NHS Lothian staff working across a number of Children’s Outpatient services at the Royal Hospital for Sick Children have been busy packing, ahead of the move of the first children’s clinical services to the new facilities at the Royal Hospital for Children and Young People.
This move is being delivered in a phased approach, and already a number of administration teams have migrated and settled into their new environment.
Alongside the provision of outpatient face to face appointments, NHS Lothian will continue to make use of video call technology ‘Near Me’ for a number of appointments, offering greater flexibility as well as reducing the need for families to travel to attend in person.
The move plan, which was agreed with the full involvement of clinical teams, is not only helping to free up space at the existing Royal Hospital for Sick Children site, but is enabling NHS Lothian to continue to deliver paediatric clinics in a way which fully adheres to and supports social distancing.
Susan Goldsmith, Finance Director and Executive Lead for the project, said: “It is exciting to see the first of our Children’s services move to their new home at the Royal Hospital for Children and Young People. We have reached a significant milestone in this project’s journey, which is important to acknowledge and celebrate.
“While delays to the opening of the new facility have been well publicised, I hope that as each service moves and appointments commence; patients, visitors and staff will be able to see just how impressive the facilities really are.
“Reaching this stage in the project has required a tremendous amount of work from the contractors on site, as well as our own project and clinical teams and for that I would like to say a huge thank you.”
While the first outpatient services settle into their new home, work on the final stages of the remedial and enhancement work in other areas of the building continues. Once this has been completed, and following final commissioning, the second phase in the move of NHS Lothian’s Children’s services will take place.
At this point, those services still situated at the Royal Hospital for Sick Children site will also move to the new building.
Lothian MSP Miles Briggs said: “It is terrific that staff are finally able to move across to the new facilities at the Royal Hospital for Children and Young People, based at little France.
“This move has been a long time coming and I wish all NHS Lothian staff the best at their new home.”
FAQs
How do I know where my child’s appointment will be?
Your appointment letter will tell you where your child’s appointment is being held. If it is to be held at the new Royal Hospital for Children and Young People, you will also receive a phone call to make sure you know where you are going.
Is there parking available?
Parking is available on site. Parking stewards will direct you to the most appropriate car park. A small number of spaces are also bookable in advance, but these are reserved for patients with the greatest need, based on clinical priority.
My child has an appointment at the RHCYP, how do I find out the latest travel information?
With COVID ongoing, is it safe to bring my child to hospital?
Yes. We have separate areas for patients who have tested positive for COVID-19 and for those who have not. There are also a range of enhanced infection control measures in place, such as staggered appointment times to limit the number of people in any one area of the building, physical distancing within waiting areas and enhanced cleaning in consulting rooms between each patient.
My child has an appointment in August, does this automatically mean it will be in the new building?
No. Although most outpatient services are moving over the coming weeks, some will remain at the Royal Hospital for Sick Children site at Sciennes, until the new building is ready to be opened to all services, including inpatients. This is because some services need access to other clinical support, which will not be moving until the whole building is open. Departments that will not be moving at this stage include, but are not limited to: Pain, Respiratory (asthma, allergy, CF), Cardiology, Haematology Oncology, Plastics and Plastics dressings clinic. Does the move mean that the reported problems in the building have been fixed?
Our project team, as well as the contractors on site, are continuing to work on the final stages of the remedial and enhancement work. Once this has been completed, and following final commissioning, the second phase of the move will take place.
Why has everything not moved across to the new building?
Remedial and enhancement work is still taking place at the new building, which means that some services cannot move at this time.
If my child has an emergency, where do I go?
Children’s Emergency Services remain at the Royal Hospital for Sick Children at Sciennes. If you need to access this service, you should continue to do so at the old site. There are no Emergency Services at the new building within the Little France site at this time.
It has been reported that the RHCYP building will be opening in Autumn 2020, are things on track for then?
Our project team, as well as the contractors on site, are continuing to work on the final stages of required remedial and enhancement work. As part of this, we are due to imminently receive the final works programme. Once this has been received and discussed with the services involved, an opening date for the full building will be announced, alongside more detailed plans for the migration of the remaining Children’s services.
Childline data reveals there have been 1,250 counselling sessions about mental health and wellbeing with children in Scotland since lockdown
NSPCC Scotland urges Scottish Government to prioritise children in Coronavirus recovery plan including support for mental health
Childline has seen an increase of almost 20 per cent in young children in Scotland getting in touch about their mental health and emotional wellbeing during lockdown.
The NSPCC-run service is publishing its latest data which reveals that since the beginning of lockdown there have been more than 1,250 counselling sessions carried out with children in Scotland about mental health concerns. This is a monthly average of 419 sessions compared with 351 prior to lockdown.
NSPCC Scotland is growing increasingly concerned that children are the hidden victims of the Coronavirus (COVID-19) crisis, with Childline providing a vital lifeline to children whose counselling sessions have shown that mental health is their top concern.
Throughout the pandemic young people have told counsellors they are feeling low, unhappy, overwhelmed and more recently talked about the anxiety they feel as we look to come out of lockdown.
Some children talked to Childline about family relationships, sharing that arguments, increased parental stress levels and abusive home environments are impacting their mental health. Worryingly, the average number of counselling sessions with children across the UK about abuse has increased by around a quarter since lockdown began.
Also, UK-wide, the number of counselling sessions with 11-year-olds and younger has increased by 37% compared to before the lockdown.
One eight year-old-girl told Childline:
“I am feeling sad and worried. I am scared of Covid-19 and feel like my family don’t care about me. I don’t get any attention and am always fighting with my mum. I live with just my mum and don’t see dad much. We live in a tiny flat and sometimes we get so angry with each other we end up fighting. After we have had a fight I hurt myself because I feel like I am not good enough.”
The number of counselling sessions where children mentioned worries about the world have more than doubled compared to before lockdown and the easing of lockdown has increased anxiety levels for some young people. They have shared concerns about returning to school, catching the virus, classwork, exams and how school life will be now.
NSPCC Scotland is urging the Scottish Government to ensure its Coronavirus recovery plan prioritises children’s needs. This should include additional investment in support for children’s mental health and wellbeing in schools, as well as in early preventative work for the long term.
It is also vital that the Scottish Government has a coordinated plan that demonstrates how services will respond to the likely increase in referrals as a result of lockdown.
Matt Forde, NSPCC Scotland head of service, said: “There is no doubt that the Coronavirus pandemic has had a direct impact on the mental health of many of our children and young people in Scotland.
Esther Rantzen, Founder of Childline said: “The Coronavirus pandemic has turned children’s lives upside down, cutting them off from the places they have relied upon in the past for comfort and support. During lockdown, the virus has imprisoned them in homes which may not be safe, with emotional and physical abuse, violence, or neglect.
“At Childline we have always provided a vital listening ear for our young people who know we are there for them, and our website offers practical help to calm and reassure them. But as lockdown eases, and as life continues to feel uncertain and challenging, it is essential that in addition to Childline our children have access to the mental health resources they will need to help them cope.”
Despite Childline having to close the night service for the first time and having a 30% drop in volunteer hours, due to counsellors having to self-isolate, it continues to still be there for children across the UK.
And as children continue to struggle with the uncertainty that surrounds them and with many in homes that are unsafe, funding for the NSPCC’s Still Here for Children appeal has never been more important. The charity is asking the public to donate £10 so it can continue to run services like Childline that are providing vital support to children during the pandemic.
The NSPCC has praised NHS staff for their work with young people remotely during the lockdown and urged children and families to reach out to the GPs for support.
Adults concerned about a child can contact the NSPCC helpline seven days a week on 0808 800 5000, or email help@nspcc.org.uk.
Children can call Childline on 0800 11 11 or visit www.childline.org.uk 365 days of the year.
Last month, children’s book company Little Box of Books launched a crowdfunder with the support of presenter, author and musician Rochelle Humes hoping to diversify the bookshelves of schools across the UK – and today is the last chance to donate.
The crowdfunder, ‘Change the Story’ is raising £55,000 to diversify the bookshelves in some of the most disadvantaged schools in the UK and the charity is still £10,000 short of it’s target.
In a report released last year it was revealed that only 4% of children’s books published in 2018 had a black, Asian or minority ethnic main character, meaning 96% of main characters were either white, animals or inanimate objects.
Rochelle said: “I am a big advocate of driving representation of the BAME community through literature, which is one of the reasons why I started writing children’s books.
“The best way to stamp out racism is through awareness and by educating children at grassroots level. Stories are the window into the wider world, and the more that children are exposed to different people from different backgrounds, the more accepting they will be as they grow.”
Owner and founder of Little Box of Books Lynsey Pollard believes it’s crucial that every primary school should have a full and diverse collection of books, fully accessible to all pupils.
“We want our children to grow up to be anti-racist, to accept difference with understanding and respect. Whether that’s differences in skin colour, family set up, socioeconomic background, disabilities.
“But this is at odds with the books we give them; we can’t keep giving children lessons on the importance of accepting and celebrating diversity, telling them everybody is different and everybody is normal, then sending them back to bookshelves which don’t back that message up.”
Amanda Matsangou, the Assistant Headteacher of Newton Leys Primary School, Milton Keynes recently diversified her school library. She said: “Our school is incredibly diverse, but it has been an exceptionally hard and time-consuming process to even begin to find story books that feature characters that our pupils identify with.
“Little Box of Books has curated book collections that are much more reflective of the UK population. They remind our children that anything is possible”
The crowdfunder closes today at 4pm.
If you would like to support the initiative, the crowdfunder can be found here:
New and expectant mums in Lothian can now enjoy some family support as some of the national restrictions around maternity services begin to ease.
Pregnant women and women who have just welcomed a new baby into the world will be able to share the precious moments with some of their friends or family.
Until now, national guidance to keep mums and babies safe and to minimise the risk of COVID-19 has meant restrictions on the number of people attending maternity services.
However as from yesterday, expectant mums can now have one additional visitor as well as one birth partner, if requested, to support them whilst in labour.
Women will also be able to have a designated visitor, as well as their birth partner, to visit them whilst in the maternity ward.
Birth partners have also been advised that they can now attend with pregnant partners for ante-natal ultrasound scanning appointments.
Frances McGuire, Chief Midwife, NHS Lothian said: “We know how hard the restrictions have been for women and their partners during these most important life events and our team have tried to ensure that the experience has been as positive as possible during this pandemic.
“Our priority remains the safety of mothers and their babies, and we are very much looking forward to safely welcoming more Lothian visitors to meet our new mothers and babies.”
Ultrasound scanning departments in Lothian will do their utmost to allow one birth partner to be present at the appointment.
Waiting area capacity is still severely restricted due to the requirement for physical spacing of seating to comply with social distancing guidance. Only the one person will be able to accompany the patient into the waiting area and for the scan.
Radiology Services are planning to adjust ultrasound scanning appointment times and are assessing waiting area capacity to improve access.
Birth partners and visitors must wear a face covering at all times and maintain physical distancing where possible.
Everyone must also adhere to strict hand hygiene measures and use the alcohol gel provided.
Visiting can be arranged with ward staff on a daily basis as numbers will have to be managed due to the ward capacity and social distancing guidelines.
The BBC has launched Tiny Happy People, a five-year initiative backed by Her Royal Highness The Duchess of Cambridge, to support parents and carers in developing the language and communication skills of 0-4 year old children.
Initiative backed by HRH Duchess of Cambridge who says Tiny Happy People resources are ‘gold dust’ for parents
Range of free online tools including fun activities, videos, articles and quizzes launched to support development of under-fives language and communications skills
Celebrities on board include Jenny McAlpine, Kieron Richardson, JB Gill, Jess and Dom Lever, Annie Price and Louise Pentland
At the heart of the initiative is a simple message – talk to children from as early an age as possible.
Tiny Happy People offers a wide range of free films, articles, quizzes and parenting tips that have been specially designed with experts to help to nurture children’s language right from pregnancy.
To help launch the initiative, Her Royal Highness recently met with families involved to hear about their experiences of parenting, their contribution to the campaign and how the Tiny Happy People resources and activities have been helping them.
One of the parents she spoke with, Ryan, and his 8 month old daughter Mia, explained how Tiny Happy People had helped him to identify that Mia has five different cries.
Speaking to BBC Breakfast’s Louise Minchin, The Duchess said: “He’s learnt a huge amount from Tiny Happy People… It’s information like that I wish I had had as a first time mum, it’s gold dust really for families to be given those tips and tools to be able to use, particularly in those first five years.”
The Duchess also spoke of the help that parents receive following their baby’s birth from midwives and health visitors, but that there is a then a gap before they start school which is where they really need the support from initiatives such as Tiny Happy People.
The full film of The Duchess meeting with the families can be seen on BBC Breakfast from 6am this morning.
Her Royal Highness has been involved with Tiny Happy People for a number of months, having visited the Tiny Happy People team last November to take part in development sessions and to learn more about the production process.
The Duchess helped in the character and background development for two animations on parenting, which are now available on the Tiny Happy People website about making eye contact with babies and singing to babies.
Recognising the significance of the project to supporting parents as they guide their children through the earliest years of life, The Royal Foundation of The Duke and Duchess of Cambridge will collaborate with the BBC as they develop and roll out Tiny Happy People.
Also supporting the initiative are a number of celebrities who are using the activities to build their own infants’ communication skills. The celebrity parents involved are soap stars Jennie McAlpine and Kieron Richardson; singer and farmer JB Gill; former Love Islanders, Jess and Dom Lever; BBC Three presenter Annie Price; and Louise Pentland, who was voted the UK’s favourite mum influencer last year.
The free digital resources being offered by Tiny Happy People are easy to use and incorporate into everyday routines.
The short films, articles and quizzes cover, in a bitesize way, the science behind baby brain development. There are lots of fun activities to do with both babies and toddlers to support language development and parent well-being along with great tips for new and soon-to-be parents.
Tony Hall, BBC Director-General, says: “We couldn’t be more proud of the part we’re playing in this amazing partnership. Growing up happy and healthy is the greatest gift we can give to any child.
“This campaign embodies our mission to inform, educate and entertain. The BBC has created hundreds of videos and written content that we hope will make a real difference.”
James Purnell, BBC Director, Radio & Education, says: “Early years language provides the foundation for all aspects of a child’s life – right into adulthood.
“Tiny Happy People is a major, long term education commitment from the BBC to help close the under-fives language and communication gap and help give kids the best chance in life. We’re all so proud of it and look forward to seeing parents and carers from across the UK using the materials.”
Evidence shows that more than 1 in 4 children (27%) in England do not reach the necessary level of literacy development (language, communication and literacy skills) by the time they start primary school, rising to more than 1 in 3 (42%) in deprived areas. The picture is similar across all nations of the UK.**
Research also shows that once children start behind, they stay behind, affecting performance in school, job prospects and even life expectancy.
However, evidence also shows that parents and carers can make a big difference if they’re supported in the crucial early years – and if children develop language and communication skills before they start school, they have every opportunity to thrive.
Working with a coalition of partners, BBC Education through Tiny Happy People has the ambition to make a significant contribution to halving the number of children in the UK who do not reach the required developmental outcomes in literacy by the end of their reception year.
Those partners include academics, healthcare professional bodies, The Royal Foundation, Public Health England, The National Literacy Trust, The Education Endowment Foundation, The National Lottery Community Fund and KPMG.
All of Tiny Happy People’s resources are rooted in evidence and have been developed with the help of leading experts in the fields of child and language development to ensure parents and carers are being offered the best advice.
They include The Royal College of Speech and Language Therapists, The Institute of Health Visiting, The Royal College of Midwives, I CAN, early years practitioners through the Greater Manchester Combined Authority, and speech and language academics at The University of Liverpool, University of Sheffield, and LuCiD.
As part of Tiny Happy People’s launch, CBeebies Bedtime Stories will be broadcast Bedtime Stories read by celebrity supporters, Jennie McAlpine (July 14), Annie Price (July 15) and JB Gill (July 16).
In October 2019, Tiny Happy People was rolled out across Greater Manchester in partnership with the Greater Manchester Combined Authority. Together we created hubs across the authority where we introduced Tiny Happy People champions to work with frontline professionals and parents to embed Tiny Happy People activities into communities. This has provided a blueprint for a total of five new hubs that will be created in communities across the UK every year for the lifetime of the initiative.
More than 480 referrals made by the NSPCC helpline to Scottish agencies in three months following lockdown
Parental behaviour, neglect and physical and emotional abuse were the top concerns of adults contacting the helpline
Charity calls on Scottish Government to explain in detail how it will aid children’s physical and mental recovery from abuse and trauma suffered during the lockdown
A 40% increase in referrals made to police and local authorities in Scotland by the NSPCC helpline during lockdown highlights how children have been the hidden victims of the coronavirus crisis.
NSPCC Scotland reveals that in April, May and June the helpline made a monthly average of 161 referrals compared to an average of 114 in the three months prior to lockdown.
Last month, Scotland’s Deputy First Minister John Swinney announced plans for young people to return to school fulltime in August, and the NSPCC is today urging the Scottish Government to ensure the recovery plan addresses the full range of children’s needs. This includes ensuring schools are ready to help all children who need it – particularly those who may have suffered abuse, neglect or other traumatic experiences during the lockdown – and investing in children’s social care.
During the past three months, the helpline has heard from more than 22,000 adults across the UK concerned about the wellbeing of a child.
This is an increase of almost a third (32%) on the monthly average for the three months prior to lockdown, with May seeing 8,287 contacts – the highest number ever made to the adult helpline in a single month on record.
During lockdown, the main issues confronting NSPCC child safety experts were parental behaviour, physical and emotional abuse and neglect.
Around 40% of the total contacts received were referred on to local authorities or the police for further action.
One adult who spoke to the NSPCC helpline during the lockdown said: “I’ve become increasingly disturbed by the noises coming from one of one my neighbours – it’s been getting worse since the lockdown. I can hear the mother shouting and swearing at her two little ones, it sounds vengeful and aggressive.
“Sometimes the mother locks her kids out in the front garden as punishment – last time this happened the youngest was crying hysterically for half an hour, it was awful. Is there anything you can do?”
These figures released by the charity today back up the findings of a research report it recently published – ‘Social Isolation and the risk of child maltreatment in the lockdown and beyond’ – which underlines how increasing parental and family stress, reductions in protective services and the intensification of pressures on children’s emotional wellbeing caused by lockdown can increase the risk of abuse and neglect.
These traumatic experiences can have a devastating impact on children’s health and wellbeing and can stop children from learning, with the long-term effects following them into adulthood.
However, with the right support young people can recover and be helped to move on with their lives.
Now the charity is calling on the Scottish Government to urgently commit to a children’s recovery plan which sets out how it will:
Deliver the long-term investment in children’s services that is needed to provide high quality preventative and therapeutic services for children in every part of the country;
Invest in rebuilding support for families with babies and young children who have missed out on the normal support from health visitors during the lockdown;
Support multi-agency partnerships of the local authority, NHS and police to work with schools to review support for children known to the designated child protection lead, and identify those who continue to miss class with a plan to understand and address any barriers to a child’s school attendance;
Ensure schools are ready to help all children who need it – particularly those who may have suffered abuse, neglect or other traumatic experiences during the lockdown. Schools must be equipped to recognise and respond sensitively to children who have experienced physical or mental harm, trauma or adverse experiences when they return to the classroom. This includes putting in place support for teachers to enable them to support children confidently, including training on child development science and how trauma can manifest in behavioural problems or poor emotional regulation.
Matt Forde, NSPCC Scotland head of service, said: “The increase in referrals from our helpline during the lockdown highlights how some families have been driven to crisis point and the home has become an increasingly unsafe place for some children.
“It is vital that children are now supported to help them recover from any mental and physical harm that many will have suffered these past few months.
“Government’s role is crucial, and it must put in place a detailed recovery plan that makes sure children and young people can receive the expert help they need if they have had difficult or damaging experiences.
“Putting children at the heart of recovery planning and taking this action quickly will mean the crisis of the last three months does not scar the childhoods of a whole generation.”
Only just overa quarter of teachers in Scotland think it will be safe for their pupils to return to their school or college in August, a survey by teachers’ union NASUWT has found.
Nearly half of teachers who responded to the survey said they do not feel prepared to return to their school or college in August and just 22% said they feel safe or very safe as a result of the provisions their employer is putting in place to mitigate the risks of COVID-19.
The survey, which examined the experiences of over 350 teachers in Scotland during the lockdown and in preparing for wider reopening from the start of the new academic year in August, found concerns about a lack of PPE and adequate safety measures to protect staff and pupils in schools and colleges.
The survey found:
Nearly half (49%) of teachers do not feel prepared to return to their school or college in August;
Only just over a quarter (28%) think it will be safe for their pupils to return to their school or college in August;
Over a third (34%) of teachers who said they were in one of the government’s vulnerable groups said they had nevertheless been asked to attend work during the lockdown period;
Just 22% said they felt safe or very safe as a result of the provisions their employer is putting in place to mitigate their risks of COVID-19. Over a third (36%) said they either felt unsafe or very unsafe;
Only 19% have been told there are plans to deploy additional cleaning staff in their school or college. Over a quarter (27%) said teachers and/or pupils are being asked to undertake cleaning;
Only a minority of teachers said their school or college has sufficient stocks of PPE, including masks (10%), gloves (15%) and hand sanitiser (35%). Only 38% were confident their school or college has sufficient availability of soap and hot water to enable regular hand washing by staff and pupils.
82% of teachers said they were asked to return to school in June to prepare for reopening in the new academic year. Of the tasks teachers were asked to return to school to undertake, 30% said this work could have been completed from home.
Teachers were asked about the impact of the pandemic on exams, with 83% saying they believe changes are needed to the exam diet for 2021 as a result of the lockdown, with 53% in favour of a delay to exams.
Dr Patrick Roach, General Secretary of the NASUWT, said: “Given the abrupt eleventh hour changes announced by the Scottish Government just as schools and colleges were preparing for the summer break, it is little wonder that so many teachers do not feel that schools and colleges are prepared for the full return of pupils in August.
“Teachers have been left in a state of uncertainty by the announcement, which has made it particularly challenging for schools and colleges to plan and prepare appropriately for reopening on a full-time basis from 11 August.
“Schools and colleges must be given dedicated time to finalise their plans for full reopening before the return of pupils.
“It is also concerning that teachers are reporting that their school or college does not have adequate safety provisions in place, such as PPE and enhanced cleaning routines and that a significant number of vulnerable teachers have been pressurised to attend work by their employer.
“The Government needs to address the concerns raised by teachers and ensure that all schools and colleges take appropriate action to ensure that teachers and other staff are safe at work.”
Jane Peckham, NASUWT National Official Scotland, said: “The survey underlines the fact that ministers still have much work to do to win the confidence of teachers in their plans for the wider reopening of schools and colleges.
“This will not have been helped by the timing of the decision on full reopening, particularly as many teachers had spent considerable time and effort developing a model of blended learning for pupils.
“The Government must now ensure that the next steps on school and college reopening do not put at risk public health and that there are robust mechanisms in place to ensure that all employers are taking effective measures to minimise and mitigate the risks of COVID-19 in every school and college.
“They must start listening to and acting on the concerns of the profession so that we can achieve the shared aim of an orderly return to full teaching and learning in a way which supports the safety and welfare of every pupil and member of the education workforce.”
Scotland will officially move to Phase 3 of the route map out of lockdown this weekend, First Minister Nicola Sturgeon has announced.
From today (Friday 10 July), up to three households will be able to meet indoors for the first time – up to a maximum of eight people. Meanwhile, up to five different households to a maximum of 15 people will from tomorrow be able to meet outdoors.
A household can meet up to four other households per day in total. Two metre distancing between households should continue, with heightened hygiene measures to avoid creating bridges which allow the virus to spread.
Mandatory face coverings will be required in shops. Physical distancing of two metres remains the law, however on public transport and in retail settings exceptions will be allowed once appropriate mitigations are in place.
From Monday (13 July), organised outdoor play and contact sports can resume for children and young people under 18 (subject to guidance), non-essential shops inside shopping centres can re-open, and dental practices can see registered patients for ‘non-aerosol’ procedures.
From Wednesday (15 July), indoor restaurants, cafes and pubs will be able to re-open. Hospitality venues can be granted an exception to the 2 metre distancing requirement, however this requires mitigating measures in place such as clear information for customers, revised seating plans, and all hospitality venues are required to record contact details of customers to support Test and Protect.
All holiday accommodation can re-open from Wednesday, as well as the childcare sector, hairdressers and barbers. Museums, galleries, cinemas and libraries can also open from Wednesday, with strict physical distancing and for many of these facilities advanced ticketing will be required.
Places of worship can re-open from Wednesday for communal prayer, congregational service and contemplation with limited attendance numbers and physical distancing. Specific guidance is being finalised with faith communities.
Restrictions on attendance at services and ceremonies for funerals, weddings and civil partnerships will be eased, although full-scale gatherings are still not permitted and some mitigation measures will remain.
During a statement to parliament, the First Minister said: ““Scotland has made major progress in tackling COVID-19 – prevalence of the virus in Scotland is now several times lower than it is across the UK as a whole. And it is because of that action we can move into Phase 3.
“Today marks the most significant milestone yet in Scotland’s emergence from lockdown. Measures announced today are, of course, dependent on us keeping the virus under control and we will not hesitate to re-impose restrictions if we consider it necessary to halt the spread of the virus and save lives.
“During Phase 3 we will start to resume and re-open many activities and settings such as opening indoor pubs and restaurants, allowing more indoor meetings between households, and re-opening places of worship.
“Eliminating the virus as far as possible now – ahead of the almost inevitable challenges we will face come winter – remains our objective.
“The five principles behind our facts campaign – face coverings; avoiding crowded spaces; cleaning hands and surfaces; two metre distancing; and self-isolation if you have symptoms – are more important than they have ever been.”
The Scottish Government is required by law to review lockdown restrictions at least every three weeks. The latest review falls due today, so I will set out our decisions and the next steps in our careful and cautious exit from lockdown. However, I will first give an update on today’s Covid-19 statistics and a report on our progress in tackling the virus.
Since yesterday, an additional six cases of Covid have been confirmed, which takes the total number of cases to 18,315. A total of 646 patients are currently in hospital with suspected or confirmed Covid, which is an overall decrease of 121 since yesterday. That includes a decrease of 16 in the number of confirmed cases. As of last night, nine people were in intensive care with confirmed or suspected Covid, which is a decrease of two on the number that was reported yesterday.
I am pleased to report that, in the past 24 hours, no deaths have been registered of patients who had been confirmed as having the virus. The total number of deaths in Scotland under that measurement therefore remains 2,490. However, we must never lose sight of the fact that every death is a tragedy, and I send my condolences to everyone who has lost a loved one to this illness. I also know that statistical trends do not console those who are grieving.
However, the statistical trends are clear. In Scotland, Covid has now been suppressed to a low level. Indeed, even in the three weeks since I last updated Parliament, there has been significant progress. At that time, we were reporting approximately 20 new cases of Covid a day. The daily average now is around seven cases a day. Three weeks ago, there were more than 540 people in hospital with confirmed Covid, and the figure today is 342. Further, there are now just three patients with confirmed Covid in our intensive care units.
The number of people dying has also fallen week on week, as is shown in our daily statistics and in the weekly reports from National Records of Scotland. In addition, our latest modelling suggests that the R number remains below 1. It has been between 0.6 and 0.8 for most of the past month.
The number of people in Scotland with the virus also continues to fall. Three weeks ago, we estimated that around 2,900 people were infectious. Our estimate for last week was that around 1,000 people in Scotland were infectious. That confirms, as I explained yesterday when setting out our decision on air bridges, that the prevalence of the virus is now several times lower in Scotland than it is in the United Kingdom as a whole.
In determining whether we can move from phase 2 to phase 3 of our exit from lockdown, we have assessed our progress in tackling Covid against the six criteria for this stage that are set out by the World Health Organization, and we have concluded that we meet each of them.
However, I must advise Parliament that the fifth of those criteria, which relates to managing the risk of importing cases from outside Scotland, gave us some pause for thought. The balanced decision on air bridges that we announced yesterday was essential for us to conclude that we are managing that risk in an effective and proportionate manner at this stage. It is essential that we keep the risk under close review. To be clear, that must cover the possibility of importation from other parts of the UK, as well as from overseas.
Taking all the various factors into account, I confirm that it is the judgment of the Government that we can now move from phase 2 to phase 3 of the route map.
I also confirm that, in a limited number of sectors, we will allow an exception to be made to the requirement for 2m physical distancing. However, that will be subject to strict conditions that are tailored to the circumstances of each sector. Let me stress the term “exception”, because the general rule remains 2m.
For public transport and the retail sector, that exception will be permissible from tomorrow. However, it is essential that the required mitigations are in place and that appropriate discussions have taken place with trade unions before it becomes operational in any particular setting. Given some of what I will cover later, it is worth being clear at this point that the retail sector includes personal services such as hairdressing.
I also remind everyone that face coverings, which are already mandatory on public transport, will from tomorrow be mandatory in shops as well. There will be some exemptions: for young children under the age of five, for people with certain health conditions, and for staff in some circumstances. For the vast majority of us, however, it will be the law that we wear face coverings in shops. For the foreseeable future, wearing a face covering on a bus or a train or in a shop should become as automatic as putting on a seat belt in a car.
Although it should not need to be enforced, the police can issue fines for anyone who does not comply. However, I ask everyone to comply not from fear of enforcement but because it is the right thing to do—it helps us protect each other from the virus. That leads me to a general point that is important to stress before I outline the further restrictions that we intend to lift. The virus has not gone away. It is still out there, and it is just as infectious and just as dangerous as it ever was. Lockdown has suppressed it but, as lockdown eases, there is a very real risk that it will start to spread again. That is not conjecture; it is already happening in many parts of the world.
With every restriction that we lift, the risk increases, especially as we start to permit more indoor activity. All of us must therefore do everything that we can to mitigate it. Wearing face coverings is part of that, but so, too, are the other measures that are summarised in our FACTS campaign: face coverings; avoiding crowded spaces; cleaning hands and surfaces; 2m distancing; and self-isolation and booking a test if you have symptoms. I simply cannot stress enough that, as we move out of lockdown, those basic measures become much more important, not less—please, follow them to the letter.
Let me now confirm the key steps in phase 3 for which we are now able to set specific dates. You will find more detail on the Scottish Government website later today. As will be obvious from what I am about to say, we intend to take the same staggered approach to phase 3 that we did to phase 2. Not all changes will happen immediately or at the same time, which means that we do not bear all of the risk at once. However, the first changes, relating to the ability of different households to meet up together, will take effect from tomorrow.
Yesterday, the Cabinet Secretary for Health and Sport announced important changes for people who are shielding. For example, from tomorrow, you will no longer be asked to physically distance from people you live with, and you will be able to form an extended household if you live on your own or with children under the age of 18. Today’s route map includes a link to the additional changes that we hope to make to the shielding advice up to the end of July.
The other changes that I am about to announce unfortunately do not apply to people who are shielding but do apply to everyone else. Before I set out what those are, let me make a general point. Last week, we said that children under the age 12 no longer had to physically distance when outdoors; from tomorrow, that will also apply indoors. However, for adults and, for the time being, older children, the advice to keep a 2m physical distance from people in other households will remain.
However, from tomorrow, the general rules on household gatherings will be as follows. A maximum of 15 people from up to five different households may meet together outdoors. The advice is to remain 2m distant from people in households other than your own. From tomorrow, limited indoor gatherings will also be permitted. A maximum of eight people from up to three different households may meet indoors. To be clear, that is the household whose house the gathering is in and people from up to two additional households. As long as physical distancing between different households is maintained, that can include overnight stays.
I must stress, however, that that is one of the highest risk changes—if not the highest risk change—that we have made so far. We know that the risk of transmitting the virus indoors is significantly higher than it is outdoors. It is therefore essential that we all take the utmost care and strictly follow all the public health advice. That means keeping 2m distant from people in other households, being very careful to clean surfaces after you touch them, and washing your hands regularly, especially when you first enter someone’s house. At all times, try to avoid creating bridges that allow the virus to spread from one household to another. We are also advising that, between indoor and outdoor activity, adults do not meet with people from any more than four different household in any single day.
Finally, from tomorrow, we will change the guidance so that, regardless of their living arrangements, people who are part of a non-cohabiting couple no longer need to stay physically distant from each other, indoors or outdoors.
The next set of changes will take effect from next Monday 13 July. From Monday, organised outdoor contact sports and physical activity can resume for children and young people, subject to guidance being followed. So, too, can other forms of organised outdoor play.
Non-essential shops inside shopping centres can reopen, provided, of course, that they follow all relevant health and safety guidance. That will mean that, from Monday, the vast majority of retail will be open.
There will also, from Monday, be a further resumption of important public services. Community optometry practices will further increase their services, especially for emergency and essential eye care. Dental practices will be able to see registered patients for non-aerosol procedures. Let me explain that a bit more: aerosol procedures are those that create a fine mist, for example through use of a high-speed drill; we cannot yet allow those. Unfortunately, that means that many forms of dental care will still not be possible. However, procedures such as check-ups and the fitting of dentures and dental braces can resume.
From Monday, a woman can have a designated person accompany them to ante and postnatal appointments and can designate, in addition to their birth partner, one other person to attend the birth and make ante and postnatal ward visits.
Further important changes will then come into force from Wednesday next week, that is, 15 July. From that date, indoor restaurants, cafes and pubs will be able to reopen. However, just as with indoor household meetings, opening up indoor hospitality poses significantly increased risks of transmission, so it is essential that the guidance on health and safety is followed rigorously by businesses, staff and customers. That includes guidance on physical distancing and taking customer contact details, for use, if necessary, by test and protect.
Like public transport and retail, outdoor and indoor hospitality venues will be granted an exemption from the 2m rule from 15 July. However, that is dependent on the implementation of all relevant mitigating measures and appropriate discussions taking place with trade unions. Mitigating measures in this sector include clear information for customers that they are entering a 1m zone, revised seating plans and improved ventilation.
The tourism sector can also reopen from 15 July. That means that all holiday accommodation, including hotels, can reopen, as long as the appropriate guidance is followed.
Museums, galleries, other visitor attractions, libraries and cinemas, including drive-ins and other venues screening films, can also reopen on 15 July, although physical distancing and other safety measures will be required and for many if not most of those facilities, tickets must be secured in advance.
The childcare sector can also fully reopen from next Wednesday—I know that that is important to families across Scotland.
I can also confirm that, from 15 July, hairdressers can reopen, subject to enhanced hygiene measures being in place. The finalised guidance for hairdressers will be published this week.
Finally, I am pleased that we are able to bring forward two changes that we were previously keeping under review for later in phase 3 but now judge can be undertaken safely next week, provided that necessary mitigations are in place.
After careful consideration, we have decided that, from 15 July, places of worship can reopen for communal prayer, congregational services and contemplation. However, numbers will be strictly limited, 2m physical distancing will be required, and there will be a requirement to collect the contact details and time of attendance of those who enter a place of worship. Unfortunately, given what we know of transmission risks, singing and chanting will be restricted.
Detailed guidance is being finalised in consultation with our faith communities, but I hope that today’s announcement will be welcomed by all those for whom faith and worship is important and a source of comfort.
In addition, and linked to that change, we will ease restrictions on attendance at services and ceremonies for funerals, weddings and civil partnerships. However, numbers will be even more limited than for worship generally and physical distancing will be required. I stress that that change applies only to services. Associated gatherings, such as wakes or receptions, must continue to follow the limits on household gatherings and hospitality.
I am acutely aware that the restrictions that we have had to place on attendance at funerals in these past few months have been particularly hard to bear and I am very grateful to everyone who has complied, in what I know will have been heartbreaking circumstances. Although the changes that come into effect next week will not allow full-scale gatherings, I hope that they will allow more people to find solace at a time of grief, as well as allowing more people to celebrate happier occasions, such as weddings and civil partnerships.
The next set of changes will take effect from 22 July. At that time, personal retail services that have not yet been able to reopen—for example, beauticians and nail salons—will be able to reopen with enhanced hygiene measures in place.
Universities and colleges can implement a phased return to on-campus learning as part of a blended model with remote teaching. Motorcycle instruction and theory and hazard tests can also resume from that date. However, driving lessons and tests in cars will, unfortunately, have to wait a bit longer.
Unfortunately, there are other activities that are included in phase 3 of the route map that we are not yet able to attach a firm and specific date to. However, although we will keep these under review and, as we have done with communal worship, will bring dates forward wherever possible, it should be assumed at this stage that those further activities will not restart before 31 July. Those activities include the reopening of non-essential offices and call centres, the resumption of outdoor live events and the reopening of indoor entertainment venues such as theatres, music venues and bingo halls. They also include the opening of indoor gyms and the resumption of non-professional adult outdoor contact sports.
We will continue to work closely with relevant sectors on the reopening of all those activities as soon as possible. For example, we will work with the outdoor events sector to review the range of events that could take place, as we recognise that a one-size-fits-all approach might not be appropriate. However, I hope that it will be appreciated—as difficult as it is—that a number of those activities present particular challenges. Although I know that it is difficult, it will take a bit more time to work through how those can be safely addressed.
I also want to indicate that our current expectation is that phase 3 may well last longer than three weeks. Given the scale of the changes that we are making in phase 3, it might be wise not to rush them or go into phase 4 too quickly. However, we will keep that under close review.
Let me reiterate that it is our ambition and intention that schools will return full time in August. That is dependent on the virus continuing to be suppressed to very low levels, and it is therefore one of the reasons that we are being so careful and cautious in everything else that we do right now.
There is no doubt that today’s statement marks the most significant milestone yet in Scotland’s emergence from lockdown, and I hope that the measures that we have announced or confirmed today are welcome. All of them depend on us keeping the virus under control. Eliminating it as far as we possibly can now, ahead of what I am afraid to say are the almost inevitable challenges that we will face come winter, remains our objective. We will not hesitate to reimpose restrictions if we consider it necessary to halt the spread of the virus and save lives. I will make a further statement to the Parliament on 30 July, and will deliver regular updates through the regular media briefings between now and then.
I end by stressing the point that I made at the outset, which is, perhaps, the most important one of all. This is undoubtedly a time for cautious hope and optimism. There is no doubt that Scotland, through our collective efforts, has made great progress in tackling Covid. We should all savour our first indoor meetings and meals with friends, our first pint in a pub or catch-up over coffee. I know that many of us are looking forward to our first non-amateur haircut in many months. There will be other milestones and reunions that we will enjoy during the next few weeks. They have all been hard earned by each and every one of us. However, I have a duty to be crystal clear with the country that this is also a time of real danger. Next week represents the most substantial easing of lockdown so far, and we know that meeting people indoors poses far greater risks than going to a park or to someone’s garden.
We see signs of resurgence in many countries across the world and we must all be aware of that in everything that we do. We must remember that Covid, although at very low levels in Scotland, is still out there. Everything that we learn about this still new virus—its infectiousness, ability to kill and potential to do long-term damage to health—should warn us that we mess with it at our peril. Therefore, perhaps more than ever, now is a time for great caution. Remember that life should still not feel entirely normal and that at all times, especially when we are meeting indoors with people in other households, we must constantly be alert to the steps that we need to take to deny the virus the chance to spread.
That is why the most important things that everyone must remember and abide by are the FACTS. They are as follows.
Face coverings should be worn in enclosed spaces such as on public transport, in shops and anywhere else that physical distancing is more difficult.
Avoid, literally like the plague, crowded places indoors or outdoors.
Clean your hands regularly and thoroughly and clean hard surfaces after touching them.
Two-metre distancing remains the clear and important advice.
Self-isolate and book a test immediately if you have symptoms of Covid.
The symptoms to be aware of are a new cough, a fever, or a loss of or change in the senses of taste or smell. People can book a test at nhsinform.scot or by phoning 0800 028 2816. I ask them, please, to act immediately and to err on the side of caution. If they have any reason at all to worry that they might have Covid symptoms, they should get tested straight away.
It is only because of our collective action—our love for and solidarity with each other—that we have made so much progress. Now is not the time to drop our guard. Let us all keep doing the right things to keep ourselves safe, protect others and save lives.
This month, Held in Our Hearts is encouraging family, friends and colleagues to take up the baton and ‘PassTheK’ to reach our neighbours down under in Brisbane, Australia.
The charity should have been travelling there for an international conference to share learning about their work.
With the school holidays upon us, Scotland’s biggest bus operator is running a competition to give kids in Edinburgh the opportunity to see their artwork ‘wrapped’ on the side of a local bus.
First Scotland East is calling on local children to get involved in the bus company’s exciting Scotland-wide art competition, which will see the winning design placed on the side of a bus for thousands to see. The Scotland winner will also win a tour of Britain’s biggest bus depot in Edinburgh and will be presented with a video of their artwork being painted onto the side of the bus.
Winners from each region will be selected, too, and the lucky winner in Edinburgh will receive an exclusive goodie bag and a school visit from First Bus when the children are back in after the summer holidays.
The competition is running as part of Children’s Art Week, which this year, celebrates the theme of Connecting Across Generations. All kids need to enter is a sheet of plain paper, some bold colours to work with and their creative imagination. Creative ideas can be submitted using any colour, pattern or drawing.
First Bus has already received some great entries, with some illustrations championing the relationship the city has with its NHS workers.
Andrew Jarvis, Managing Director of First Bus in Scotland, said: “This is an exciting opportunity for local kids to celebrate their creative side during lockdown.
We’re looking forward to seeing the winning design bring a splash of colour and imagination to one of our buses in Edinburgh, which we hope will bring a smile to the faces of key workers and local communities along our routes.
“We wanted to give something back to the city that we proudly serve every day and we can’t wait to look through all the entries.”
Those entering the bus designing competition are encouraged to include their name and age and should submit entries to the First Scotland East Facebook page, @FirstScotlandEast.
The deadline for submissions is 6th August 2020.
The competition is running in conjunction with First Bus’s Education Pack – an online educational resource created at the start of lockdown to provide primary aged children with a fun filled set of activities focused around buses.
