to free testing for the public or a legal requirement for the sick to self-isolate, protecting others from illness and surveillance of the disease and its prevalence vanishes; we won’t know where outbreaks are happening, whether they are circulating among more vulnerable populations, and this means local public health teams will be lacking key information to be able to respond effectively to Covid outbreaks in their local areas.
“Charging for tests will only discourage people from checking if they have Covid, especially if their symptoms are mild enough for them to continue socialising and mixing with others.
“Currently, case rates remain exceptionally high. When Plan B measures were introduced in December, there were 7,373 patients in hospital in the UK. While rates are now falling, the latest figure sits at 11,721. The ONS also estimates that around 1 in 20 people in England were infected last week, and there continues to be significant work absence due to Covid.
“The decision to remove all restrictions is not based on current evidence and is premature. It clearly hasn’t been guided by data or done in consultation with the healthcare profession.
“As the BMA has previously warned, Covid poses a serious risk to public health as well as NHS capacity if cases are allowed to spread rapidly again. Living with Covid-19 doesn’t mean ignoring it. As well as keeping free testing and self-isolation measures, it’s vital that the ONS infection survey carries on, and that local authorities are supported to contain outbreaks with necessary restrictions.
“This is particularly important for protecting the vulnerable, and Government must ensure that these groups are allowed to live as normal a life as possible as the pandemic subsides. This means giving them access to free FFP2/3 masks where required so they can protect themselves, and providing healthcare professionals with clear, clinical guidance to advise them and other patients in the community.
“Healthcare settings are places which people attend to get better not to get sick, so it would be totally wrong to remove the protections in healthcare settings that currently exist, such as mask wearing, without discussion with healthcare workers and without evidence to support it.
“Only yesterday, the World Health Organisation released updated guidance for contact tracing and quarantine, saying in its report that any interruption or shortening of these measures will increase the risk of onward transmission.
“Of course, we all want to see a time when measures are no longer needed. However, relaxing them must be done sensibly, based on data, and gradually, in consultation with the profession, and not at the cost of public health or our already-stretched NHS.”
Leaving it up to individuals and employers to decide on isolation periods will place health care staff and patients at risk, the Royal College of Nursing has warned.
the government is expected to confirm plans to end the legal requirement to self-isolate following a positive COVID-19 test, in a move described as signalling the end of the pandemic.
But the pandemic is far from over for health care staff, and the lack of clarity and guidance on isolation rules going forwards could put our members and their patients at risk.
By “passing the buck” to nursing staff and employers to decide when to work if staff fall sick with COVID-19, the government is leaving the way open to increased infection rates and yet more pressure on an already overworked NHS.
The RCN is calling for the government to produce a specific plan for nursing staff working in health and social care which supports them when unwell.
RCN General Secretary & Chief Executive, Pat Cullen, said: “Ending the legal requirement to self-isolate following a positive test is a big leap in the dark. The government has yet to present any scientific evidence to support its plan.
“The public messaging around this is very mixed and unclear: with any other highly infectious disease you would be expected – and supported – to stay away from work if you caught it, yet with COVID-19 we’re being told you should learn to live with it. This doesn’t add up.
“Health and social care isn’t like other sectors – staff treat some of the most vulnerable in society whose wellbeing, and their own, mustn’t be put at risk.”
The RCN also stresses that nursing staff must continue to have access to free lateral flow tests for their and their patients’ sake amid reports they could be scrapped.
Despite advice and warnings from a range of health professionals the Prime Minister seems determined to take the gamble and sweep away Covid regulations, however, and whatever is decided in England will have an impact on public health in the other nations of the UK.
First Minister Nicola Sturgeon is expected to announce the Scottish Government’s response tomorrow.
More mental health and wellbeing services will be provided within GP practices and community settings, backed by investment of up to £40 million a year.
Under the new system, patients who need mental health support will find a range of professionals available through their doctor’s surgery, rather than having to rely solely on their GP or a referral elsewhere. These could include mental health nurses, psychologists, peer support workers, occupational therapists, and link workers.
Funding of £1.5 million has already been made available from the Mental Health Recovery and Renewal Fund. This will increase annually to support implementation of the new Mental Health and Wellbeing Primary Care Services, reaching an expected £40 million per year by 2024-25.
This could amount to more than £100 million by the end of this Parliament, substantially increasing the mental health workforce and transforming how support is delivered.
Minister for Mental Wellbeing Kevin Stewart said: “Mental ill health is one of the major public health challenges in Scotland. We know the pandemic has had a significant impact, which is why mental health has remained a priority throughout our response to COVID-19.
“Around a third of all GP consultations now has a mental health component. But the range and complexity of issues requires a more varied and comprehensive response.
“This new multi-disciplinary model will deliver our commitment to provide 1,000 additional dedicated mental health staff by 2026, supporting communities to improve their mental health.”
Deputy chair of BMA Scotland’s GP Committee Dr Andrew Cowie said: “Scotland’s mental health has suffered significantly throughout the COVID19 pandemic, and we welcome the additional mental health staff that will allow for our patients to access support within their communities.
“GP practices are most people’s first point of contact and it is important that there is a range of help and services available there. This is a welcome initiative and we look forward to working with the Scottish Government to develop the scheme and ensure all patients in Scotland can access better mental health in their communities.”
Local Planning Guidance, to support integration authorities and local partners to plan and implement the new services, will be published on the Scottish Government’s website this week.
Services will also link to community support such as addiction services, food banks and benefit support, through a link worker dedicated to each GP practice.
Advertising blitz to urge public to get flu and COVID-19 vaccines
Boots, LloydsPharmacy and Asda come together to support largest ever winter vaccine drive
This year will see the country’s biggest flu programme in history with 35 million people eligible for a free vaccine
A nationwide advertising campaign launches today (Friday 22 October) as part of the government’s call to the public to get their COVID-19 booster and flu jabs, to protect themselves and their loved ones this winter.
The multimedia campaign will run on outdoor billboards, broadcast and community radio and TV to support the national vaccine drive.
The colder weather traditionally leads to increased transmission of viruses. Experts have warned that this year there could be a significant flu surge coinciding with continuing or rising COVID-19 cases. Immunity to flu is expected to be lower due to lower levels of the virus in circulation last winter.
Vaccines give high levels of protection but immunity reduces over time, so it is vital vulnerable people come forward to get their COVID-19 booster vaccine to top-up their defences and protect themselves this winter. For those not eligible for a booster, the protection from two doses is sufficient.
Vaccines provide the best possible protection against infection and serious disease. The UK government is pushing the biggest ever winter vaccine campaign for COVID-19 and flu, so people can protect themselves and their loved ones this winter and play their role in reducing pressure on the NHS.
The campaign television advert hits screens today and asks people to “get vaccinated, get boosted, get protected.” It features Michelle, an NHS nurse, explaining the benefits of the flu jab and COVID-19 booster vaccine.
The new television advert will be seen in primetime spots alongside Emmerdale and Coronation Street as well as daytime shows such as This Morning and Loose Women.
Targeted digital channels will also carry the campaign adverts including social media platforms, digital radio and online video such as YouTube.
People will be invited for the COVID-19 booster jab when it’s their turn – if they have not been contacted within a week of reaching 6 months since their second jab they can call 119 or book online. Those who are eligible for a free flu vaccine can book an appointment through their GP surgery or local pharmacy.
The offer of a first and second COVID-19 vaccine remains open to anyone who is eligible. Vaccines are available for those aged 12-15 to offer the best possible protection this winter in schools, and they will also be available in vaccine centres from this weekend.
This week the country’s leading pharmacies have joined forces to encourage people to come forward and get their free flu vaccine and COVID-19 booster jab when eligible. Alongside independent pharmacists, Boots, LloydsPharmacy and Asda – who together have over 4,000 pharmacies across the UK – have backed the call for people to get vaccinated for the best possible protection this winter.
Secretary of State for Health and Social Care, Sajid Javid, said: “Our vaccine programme is building a wall of defence across the country and our booster rollout is now well underway with more than 4 million jabs in arms.
“As we go into winter, it is vital that eligible people get their booster jab and their flu jab to protect themselves, their loved ones and the NHS.
“This is a national mission and I’m hugely grateful to the public, volunteers and NHS workers rolling out jabs. It is fantastic to see some of our biggest high street pharmacies give their backing to the winter vaccination programme.
Vaccine confidence is high with data from the Office for National Statistics showing nearly all (94%) of those aged 50 to 69 say they would be likely to get their COVID-19 booster if offered, with the figure rising to 98% for those over 70. Similarly, over three quarters (77%) of those 50-69 would be likely to get the flu vaccine and nearly all (94%) of those over 70.
Dr Raj Patel, GP and Deputy National Medical Director of Primary Care for NHS England, said: “Flu is a huge killer and last year GPs and pharmacists jabbed record numbers of people and as we head into what could be one of the most challenging winters yet for the NHS, it has never been more important to get your flu and covid booster jab.
“Flu has a serious impact on the health of thousands of people every winter and it has never been easier to ensure you are protected, so I would urge everyone to book an appointment directly with you GP or pharmacist as soon as possible.”
Mary Ramsay, Head of Immunisation, UK Health Security Agency said: “This is the first winter when COVID-19 and seasonal flu are expected to be circulating together, putting more lives at risk. Vaccinations are important to protect against both diseases.
“Please book an appointment if you are eligible for the flu vaccine, or get your COVID-19 booster as soon as you are invited – which is due 6 months after a second dose.”
Michelle, Nurse who features in the advert said: “As a frontline worker for the NHS, I’ve seen first-hand the devastating impact both Covid and flu can have in winter.
“Vaccines offer the best protection and I hope this campaign drives home to the importance of coming forward for your vaccine.”
GP and TV doctor, Dr Dawn Harper said: It’s really important that if you are eligible to take up the offer for the different vaccinations – this is both the flu vaccine and COVID-19 booster – you do so.
“Thousands of people die from the flu each year and this year we’re expecting high levels to circulate as we head into winter. With the added threat of further COVID-19 and our immunity wavering, it’s so vital that people get protected against both these deadly viruses.
“This is a huge drive and we need everyone do their part by protecting themselves, and those around them. You can get your COVID-19 booster and flu vaccinations at vaccination centres, GPs or community pharmacists so please, make sure to book your appointment as soon as you’re invited.
Dr Leyla Hannbeck, Chief Executive Association of Independent Multiple Pharmacies, said: “Community pharmacies are already on track to smash last year’s flu vaccination record this season which showcases that patients are keen to get protection against the flu.
“Pharmacies, bravely remained open throughout the pandemic despite the risks and are increasingly seen as first port of call for members of the community to meet their basic healthcare needs.
“They provide accessibility and convenience for patients to get their flu vaccination. As we are approaching winter and with the potential higher cases of Covid, it is essential that all eligible patients get vaccinated.”
Marc Donovan, Chief Pharmacist at Boots, said: “Boots offers free NHS and private flu jabs and are seeing high demand this year. We have already taken over one million flu jab bookings to date but there are still plenty of appointments available at our pharmacies across the UK.
“Boots is also supporting the NHS to deliver COVID-19 booster jabs this winter at select pharmacies, offering a free flu jab at the same time to all eligible patients. Having both vaccines offers optimum protection from getting seriously unwell from these viruses in the coming months.”
Victoria Steele, Superintendent Pharmacist at LloydsPharmacy, said: “It is very likely that we’ll see much greater levels of transmission of the influenza virus this winter. Immunity and protection are increasingly at the forefront of our minds, and we have seen this through the high volume of flu bookings at LloydsPharmacy this year and through increased sales of winter medicines, as many start to take precautions as we head into cold and flu season.
“It is important that we all do what we can to protect ourselves and loved ones this winter by getting both the flu vaccine and the COVID booster vaccine, for those who are eligible.
“I’d encourage people to book as soon as possible, as it does take time for the body to develop its antibodies after any vaccine. You can book your appointment for a flu vaccine online or by visiting your local LloydsPharmacy.”
‘Incredibly concerning’ that Government is not taking more action to protect public against Covid, warns BMA
Responding to the press conference given by Health Secretary Sajid Javid on Wedneday in which he said that the number of Covid cases are expected to rise to 100,000 a day and that the Westminster Government would not be implementing its ‘Plan B’ at this stage, BMA council chair Dr Chaand Nagpaul said: “The Westminster Government said it would enact ‘Plan B’ to prevent the NHS from being overwhelmed; as doctors working on the frontline, we can categorically say that time is now.
“By the Health Secretary’s own admission we could soon see 100,000 cases a day and we now have the same number of weekly Covid deaths as we had during March, when the country was in lockdown. It is therefore incredibly concerning that he is not willing to take immediate action to save lives and to protect the NHS. Especially as we head into winter, when the NHS is in the grips of tackling the largest backlog of care, with an already depleted and exhausted workforce.
“The Government has taken its foot off the brake, giving the impression that the pandemic is behind us and that life has returned to normal. The reality today is an unacceptable rate of infections, hospitalisations and deaths, unheard of in similar European nations. In comparison to France, we have more than 10 times the number of cases and almost four times as many deaths per million.
“It is wilfully negligent of the Westminster Government not to be taking any further action to reduce the spread of infection, such as mandatory mask wearing, physical distancing and ventilation requirements in high-risk settings, particularly indoor crowded spaces. These are measures that are the norm in many other nations.
“While new treatments are always welcome, the UK Government itself has said these will not be available to patients until at least the end of the year, but urgent action is needed now to stem the scale of suffering and the real risk of overwhelming the NHS.
“It’s vital that the Government does everything to ensure it is made as simple and easy as possible for people to receive their booster, or even their first and second jab, especially in groups where uptake is lower. However, relying on the vaccination programme alone without other measures will not be sufficient to prevent rising infection rates, illness and deaths, given that no vaccine is 100% effective.
“Only last week two select committees found the UK was an international outlier when it came to public health policy during this crisis. We are rapidly approaching a position where, yet again, the Government is delaying for too long, and equivocating over taking action. This is the time to learn the lessons of the past and act fast, or else we will face far more extreme measures later.”
The latest Emergency Department performance figures for September 2021 published today by NHS England show the highest number of 12-hour stays on record, the highest number of four-hour stays on record, and the worst four-hour performance ever recorded.
The latest figures were published on the day the UK Government set out it’s Plan to improve access for NHS patients and support GPs.
The data show in September 2021 there were 1,392,542 attendances to Type 1 Emergency Departments in England.
Four-hour performance has deteriorated for the sixth consecutive month, once again reaching a record low. Just 64% of patients in Type 1 Emergency Departments were admitted, transferred or discharged within four-hours.
A record breaking 5,025 patients stayed in an Emergency Department for 12-hours or more from decision to admit to admission. This is an 80% increase on the previous month, August 2021, and it is the highest number of 12-hour stays since records began and is almost a third higher than the previous highest, recorded in January 2021. The number of 12-hour stays from time of arrival is not published but is likely to be significantly higher.
Dr Katherine Henderson, President of the Royal College of Emergency Medicine, said: “This data is bleak and is a stark warning of the crisis that we are heading towards this winter.
“Dangerous crowding has returned to Emergency Departments, exit block is preventing a flow of patients through the hospital, and there have been widespread reports of ambulances queuing outside hospitals facing long handover delays.
“For patients, this means long and potentially frustrating waiting times in the Emergency Department. For staff it is incredibly challenging, as they do all they can to continue to deliver care quickly amid rising attendances and pressures.
“At the same time the health service continues to manage covid as cases have been rising steeply, with the NHS now treating around 14 times as many patients as the same time last year.
“Trusts also continue to deliver elective care but there is a real threat that in the coming months this may once again have to be paused to manage pressures on urgent and emergency care and the rising number of covid cases.
“The winter presents a significant challenge for the health service; staff are increasingly worried about the NHS’ ability to cope. The Government need to recognise the potential crisis and support the health and care service as it tackles the challenges ahead.
“NHS England’s Urgent and Emergency Care Recovery 10 Point Action Plan is a blueprint on how to manage these pressures in the short and medium term. Trusts must do all they can to follow this guidance to mitigate pressures across the system and prevent further deterioration in performance.
“But the underlying cause of all of the problems facing the NHS is a decade of underfunding. The health service has for a long time struggled to meet the demand of the population. It is short on staff across the board; capacity has not risen in line with demand. Existing staff are exhausted, with many looking to leave after having to shoulder an ever-increasing workload.
“So far promises to increase the workforce have fallen short. The forthcoming spending review is an opportunity for the government to signal it’s intent to boost staffing with a long-term workforce plan and rescue the NHS in the long run.”
Meanwhile the NHS, working closely with the Department of Health and Social Care, has today published a blueprint for improving access to GP appointments for patients alongside supporting GPs and their teams in England.
Surgeries will be provided with additional funding to boost their capacity to increase the proportion of appointments delivered face to face, as part of a major drive to support general practice and level up performance, including additional efforts to tackle abuse against staff.
The measures, including a £250 million winter access fund from NHS England, will enable GP practices to improve availability so that patients who need care can get it, often on the same day if needed. The investment will fund locums and support from other health professionals such as physiotherapists and podiatrists, with a focus on increasing capacity to boost urgent same-day care. This is in addition to £270 million invested over the previous 11 months to expand capacity and support GPs.
Amanda Pritchard, chief executive of the NHS, said: “Improving access to high quality general practice is essential for our patients and for the rest of the NHS too.
“It is a personal priority and today NHS England is taking both urgent and longer term action to back GPs and their teams with additional investment and support.”
Secretary of State for Health and Social Care Sajid Javid said: “I am determined to ensure patients can see their GP in the way they want, no matter where they live. I also want to thank GPs and their teams for their enormous efforts in the most challenging times in living memory.
“Our new plan provides general practice teams with investment and targeted support. This will tackle underperformance, taking pressure off staff so they can spend more time with patients and increase the number of face-to-face appointments.
“Alongside this we are setting out more measures to tackle abuse and harassment so staff at GP surgeries who work so tirelessly to care for patients can do so without having to fear for their safety.”
The NHS England document makes clear that every GP practice must seek patients’ input and respect preferences for face to face care unless there are good clinical reasons to the contrary.
The extra investment will help to increase the number of appointments delivered, while local health systems will be free to determine how best to tackle particular challenges to access and provision of care in their own community, which could include putting in place additional resource for walk-in consultations.
Local plans will need to deliver these improvements in access, with practices that do not provide appropriate levels of face to face care not able to access the additional funding, and instead offered support to improve.
Under the plan, the NHS will also support upgrades to telephone systems, ensuring that more patients can quickly and easily speak to general practice staff, and help the public avoid long waits when contacting a surgery by phone.
The government will also reduce administrative burdens on GPs by reforming who can provide medical evidence and certificates such as FIT notes and DVLA checks – freeing up time for more appointments.
UKHSA will complete its review of infection prevention and control (IPC) guidance in general practice and set out practical steps on IPC measures in GP settings which could increase the number of patients that can be seen.
As part of this package, the NHS will increase its oversight of practices with the most acute issues in relation to access, and GP appointment data will be published at practice level by spring next year. This will enhance transparency and accountability, as monthly data is currently only published by clinical commissioning group.
In addition, patients will get the opportunity to rate their practice’s performance, via text message, based on their most recent experience of accessing support. This survey, which has been previously agreed with the profession, is being piloted in around 60 practices and will be rolled out next year.
Together with the government and Academy of Medical Royal Colleges, the NHS will also develop a zero-tolerance campaign on abuse of NHS staff, including GP teams.
General practice teams have delivered more than 300 million appointments over the last year as well as delivering the vast majority of Covid vaccinations, saving lives and protecting millions of people against the virus at speed.
Health Minister Maria Caulfield said: “As a nurse on the frontline during the pandemic I know how hard GPs and their teams have worked, while recognising how badly so many people want to see their GPs in person.
“This plan will give our dedicated general practices the support needed to increase capacity, boosting the number of appointments for patients to see and speak to their GP practice.
“I look forward to continuing to work with the sector to ensure patients can get the care they need.”
Patients will also be able to see different types of clinicians in general practice, who can best meet their needs and conditions, including pharmacists, paramedics, advanced nurse practitioners and nursing associates.
NHS England will also work with the government to consider how far and fast the role of pharmacists can be increased in the supply of medication, as part of relieving workload on GPs.
Government’s ‘rescue package’ for GPs is flawed and patient care will suffer as result, warns BMA
“It’s truly frightening that we have a government so ignorant to the needs of such a core part of the NHS”
Responding to the publication by the Department of Health and NHS England and NHS Improvement today, outlining their plans to improve access for NHS patients and support for GPs, BMA GP committee chair Dr Richard Vautrey said: “After weeks of promising an ‘emergency package’ to rescue general practice, we’re hugely dismayed that whilst additional funding has been promised, the package as a whole offers very little and shows a Government completely out of touch with the scale of the crisis on the ground.
“GPs and their teams will now be facing the worst winter for decades, and as a result, patients’ care will suffer. Appointments will be harder to book, waiting times will get longer, more of the profession could leave and GPs will struggle to cope.
“It is also disappointing to see that there is no end in sight to the preoccupation with face-to-face appointments; we need a more intelligent conversation about the variety of appointments and care that are available to patients to meet their needs.
“While in-person consultations are a key feature of general practice and absolutely necessary for some patients and certain conditions, the pandemic has proven that in many other cases, phone or video appointments are entirely appropriate and appreciated by patients, and a crude focus on percentages or targets is completely unhelpful.
“Throughout our discussions with ministers and NHS England in recent weeks, the BMA has been clear that without a concerted effort to reduce bureaucracy, admin and red tape in practices, patient access and care was at risk.
“Unfortunately, today’s offer merely tinkers around the edges, and will not reduce the unnecessary burden practices carry and therefore free up any more time for doctors to see more patients. We need an end to target-driven, payment-by-results, care and allow practices to look after patients in a way that is flexible and right for the person in front of them and the Government have missed an opportunity to tackle this.
“Reducing the administrative burden on GPs by reforming who can provide medical evidence and certificates such as Fit notes and DVLA checks, won’t happen for some time and is a mere drop in the ocean as what is needed is urgent action now to free up sufficient time for more appointments.
“While the additional £250m is welcome, it must be easy for practices to access rapidly and they must not be forced to have to produce reams of plans or try to meet unattainable targets to get it – which has often happened in the past.
“We had four simple asks – and only one appears to have been fully answered. Increased sentencing for assaulting healthcare workers is something we asked for, but meaningless if the same Government refuses to address the crisis fuelling such abuse. The Secretary of State has started to address a second, by talking more positively about general practice but he needs to do much more to publicly support the profession when we are under such pressure and facing a torrent of abuse on a daily basis.
“These proposals will only confirm the profession’s belief that ministers and NHS England fail to understand the dire state of general practice – or that they, not hardworking GPs, are to blame.
“It’s truly frightening that we have a government so ignorant to the needs of such a core part of the NHS. GPs want to improve the care we offer to our patients, but today’s offer will not enable us to do that as we had hoped.
“GPs across England will be truly horrified that this is being presented as a lifeline to general practice, when in reality it could sink the ship all together. There can be no doubt that this lack of action at such a critical time will force many GPs to hang up their stethoscopes and leave the profession for the last time.”
The British Medical Association is urging the Government to keep some targeted measures to control the spread of Covid-19 in place after 19 July in England, amid a continued worrying rise in case numbers.
Weekly cases in England are up 74% on the previous seven days, while the number of people admitted to hospitals in England with Covid-19 has risen by 55% over the last week.
The 19th of July – in just over two weeks’ time – is the earliest time the Government has said it will consider removing all legal restrictions, however both the Prime Minister and the new Health and Social Care Secretary have indicated that some measures could stay beyond this date – something the BMA says is crucial to stop spiralling case numbers having a devastating impact on people’s health, the NHS, the economy and education.
The BMA says these measures and support should include:
Ongoing requirements to wear a mask in enclosed public spaces, such as public transport, shops, healthcare settings and in communal areas in educational settings, where adequate ventilation and distancing are often not possible.
Significantly improved public messaging and education, emphasising that while the virus continues to circulate, practising social distancing and meeting outdoors or in well-ventilated spaces – and wearing masks when this is not possible – remains the best way to reduce risk of infection and keep yourself safe.
Greater guidance and support for businesses and educational settings to create sustainable, Covid-secure environments, as well as enforcement of standards.
Emphasis on the importance of good ventilation, including setting legal standards. Financial and other support for businesses and educational settings must be made available to implement these requirements ahead of the autumn and winter period, when respiratory viruses spread more easily and buildings must be kept warm, limiting options for natural ventilation.
Dr Chaand Nagpaul, BMA council chair, said: “As case numbers continue to rise at an alarming rate due to the rapid transmission of the Delta variant and an increase in people mixing with one another, it makes no sense to remove restrictions in their entirety in just over two weeks’ time.
“The promise was to make decisions based on data and not dates, and while we were pleased to see the Government react to data in delaying the easing on 21 June last month, ministers must not now simply disregard the most recent, damning, numbers by rushing into meeting their new 19th July deadline.
“It’s not a binary decision of ‘all or nothing’, and the sensible, cautious measures that we are proposing, will be vital in minimising not just the impact of rising case numbers on people’s individual health and the health service, but also wider damage to the economy and society, caused by even further waves, new variants and lockdowns.
“We have made excellent progress with both the vaccination campaign and individual action from people across the country over the last 18 months, and the Government must absolutely not throw this away at this critical juncture.
“While the vaccination programme continues at pace, a significant proportion of people remain either unvaccinated or partially vaccinated. This is on top of those who cannot receive the jab or the small number for whom immunisation will be ineffective.
“Neither will all those vaccinated by 19th July be properly protected given it takes about two weeks after the second dose to confer maximum immunity. This means we are still some way from protecting enough of the population from this devastating illness to control the spread.
“Meanwhile although hospitalisations remain relatively low in comparison to the steep rise in cases, the numbers are increasing at pace, with twice as many Covid patients in beds and on ventilators than this time last month.
“This is a particular worry for doctors and their colleagues who are faced with a record backlog of care put on hold by the first waves of the pandemic, and in which even modest increases in hospital admissions will undermine treating the 5 million patients currently on waiting lists.
“Even if people aren’t getting admitted to hospital at the same rate, spiralling levels of community transmission provides a fertile ground for new, potentially vaccine-resistant variants to develop.
“Also worrying is evidence that one in 10 people suffer longer-term impacts of long-Covid after even a mild infection, with an estimated 2 million people in England having lived with long-lasting symptoms. These factors could have serious consequences for the NHS and public health teams as well as business, education and wider society – therefore stemming the spread of the virus in the community with a series of manageable, targeted measures must be the priority right now.
“Everyone appreciates the efforts and sacrifices we have all made so far to suppress the spread of the virus, and it would be tragic if we were to undo this good work now. We are not asking for a full delay on 19th July, rather a series of sensible, targeted measures that will help prevent transmission of the virus while having a minimal impact on people’s daily lives.
“Our appeal is to both the Government to keep appropriate measures in place, and to the public to continue acting in a careful, responsible manner – giving other people space, wearing face coverings in areas where physical distancing isn’t possible and recognising that the virus won’t simply stop posing a serious danger in two weeks’ time.”
Scotland’s First Minister Nicola Sturgeon insisted yesterday that Scotland’s so-called ‘Freedom Day’is still on track for August, despite a huge surge in coronavirus cases that threatens to pile further pressure on hospitals and health services struggling to cope.
She urged people to get vaccinated at yesterday’s Coronavirus media briefing:
Good afternoon. Thanks for joining Jason and I. There are a few issues I want to cover today – including some important information about vaccinations.
But I will start with a summary of today’s statistics.
The total number of positive cases reported yesterday was 3,823.
That is 10.8% of all of the tests carried out.
The total number of confirmed cases now stands at 289,279.
There are 285 people currently in hospital – which is 10 more than yesterday.
And 19 people are in intensive care, which is 3 more than yesterday.
Unfortunately 4 deaths were reported in the past 24 hours, and that takes the total number of deaths under our daily definition, is now 7,726.
As always, my condolences are with everyone who has been bereaved.
Let me also briefly update on the vaccination programme.
As of this morning, 3,831,770 people have received a first dose of the vaccine.
That’s an increase of 15,519 since yesterday.
In addition, 14,622 people got a second dose yesterday. That brings the total number of second doses to 2,737,347. Now today’s vaccine numbers actually take us across quite a significant milestone. More than 60% of those eligible for the vaccine have now had both doses, but as of today, more than 50% of the entire population is now fully vaccinated. That is an important milestone and one that will be increasing our levels of protection against this virus.
I have a couple of points that I want to cover before I reflect on the overall course of the pandemic, and stress some of our key public health messages, which are of particular importance given the high number of cases that are being reported right now.
The first is to confirm that further funding for Covid matters is being made available to health boards today.
Almost £380 million is being allocated to help with additional costs this year – including for the vaccination programme, the test and protect system, and personal and protective equipment.
This is on top of the £1.7 billion for Covid which was allocated last year to Health Boards and Health and Social Care Partnerships.
Further funding will of course be made available as necessary over the course of the year.
Although we hope we are in the process of emerging from the pandemic, we can see from the situation at the moment, that Covid will continue to place pressures on our health and care services – so we will continue to ensure that they have all the funding that they need to respond to those pressures.
The second point I want to cover relates to vaccination. Getting vaccinated is probably the single most important thing any of us can do right now.
That’s why I strongly welcome a joint statement that has been issued this morning by business organisations and the Scottish Government. It urges people to get vaccinated – and also urges employers to encourage and support employees to get vaccinated.
The statement recognizes that a successful vaccination programme is crucial obviously for our public health, but if it protects our public health then it will always also be good for the economy. So anything employers can do to support people to get vaccinated, will be beneficial for them, as well as for their workers.
That said, the Government has the primary responsibility for ensuring that the vaccination programme is effective – and we are working with health boards to make sure it is as accessible as possible.
I am therefore pleased to confirm today that from Monday, all mainland health boards will offer drop-in vaccination centres for all adults.
These centres will be able to provide first doses to anyone over the age of 18 who has not had a first dose yet. They will also be open for second doses to anyone who had their first dose 8 or more weeks ago, and has not yet had their second dose.
So if you haven’t had a first dose yet – or if you are now due for a second dose – from Monday, you’ll be able to visit a drop-in centre in order to get one. And let me stress, you can do this even if you have had a letter giving you an appointment, or if you have missed an appointment. If you’d rather turn up next week to drop in, you can do that even if you’ve had an appointment scheduled for a week or two from now.
Two health boards – Greater Glasgow and Clyde, and Lothian – will also be providing mobile vaccination units as drop-in centres in some areas, and that is about helping, effectively, to take vaccine to people where we perhaps think there has been particular challenges with uptake.
Information about the drop-in vaccination centres in your health board area, will be available online, so I would encourage you to check this out over the weekend. You can also find out more through the NHS Inform website, or by following your health board area on social media.
Appointments of course will still be scheduled, so if it does suit you better to wait for a scheduled appointment, and you find that more convenient, that is fine.
Everyone in Scotland who is over 18 should now have received an appointment date for a first jag. If you haven’t, then you can turn up at a drop-in clinic – but you can also self-register on the NHS Inform site and get an appointment scheduled.
You can also use the NHS Inform website to rearrange the time or location of your appointment if you need to.
Basically, what we are trying to do is make it as easy and as accessible for as many as possible, so you can turn up from next week to a drop-in centre, you can keep your scheduled appointment, you can rearrange your scheduled appointment. Any of these ways is going to be possible because we want as many people getting these jags as possible.
The importance our vaccination programme is especially evident now. We are continuing to deal with a surge in new cases, heavily driven by the dominance of the Delta variant of the virus.
Vaccination is the reason that surge in cases has not led to the re-imposition of a strict lockdown – as it would have done at any earlier stage in the pandemic.
But now, the vaccines are doing much of the work that lockdown measures previously had to do.
We’ve discussed quite a lot recently the fact that vaccination is weakening the link between new cases, and serious health harms.
For example the proportion of people who get Covid, who now require hospital treatment, fell from around 13% in January, to 3% at the start of June. We continue to monitor that very closely.
All of that is positive.
But – and this is quite a significant but that I’m very deliberately injecting at this stage – all of us do still need to play a part, over and above getting vaccinated to make sure we get through this next period as safely as possible.
The rise in cases is a reminder that we still need to be cautious.
This variant of the virus is spreading quickly, and it is still potentially dangerous.
No vaccine is 100% effective. But these ones are very effective – after two doses. So even if you still get the virus, your chances of becoming very ill with it are much reduced.
That should give assurance to people – especially those who are older or living with other health conditions. I know many of you in particular will be worried right now as you see cases continuing to spike.
I want to assure you that we are not complacent about this. Our priority is to extend vaccine coverage as quickly as possible. That is our best line of protection.
But we are also encouraging renewed caution on behalf of the population while we do so.
Because our biggest vulnerability just now is that there are still, notwithstanding the success of the programme, a lot of people who do not yet have the protection of both doses.
That is why we are making it easier for people to get vaccinated. We are vaccinating as quickly as supplies – and also the clinical advice on timing of second doses – allows us to do.
While we do this, our collective priority must be to do all we can to slow the virus down. That really matters.
The fact is if cases continue to rise as they have been doing, then – despite the effectiveness of the vaccine – we will see pressure build on the NHS. And of course a lot of people being unwell.
Even if only 3% of cases need hospital care now – compared to 13% at the start of the year – on the case numbers we are seeing just now, that will still be a lot of people ending up in hospital.
We should also remember, many people who get Covid but don’t end up in hospital – including many younger people – could still suffer health harms such as long Covid.
I know everyone is tired of hearing this, but I must say again as we do see, we hope, the end point to restrictions in sight, for now we must be careful, especially for these next few weeks while we continue to get the protection from vaccination extended as far as possible.
There are three key things in particular that we all need to do just now.
Firstly – as I have said, vaccination is what will get us out of this.
So make sure that you get vaccinated when you are invited to do so, or turn up next week to a drop-in clinic and get vaccinated then. Just to remind everybody, that applies to all adults who haven’t had a first dose yet. Even if you’ve missed an appointment, don’t worry about that, you can turn up and get your first dose now. And if you’ve had your first dose 8 weeks or more ago, you can turn up to get your second dose at one of these drop-in centres.
Vaccination is how we protect ourselves and it is how we get out of this, so please make sure you’re playing your part by getting both jags as soon as it is possible for you to do so.
Second, please use the opportunities to get tested regularly – this is especially important if you are planning to visit somewhere or visit somebody. Take a lateral flow test before you go just to give that added bit of reassurance.
Free lateral flow tests are available through the NHS inform website.
You can have them sent to you in the post. You can also now collect them from local and regional test sites, or from community pharmacies.
And of course if you test positive through one of these lateral flow devices – or if you have symptoms of the virus – please make sure that you self-isolate, and book a PCR test as quickly as possible. That’s vitally important.
And finally, continue to follow the key rules where you live and all the basic but really important public health advice – for example on physical distancing, hand-washing and face coverings.
Stay outdoors as much as you can if you’re meeting other people.
And if you are meeting people indoors, which in limited numbers is now allowed, please stick to the limits on group sizes, and open the windows. Make sure you’re washing your hands and surfaces, and keeping the room as ventilated as possible.
That still applies, of course, if you are watching the football or the tennis.
If you’re planning to watch the quarter finals of the Euros this weekend, please remember the indoor gathering limits and remember all of the advice that helps keep that environment as risk free as it’s possible to do.
So these are the things that we need to continue to observe right now.
Get vaccinated, get tested and follow the guidance, and where applicable follow the rules.
We are all utterly sick of this. I do believe, just as I have said up until now, that we are seeing the end in sight. But whether we get to that end point, though vaccination, safely or whether we get to it with lots of pressure on our NHS, lots more people getting this virus, comes down to how all of us behave and how successful we are in slowing down the virus while the vaccines get ahead and ultimately win the race for us.
So thank you very much for your continued patience, thank you for your continued observance of all of this, and please for these next few weeks let’s all stick with it to get us through this.
To date, over 761 million pieces of PPE delivered across the UK
Full, 24/7 military operation underway to manage supply and demand right across the UK
New domestic PPE manufacturing effort with Rolls Royce and McLaren to make more protective equipment
Website launching to enable primary, social, and community care providers to request critical PPE
A UK-wide plan to ensure that critical personal protective equipment (PPE) is delivered to those on the frontline responding to coronavirus (COVID-19) was announced yesterday by Health and Social Care Secretary Matt Hancock.
The 3-strand plan launched on Friday will provide clear guidance on who needs PPE and when they need it, ensure those who need it can get it at the right time and set out action to secure enough PPE to last through the crisis.
A full, 24/7 military operation is already underway to deal with the unprecedented, global demand for PPE as a result of this pandemic.
A new national supply and logistics network has been created from scratch in a matter of weeks to manage supply and demand across the UK, and to make sure appropriate PPE reaches those who need it.
A new website, developed with the help of the military, is being rolled out in the coming weeks to improve distribution and will enable primary, social and community care providers in England to order critical PPE.
In addition, a new PPE hub provides easy access to all the government’s guidance on PPE in one place – a one-stop shop people can visit to understand what PPE they need.
This is in addition to a 24-hour helpline that already allows providers to request emergency drops of PPE to meet immediate need.
Health and Social Care Secretary Matt Hancock said: “I will stop at nothing to protect those on the frontline who are fighting this virus.
“Our heroic health and care staff are working around the clock and my absolute priority is to support them. Our new online ordering tool for PPE is supported by a 24/7national supply and logistics network.
“There is a herculean effort behind the scenes, supported by the military, to get the right kit to our frontline heroes. These new supply chains, matched with a call to arms for more businesses and organisations to join this national effort, will help save lives.”
The 3-strand plan sets out:
guidance: being clear who needs PPE and when, and who does not, based on UK clinical expertise and WHO standards. This will ensure workers on the front line are able to do their jobs safely, while making sure PPE is only used when clinically necessary and isn’t wasted or stockpiled
distribution: making sure those who need PPE can get it and at the right time. The government will ensure those who need critical PPE receive it as quickly as possible by setting up a new national supply system
future supply: taking action to secure enough PPE to see us through the crisis. The actions being taken to ensure we have enough critical PPE to last the UK through the pandemic, working alongside industry to boost future supply. The government has already co-ordinated deliveries of PPE directly to health and care providers and to 38 local resilience forums across England. These efforts are being co-ordinated across all 4 nations of the UK to ensure appropriate distribution of critical PPE
Since the beginning of the coronavirus (COVID-19) outbreak, over 761 million items of PPE have been delivered across the UK to 58,000 different settings, including hospitals, hospices, care homes, home care providers, GPs, pharmacists and dentists to ensure our frontline is protected. This includes 158 million masks, 135 million aprons and 360 million pairs of gloves.
The plan also emphasises the need to ramp up domestic production of PPE. The government is calling on industry to join forces to manufacture more protective equipment to support the national effort.
Already companies such as Burberry, Rolls-Royce, McLaren, Ineos and Diageo have started work to produce equipment including gowns, visors and hand hygiene products.
Last week, following extensive consultation with the Medical Royal Colleges, all 4 UK governments published updated guidance for PPE for health and care workers. This covers doctors, nurses, midwives, paramedics, social workers and social care staff.
Critical PPE guidance has also been published for cleaners, funeral directors and first responders. Beyond these roles in settings including supermarkets and public transport, the clinical evidence, which is kept under review, does not suggest widespread benefit from wearing PPE over and above social distancing, social isolation and good hand hygiene.
In addition to this a new dedicated team has been set up to focus on securing supplies and identifying PPE suppliers from across the globe to meet the increasing demand for a growing list of products, with a call to arms to businesses to turn their manufacturing efforts to this response to meet technical specifications published by government.
Businesses and organisations including Kingfisher Group, Apple, Huawei and BP have also stepped up to the plate to generously offer their own PPE for use by the NHS and public organisations.
But health professionals say they need more than warm words and three point plans at this critical time – they need ACTION, in the form of vital PPE equipment NOW.
The British Medical Association has learned that personal protective equipment (PPE) supplies in two large areas of England are running at dangerously low levels, and that some pieces of equipment are no longer available – forcing doctors into impossible situations and ultimately, putting their lives at risk.
The doctors’ union understands that current PPE supplies in London and Yorkshire are not sufficient to deal with the COVID-19 outbreak. This means staff and patients are increasingly being placed in harm’s way as they battle against the virus.
The Government is therefore, forcing doctors to place themselves and their patients in grave danger by expecting them to treat COVID-19 patients without adequate PPE.
The evidence comes just two weeks after the Government said that supplies of PPE were plentiful, and that equipment was flowing out to trusts.
According to a recent survey(1) by the BMA, however, more than half of doctors working in high-risk environments(2) said there were either shortages or no supply at all of adequate face masks, while 65% said they did not have access to eye protection.
Futhermore, 55% said they felt pressurised to work in a high-risk area despite not having adequate PPE.
Dr Chaand Nagpaul, BMA council chair, said: “No doctor should ever have to be in harm’s way when they go to work, and in these unprecedented times, this has never been more important.
“This is not the flu. We are dealing with an unknown, highly-infectious, and potentially deadly virus that has already claimed the lives of several healthcare workers, including 11 doctors in the UK. It is absurd that the people trained to treat this disease are the ones who are not being appropriately protected – and without them, we face real disaster.
“It’s unclear whether the lack of PPE is directly linked to the recorded deaths of doctors so far, but we know that no healthcare workers have been infected in a hospital in Italy precisely because their PPE supplies are sufficient and of high-quality.
“This must be replicated here, in every healthcare setting, as a matter of urgency. Without it, doctors are being forced into a corner, facing heart-breaking decisions over whether to carry on caring for patients without proper protection and put themselves and patients at risk.
“This is an immensely difficult position to be in, but is ultimately down to the Government’s chronic failure to supply us with the proper equipment. We cannot continue like this, and need to see enough, adequate PPE delivered to staff across the country as soon as possible, not just for our health, but also, and most importantly, our patients’.
“We note the Government’s announcement this afternoon and its three-strand PPE Plan. However, PPE should not be a ‘precious resource’ and for NHS staff facing shortages of protection they need today, they don’t want to hear of a plan, but that this vital equipment is made available to the front line now.”
