BREAKTHROUGH: World first coronavirus treatment approved for NHS use

  • Ground-breaking coronavirus treatment approved for use across the NHS from today
  • Government-funded UK trial showed drug saved lives by significantly reducing risk of death in hospitalised patients who require oxygen
  • Government ensures drug is available across all NHS healthcare settings and across the whole of the UK with immediate effect

Thousands of lives could be saved in the UK as the government immediately authorises the NHS to use the world’s first coronavirus treatment proven to reduce the risk of death.

Dexamethasone, an anti-inflammatory steriod drug, has been immediately approved to treat all UK hospitalised COVID-19 patients requiring oxygen, including those on ventilators, from today.

The drug has been proven to reduce the risk of death significantly in COVID-19 patients on ventilation by as much as 35% and patients on oxygen by 20%, reducing the total 28-day mortality rate by 17%.

Funded by the UK government, via the National Institute for Health Research (NIHR) and UK Research and Innovation (UKRI), the Oxford University UK RECOVERY trial is the first clinical trial anywhere in the world to show a treatment provides significant impact in reducing patient mortality.

The government has taken action to secure supplies of dexamethasone in the UK, buying additional stocks ahead of time in the event of a positive trial outcome. This means there is already enough treatment for over 200,000 people from stockpiles alone.

Health Secretary Matt Hancock said: “I’m absolutely delighted that today we can announce the world’s first successful clinical trial for a treatment for COVID-19. This astounding breakthrough is testament to the incredible work being done by our scientists behind the scenes.

“From today the standard treatment for COVID-19 will include dexamethasone, helping save thousands of lives while we deal with this terrible virus.

“Guided by the science, the UK is leading the way in the global fight against coronavirus – with the best clinical trials, the best vaccine development and the best immunology research in the world.

“I want to thank the brilliant scientists at Oxford University, the thousands of patients who took part in the study, and my own team, led by Professor Jonathan Van-Tam, who has done such a brilliant job driving this work.”

The drug has also been added to the government’s parallel export list, which bans companies from buying medicines meant for UK patients and selling them on for a higher price in another country. This will protect supply for UK patients by enforcing regulatory action on those who flout the restrictions.

Throughout the pandemic, the government has supported British research with millions of pounds of funding for clinical trials into the most promising and innovative medicines in our fight against this new virus, including £2.1 million for the RECOVERY trial.

This clinical trial is testament to the success we see when government, scientists and the NHS – including 175 NHS trusts across the whole of the UK – work together. With over 177,000 patients enrolled, it’s the largest randomised clinical trial anywhere in the world and will continue to trial other medicines, such as azithromycin and lopinavir-ritonavir.

Deputy Chief Medical Officer, Professor Jonathan Van-Tam, said: “The RECOVERY trial is an outstanding example of the UK leading the world with an impressive study capable of delivering robust answers to critical questions. Although these data have not yet been peer-reviewed.

“The positive findings on dexamethasone follow the disappointing findings on hydroxychloroquine. Together these 2 results illustrate the power of properly conducted clinical trials and the inherent danger of assuming things work without robust data.

“Whilst tempting to do otherwise, it is always better to wait for the evidence. On the dexamethasone findings, this is very encouraging because the signal on reduced mortality applies to many of the patients admitted to hospitals and the drug is comparatively low priced and available worldwide.”

The UK is a world leader in global science and medicine industries. This British trial will now affect the global response to this pandemic.

This breakthrough has only been made possible through the rigour of world-class and world-leading British life-sciences. The government backed British science from the very beginning of this pandemic and today has proven that this was the right call.

The vital information collected by UK researchers will also be used by other countries to reduce mortality rates worldwide.

Prime Minister Boris Johnson welcomed the news at yesterday’s daily press briefing. He said: “I am delighted that the biggest breakthrough yet has been made by a fantastic team of scientists right here in the UK.

“I am not really qualified to announce on this drug and its effects but I will ask Sir Patrick and Professor Horby to say more in a moment.

“But I am so proud of these British scientists, backed by UK Government funding, who have led the first robust clinical trial anywhere in the world to find a coronavirus treatment proven to reduce the risk of death.

“And I am very grateful to the thousands of patients in this country who volunteered for the trials – thank you.

“This drug – dexamethasone – can now be made available across the NHS. And we have taken steps to ensure we have enough supplies, even in the event of a second peak.

“Of course, while the chances of dying from Covid-19 have been significantly reduced by this treatment, they are still far too high. So we must redouble our research efforts and we certainly will.

“But today, there is genuine cause to celebrate a great, British achievement and the benefits it will bring not just in this country but around the world.”

STEM Academy: New opportunities for lockdown learning

A science education programme is turning social distancing into an opportunity for school pupils and teachers to spend their summer learning online.

The Summer STEM Academy www.stemacademyscotland.org  is making workshops on a wide variety of science and engineering topics available online for free from Monday 15 June.

Led by the University of Glasgow in collaboration with Edinburgh Napier, it features 26 workshops containing videos and activities for teachers, pupils and wider school communities.

All but one involve a video introduction from an expert to a unique project which can be done at home and an explanation of the science behind it. Each of the workshops offer a worksheet to guide learners through activities and experiments such as designing racing cars and measuring the speed of sound.

Volunteers from Edinburgh Napier and the Universities of Glasgow, Edinburgh, Heriot Watt and Strathclyde have crafted workshop activities on topics including robotics, biodiversity and space colonisation.

Edinburgh Napier’s Professor Mark Huxham (above) has organised activities based on biodiversity, and there is also the use of coding to design and control robots with the computer engineering team, and the use of CAD/CAM software to design F1 cars with industry leading experts and Edinburgh Napier engineers in a schools challenge.

Representatives from organisations including the SS Explorer, BioCity UK, Heart of Midlothian FC, the Royal Society of Chemistry and the Royal Academy of Engineering have also contributed their expertise on aeronautical engineering, life sciences, sports science, climate change and the science of sound.

Teachers and students will also have the opportunity to brush up on new science teaching skills with a workshop provided by the Royal Academy of Engineering’s Connecting STEM Teachers initiative. They’ll also have the chance to design their own science teaching resources during a workshop provided by Timstar UK and the WF Education group.

Andrew Gallacher, Head of Teacher Education at Edinburgh Napier, said: “Even three months ago the idea of organising a major Science, Technology, Engineering and Maths event and placing it online would have seemed ambitious.

“However, this is exactly what we have done with the Summer STEM Academy. It represents a fantastic opportunity for pupils, teachers, academics and business innovators to explore stimulating workshops that are structured to offer blended learning and enthuse participants of all ages.

“Such is the global appetite for such an event that the organisers have now received countless information requests from many countries that include Japan, South Korea and the USA.”

The Summer STEM Academy was launched in 2018 and brought high school pupils from 13 local authorities to locations in and around Glasgow, along with registered and probationer primary and secondary teachers.

Follow-up interviews with participants found that both pupils and teachers were significantly more engaged with science, and a reduction in anxiety about both learning and teaching STEM subjects.

Dr Margaret Ritchie, of the University of Glasgow’s School of Chemistry, has organised each of the Summer STEM Academy events and led the effort to put this year’s projects online.

Dr Ritchie said: “The Summer STEM Academy programme was built from the ground up to create quality partnerships between universities, schools and businesses and find new ways for them to benefit from working together.

“It gives students the chance to see academia and industry up close, student teachers the chance to learn new methods of teaching, and academics and industry professionals the chance to reach out to younger people and shape their understanding of how science and business intersect.

“The coronavirus turned our plans for the third year of the Summer STEM Academy upside-down, but it’s also given us the opportunity to open up our workshops and reach a much bigger audience by putting them online. We also hope that it will keep participants engaged and interested in science while schools remain closed, and ensure they’re motivated to learn when schools reopen.

“Our content comes from volunteers across a broad spectrum of backgrounds, from an undergraduate student through academics to industry veterans. They’ve given us a lot of great content for school pupils and student teachers alike, and we’re really excited to make it available for them to explore over the summer.”

Edinburgh biker bride with MND celebrates lockdown wedding

Elaine Hawes (53) and Fred Aspinall (54) refused to let the Coronavirus pandemic put a stop to their big day, marrying at their home in Edinburgh on 16th May.

Elaine, a motorcycle enthusiast, was diagnosed with Motor Neurone Disease (MND) in November 2019 and since then her world has been turned upside down – including her dream of a big biker wedding surrounded by friends and family.

MND is a rapidly progressing terminal illness, which stops signals from the brain reaching the muscles. This may cause someone to lose the ability to walk, talk, eat, drink or breathe unaided.

Due to lockdown restrictions, the couple, who have been together since 1982, had to cancel their wedding plans but were determined to not let this stop them.

Instead, Elaine and Fred organised a small ceremony at home in a private garden.

Elaine said, “We were always going to have it on 16th May but we should have been married in the Tushie Inn followed by a reception at Honey Cottage caravan site – both places were chosen because we have a lot of friends in this area.

“Since being on lockdown, I have not been good. We are not people who sit about. We were always out and enjoying our caravan in the Scottish Borders and mixing with people. I need to be round people, and the wedding was something we were really looking forward to enjoying.

“However, due to my illness and lockdown we weren’t able to go ahead with our original plans. It took Fred over 37 years to propose, so I wasn’t going to let this stop us.”

Elaine, who is originally from Dunbar, continued: “We ended up having the wedding at home in a private park. It was a great day and all the neighbours decorated the park up for us. Thank you to my great neighbours for making it a special day and for making us a wedding cake. My brother also made a lovely floral arrangement.

“MND Scotland gave us a grant to help with the costs of our wedding and honeymoon. We’re planning on going to a disability caravan in Yorkshire but need to save a bit more as it’s more expensive to cover all my needs. I don’t know why holidays have to triple in price because of a disability – it is not right!

“We’ll also still have our wedding reception at the campsite when lockdown is over, along with the Edinburgh band ‘Big Fat Panda’ (one of our favourites) and plan to have a great time.”

Elaine first noticed something was wrong in February 2019, when she started experiencing flu-like symptoms and slurred speech. In November, Elaine was diagnosed with MND and has since been robbed of many of the things she loves to do.

“Life is changing very quickly for me and I have so much to do still. I think if I get any worse, well what is the point going on? I am not the same person I was. I am no longer able to ride my motorcycle, along with everything else I used to enjoy doing before MND. Things I will never get back. I was a very independent person and could always stand up for myself. I was very bubbly and outgoing, and loved life to the full.

“Last year I was all excited we had paid our house off and to celebrate I treated myself to a new motorcycle 650 Vulcan but then I got hit with this illness so had to sell the new motorcycle losing a lot of money.  As well as motorbikes, I loved going to concerts, the theatre, nights out with the girls, dancing to live music and camping – I absolutely love the outdoors.

“I loved my job too. For 12 years I would get up at 5am every morning to go to my work as a receptionist for a Financial Company. I got to meet lots of people and communicate with clients from all over the country, and the world.

“I miss my job so much. Financially, leaving my job has been very stressful. The benefits system is really confusing and I think people with a terminal illness should get everything sorted automatically. Thankfully MND Scotland’s Welfare and Benefits Officer, Nicola Povey, was able to help get it sorted for me. That took a big weight off my shoulders.

“The most frustrating thing about it is my brain works well but I can’t communicate the way I used too. I was always witty and loved banter, but this disease has taken over my body and no one can help me. I hate not being in control.

“My husband Fred has been doing a fantastic job with me. I had a lot I wanted to do with my husband and still had places to visit, but we will try to do what we can. It won’t be the same but as long as I have Fred and Jake my Labrador with me.

“The most important thing for me now is spending as much time as possible with Fred, my brothers and my friends. I always need my friends around me, so hurry up with this lockdown – you are stopping me enjoying what we have left!

“The only way we are going to beat MND is to raise money for more research and get the drug trial up and running again soon. I had real hope in the drug trial but because of coronavirus it has been put on hold.

“I will definitely be taking part as soon as I can. We also need to raise much more awareness of the disease nationally and that’s why I am sharing my story today – to ask all of you reading to make a donation and help us find a cure!”

Craig Stockton, MND Scotland’s Chief Executive, said “On behalf of the whole team at MND Scotland I’d like to pass on my congratulations to Elaine and Fred. I’m very glad our grant has contributed to their special day and hope it’s not long before they can celebrate in the way they wished.

“For people living with MND, time with loved ones is precious. Social-isolation measures, while essential, are placing huge restrictions on the care and support many rely on every single day. Even basic companionship, like having a friend or loved one pop round to say hello.

“That’s why we launched our new services hub, to help us stay connected to families in Scotland, so no one has to go through MND alone. ‘MND Scotland Connected’ at its core provides one-to-one phone support, video support groups and emergency financial grants.

“People with MND need us more than ever, so if you’d like to help support people affected by MND during MND Action Week (15-21 June), visit www.mndscotland.org.uk/imagine.”

Hibs to consult supporters on ‘difficult choices’

Since the global pandemic hit the UK – wreaking havoc with our lives, our health and care systems, and our businesses – Hibernian supporters have been magnificent in their backing for the club.

Our support has been the silver lining on a cloudy horizon. In turn, we have sought at every turn to keep supporters informed as honestly as we are able to. With that in mind, it is now important to let supporters know that difficult choices must be considered to reduce costs to protect the future of Hibernian.

We are today embarking on a process of consultation with our people over proposals to find cost reductions. This is no different from any other business in this economy, many of which have already taken steps to protect their future.  We must all recognise that the club must be financially sustainable.

When we outlined our ambitious plans at our AGM a few months ago, no-one could have predicted that the healthy cash balance the club enjoyed at that time would be severely depleted a few months later as we faced this crisis and no revenue being generated from normal operations.

The club has continued to meet its full liabilities, internally and externally, with some of these deferred but still due later in the year. This initial action was a vital step, allowing us breathing space to manage cashflow and, importantly, to engage with our staff.

With no clear end in sight and a full return to football in stadia full of supporters likely to be in 2021, there has been, and there will continue to be, a substantial and unsustainable strain on the Club’s finances.

We forecast that our revenues will be halved in 2020-21 and we anticipate a significant loss for the current season that was cut short in March, despite the support shown by fans so far. That is the reality we face, and the continued uncertainty and restrictions mean our current cost structure is not sustainable.

Chairman Ronald Gordon said: “We’re all excited that football is returning – but it will be behind closed doors, with likely limited attendance as a next phase. That means we continue to endure limited revenue opportunities for the foreseeable future.

“Therefore, several initiatives, activities and services at our club need to be paused or scaled back until it is safe, permissible and financially prudent for us to resume activity.

“We must now focus our limited resources on our core business – and that is supporting our first team to deliver success on the pitch. That is what we are here to do.  This scaling back will have an impact on our people, and we enter into a period of consultation with them to discuss the potential impact on them.  I would like to thank the contribution and efforts of all of our staff during this difficult time.

“I would also like to thank our supporters who, recognising the threat to the club, have responded. Around 8500 Season Tickets for next season have sold so far, with more selling each day despite fans knowing that the timing and shape of next season is far from clear at this stage.

“Our “Thank You NHS” home shirt was launched to national acclaim and record sales. And with the 2019-20 season called early, with four home matches not played, less than 15 per cent of season ticket holders have requested a refund.

“We will get through this by all working together. Supporters, staff, management and players have all played their part so far, and I believe will continue to do so.”

Monies raised through the sale of season tickets for 2020-21 will help fund next season’s campaign. We welcome the announcement of a framework agreed between the SPFL and Sky which should see the top-flight of Scottish football resume in August.

With football facing a “behind closed doors” start to the season, the new framework means those who have already purchased season tickets for season 2020/21 now know they are guaranteed to see all home matches live until entry to stadiums returns.

Hibernian will soon announce full details of our package, which is being designed to give our season ticket holders the best possible value and a unique, exciting and enjoyable Hibernian matchday experience.

Leeann Dempster, Chief Executive, said: “I would add my thanks to Ron’s for the professionalism shown by our staff throughout this crisis.

“From the start, in light of the uncertainty around what shape next season will ultimately take, we have sought to ensure our supporters have the fullest understanding of the situation before us, and that includes what your ticket will secure for you.

“Any supporter who cannot commit to travel this difficult journey with us will be treated fairly, with respect, and with our understanding, but we hope and believe you will want to be with us every step of the way.

“We understand not everyone is able to help as they might like in these difficult times, however if you can help, we thank you for it.”

Guidance published to reopen childcare safely

Nurseries and other early learning and childcare (ELC) providers have received new guidance to help them plan for reopening when it is safe to do so.

Although some settings are providing critical childcare to vulnerable children and children of key workers, most will remain closed until later in the summer.

The new guidance sets out the core public health measures that will need to be taken to allow safe reopening, including:

• enhanced hand hygiene and cleaning practice
• caring for children in small groups and minimising contact between those groups
• maximising the use of outdoor space
• physical distancing between adults and older children at drop-off and pickup times.

The guidance was developed in partnership with Health Protection Scotland, local authorities, representatives of private and third-sector childcare providers, trade unions and the Care Inspectorate.

Children’s Minister Maree Todd (above) said: “We all want our youngest children to be back enjoying their nurseries and playing with friends as soon as possible. However, the safety of children and staff must come first, so nurseries and other childcare settings can only fully reopen when public health advice tells us it is safe to do so.

“This new guidance makes clear the principles that should be followed in preparing for staff and children to return. Our fantastic childcare practitioners know their settings best and they will be responsible for ensuring all necessary steps are taken to restart high-quality learning and care in a nurturing and safe environment.”

Guidance on reopening of ELC services

Job retention scheme shows we’re stronger together, says Briggs

Lothian list Conservative MSP Miles Briggs has praised the UK Government’s job retention scheme which has protected over 100,000 jobs in Edinburgh and the Lothians.

City of Edinburgh 58,400
West Lothian 21,700
East Lothian 12,500
Midlothian 11,200
Total 103,800

He says the UK Government’s job retention scheme is an excellent example of how Scotland and the rest of the United Kingdom are stronger together.

The Covid-19 pandemic is an unprecedented national and global crisis which the Scottish and UK government have responded to together.

The UK Government has provided further support to businesses and individuals in Scotland through the self-employed scheme, bounce back loans, VAT referrals and increases in welfare support such as Universal Credit, as well as an extra £3.8 billion in support through Barnett Consequential funding.

Lothian MSP, Miles Briggs, commented: “Lockdown in response to the outbreak of Covid-19 has been challenging for businesses throughout Edinburgh and the Lothians.

“The uncertainty caused by this pandemic has put tens of thousands of jobs at risk, which the job retention scheme has managed to make more secure.

“It is remarkable that the UK government has been able to protect so many jobs during this pandemic.

“We must now focus on getting the economy moving again so that Edinburgh and the Lothians can start recovering from the Covid-19 outbreak. I have called on SNP Ministers to establish a Recovery Taskforce for Edinburgh and the Lothians.”

First Minister looks forward to Phase 2

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House on Sunday 14 June:

Good afternoon everyone, thank you for joining us this afternoon. I’ll start as alwayswith an update on some key statistics in relation to Covid-19.

As at 9 o’clock this morning, there have been 15,755 cases confirmed through our NHS laboratories – that’s an increase of 25 from yesterday.

A total of 964 patients are in hospital with confirmed or suspected Covid-19. That represents a total reduction of 19 from yesterday, including a reduction of 7 in the number of confirmed cases.

A total of 15 people last night were in intensive care with either confirmed or suspected Covid 19. That is a decrease of 5 since yesterday.

I can confirm that since 5 March, a total of 3,904 patients who had tested positive for the virus and required to be in hospital have now been able to leave hospital. I wish all of them well.

And in the last 24 hours, I can confirm that 1 death has been registered of a patient confirmed through a test as having Covid-19 –which takes the total number of deaths in Scotland, under that measurement, to 2,448.

I want to stress as I always do that these numbers are not just statistics – they represent people whose loss is being mourned right now. That point is just as important when we are reporting one death, as it is when we report multiple deaths. So – once again – let me send my deepest condolences and my thoughts to everyone who has lost a loved one as a result of this illness.

Let me also express my thanks – as always – to our health and care workers for the extraordinary work that you continue to do in very testing circumstances.

And indeed, let me broaden that today to all of our key workers – health and care, obviously, but our police officers, our prison officers, those who are keeping our energy systems working, keeping food on our tables, everybody who has played a part in ensuring our country has kept operating during this very difficult time.

I’ll move on to questions fairly soon, but I want this afternoon to give an indication of what you can expect in the week ahead.

I hope to be able to confirm on Thursday, that people who are shielding will be able to go outdoors for exercise.

In addition, as you know, we are required by law to review the lockdown restrictions every three weeks. The next review date is Thursday. At that point, I will set out to parliament our assessment of whether the current suppression of the virus allows us to move to phase 2 of our route map.

As things stand right now, I remain optimistic that, on Thursday, while we might not be able to do absolutely everything we hoped to do in phase 2, we will nevertheless be able to enter that next phase and announce some further important steps on our journey back to normality.

The reason for my cautious optimism is that since we last announced changes, we have continued to see a downward trend in COVID-19 cases, and also in the weekly number of deaths. In addition, the R number – which as you know is the rate at which the virus reproduces – has fallen slightly, and is now between 0.6 and 0.8, and it’s crucial that it remains under 1.

So I hope, for example, that as well as allowing a bit more social interaction, from Thursday we will also be able to move forward with the remobilisation of the NHS and also indicate a date from which our retail sector can begin to re-open.

All of that and any other changes that we’re able to announce on Thursday will be in line with the careful approach that we set out in our route map.

And that is really important. The evidence suggests that the careful approach we have adopted so far is working.

The lesson I take from that is that we should stick with that plan – not discard it.

Because – and this is the much harder bit – while transmission of the virus is much reduced, the virus hasn’t gone away yet.

We still have a significant number of infected people in Scotland. And we are still seeing new cases each day. The risk remains that, if we move too quickly, and if we start coming into closer contact with too many people, cases of the virus could start to multiply again very quickly and we need to avoid that happening.

On the other hand, if we hammer down  the incidence and prevalence of the virus down to the lowest levels we can, our exit from lockdown may then involve a return to more normality in the medium term than we previously thought possible.

And that’s of course what we must hope for right across the board – but it will be particularly important as we try over the next few months to restore as much normality as we can to children’s schooling. Which of course is a big priority, not just for the Government and for local authorities, but for parents and young people the length and breadth of the country.

So while there are no risk free options – and we shouldn’t slow down progress in pursuit of perfect risk free options that don’t exist – equally we must not ease restrictions at a pace that very obviously heightens the risks.

And we should also realise that the prize for going perhaps a bit more cautiously now, could be a return to greater normality in the medium term.

We have seen in England and some other countries, that the R number may have increased, particularly in certain regions – and we might see that here too. That’s won’t necessarily be a cause for panic – but it should be a reminder to us to constantly check and assess the impact of our actions.

All of that means the judgements we make about phase 2 will by necessity be finely balanced.

Phase 2 contains a number of significant measures – including potential changes to the rules on how we can meet each other, what workplaces can reopen, and which public services can resume.

We are currently assessing the impact of those different measures.  That means considering the particular risks that each element will bring, and thinking also about what mitigating actions might be needed to reduce those risks. And it means – as we have done right throughout this crisis – weighing up both the harms that come from Covid, and also the harms that come from lockdown itself.

As I said earlier, we might not be able to do absolutely everything – but we want to do as much as possible, and we will do as much as we possibly can.

It is also likely that not everything that we are able to do in phase 2 will kick in straight away on Friday.

Regulatory changes will have to be made.

Our public transport operators will need time to implement their plans to increase capacity safely.

And workplaces that we hope will be permitted to open, will need to ensure they have the appropriate physical distancing measures in place; that guidance is being followed; and that employees feel confident that they can return to work safely.

We are producing additional guidance this week – in advance of any possible changes – for Early Learning and Childcare, for the retail sector, and on the use of public spaces.

Steps such as these are essential, to ensure we continue to suppress the virus as much as possible.

Once we determine what changes can be made, we will phase them in, in the most constructive way we can. We want people to be confident that they will be safe, as more social and economic activities gradually resume.

It’s also vital that we all understand the crucial point that I stressed earlier. Just because the number of cases is currently declining, and we are thinking of easing the restrictions – that does not mean the threat of coronavirus has gone. It hasn’t. The progress we have made still remains fragile, and the virus call too easily could run out of control once again.

There are some worrying signs of that right now in some states in America, for example.

So we must work hard to get the balance as right as we can. And as we do that, some of the most basic public health advice becomes even more important.

As we move through the routemap what we are doing, as a society, is relying less on strict lockdown restrictions to suppress the virus – and relying more instead on all of us following the public health guidance, maintaining physical distancing and of course participating in Test and Protect.

Our ability to move to further phases, and to sustainably re-open our society and economy – so that we do not need to lockdown again in the future – depends on all of us strictly following those principles.

In the weeks and months ahead – perhaps even more than at the present time – we all have to remember that the decisions we are making as individuals, will affect the health and wellbeing of all of us.

And so it remains critical that we stick with the current public health guidance. So let me end just by recapping on what that is.

We should all be staying home most of the time, and seeing fewer people than we normally would. When we do meet people from another household we should stay outdoors. We must stay outdoors and stay 2 metres apart from them. We shouldn’t meet more than one other household at a time, and not more than one a day – and keep to a maximum of 8 people in a group.

We should all be washing our hands often and thoroughly. If we’re not at home, make sure we have hand sanitiser with us.

And please wear a face covering if you are in a shop or on public transport, or in any enclosed space where physical distancing is more difficult.

Avoid touching hard surfaces – and clean any you do touch.

And if you have the symptoms, get a test immediately and follow advice on self-isolation. You can book a test by going to the NHS Inform website.

If we all continue to do these things and make sure we don’t ease up on the basic public health guidance then we will continue to see this virus suppressed and we will continue to see easing of lockdown restrictions become much more possible in the future.

My thanks again to all of you for doing that. I’m going to hand over now to the Chief Nursing Officer and then to our National Clinical Director to say a few words before taking questions.

Edinburgh Book Festival to go online

Organisers of the Edinburgh International Book Festival have announced that they will be presenting the 2020 Book Festival online from Saturday 15 to Monday 31 August. 

The programme, made up of over 100 events for adults, families and children, will offer both live and pre-recorded conversations featuring leading writers, poets and participants from around the world.

Events will be free to view, and available through the Book Festival’s own website.

Nick Barley, Director of the Edinburgh International Book Festival, said “We are very excited to be presenting live online events for the first time. 

“Thanks to invaluable support from The Scottish Government, Creative Scotland, The City of Edinburgh Council and many of our sponsors and donors, including Baillie Gifford, People’s Postcode Lottery and a number of generous individuals, we are in a position to experiment, to bring the essence of our wonderful festival to our loyal supporters – and new audiences – in a series of ambitious, innovative and exciting online conversations.

“The Edinburgh International Book Festival is a crucial part of the literary year for Scottish and British writers and publishers, and we felt strongly that we needed to showcase the very best writing and ideas despite not being able to come together in Charlotte Square Gardens in Edinburgh this August.”

Full details of the programme and participating authors for the 2020 Edinburgh International Book Festival online, and information on how audiences can access the free events, will be announced at the end of July.

Picture: EIBF

Government action on coronavirus in England ‘a catalogue of errors’

A National Audit Office (NAO) report has catalogued the UK Governement’s response to the coroanvirus pandemic.  UNISON says the report is ‘a catalogue of errors’ and highlights a ‘complete absence of planning or thought for social care’.

The report by the National Audit Office (NAO) provides a factual overview of the response by the Department of Health and Social Care (DHSC) and other bodies during March and April 2020 to prepare the NHS and adult social care in England for the COVID-19 pandemic.

It is the second report in the NAO’s programme of work on government’s response to the outbreak.

After declaring a Level 4 National Incident in relation to COVID-19 in late January, on 17 March the NHS set out measures to prepare for a surge in infections. From 13 March DHSC began to issue guidance to the care sector before publishing an action plan for adult social care on 15 April.

So far, government has allocated £6.6 billion from the Coronavirus Emergency Fund to support the health and social care response to COVID-19 and £3.2 billion directly to local authorities to respond to COVID-19 pressures across local services.

Action taken by the NHS to increase capacity meant there were enough beds and respiratory support nationally at the peak of the outbreak in April.

Between mid-March and mid-April, the NHS increased the number of beds available for COVID-19 patients from 12,600 to 53,700, by, for example, discharging patients and postponing elective, or planned, procedures.

Planned activity fell by 24% in March 2020 compared to March 2019. The NHS also contracted with private hospitals to use up to an additional 8,000 beds, and established temporary Nightingale hospitals.

This meant that nationally the number of COVID-19 patients never exceeded the number of available beds.

From early March to mid-May, available ventilators and other oxygen support also increased, with the number of mechanical ventilators rising from 9,600 to 13,200. Over the April peak, the NHS also met the national demand for oxygen supply.

Other measures implemented to help the NHS cope with the outbreak included the temporary deployment of 18,200 additional staff to clinical and support roles, of which around 8,000 were retired or former staff making themselves available for such roles.

There have been numerous outbreaks of COVID-19 within adult care homes in England, with more than one in three reporting an outbreak between 9 March and 17 May. This peaked at just over 1,000 homes in the first week of April.

Some parts of the country were more affected than others, with the North East being the area with the largest proportion of its care homes (just under half) reporting an outbreak by 17 May.

Patients discharged quickly from hospitals between mid-March and mid-April were sometimes placed in care homes without being tested for COVID-19.

On 17 March, hospitals were advised to discharge urgently all in-patients medically fit to leave in order to increase capacity to support those with acute healthcare needs.

Between 17 March and 15 April, around 25,000 people were discharged from hospitals into care homes, compared with around 35,000 people in the same period in 2019.

Due to (UK) government policy at the time, not all patients were tested for COVID-19 before discharge, with priority given to patients with symptoms. On 15 April, the policy was changed to test all those being discharged into care homes. It is not known how many patients discharged to care homes had COVID-19 at the point they left hospital.

The £3.2 billion funding for local authorities was to help them respond to COVID-19 pressures across all the services they deliver, including adult social care. Some in the sector are concerned that local authorities have not increased the rates they pay to care providers. In a survey by the Association of Directors of Adult Social Services, around half of local authorities said they were temporarily increasing rates.

Testing for health and social care workers has faced challenges.

On 17 March the NHS announced that testing would begin being rolled out to NHS staff with symptoms. Limits on testing capacity meant tests started to be rolled out to symptomatic NHS staff from 27 March.

This was extended to care workers on 15 April and to the rest of their households two days later. From 28 April, all care home staff were eligible for tests but the DHSC capped the daily amount of care home tests at 30,000, to be shared between staff and residents.

The government does not know how many NHS or care workers have been tested in total during the pandemic.

Based just on tests carried out by the NHS, NHS England & NHS Improvement estimates that the number of NHS staff and the people they live with who were tested increased from 1,500 to 11,500 a day during April.

A range of bodies across health and social care have raised concerns about the supply of personal protective equipment (PPE).

At the start of the outbreak, the only central stockpile of PPE was designed for a flu pandemic. Although an independent committee advising on stockpile contents had recommended in 2019 that items such as gowns and visors should be included, these had not been stockpiled.

The central procurement route set up to supply PPE during the outbreak met the modelled PPE requirement (under a worst case scenario) for some items in NHS trusts, but distributed 50% or less of the modelled requirement for gowns, eye protectors, or aprons. It only addressed a small proportion of the modelled requirement for PPE among social care providers.

Within its wider programme of COVID-19 related work, the NAO will undertake more detailed assessments of specific elements of the health and social care response, which will also help to identify lessons for subsequent stages of this pandemic and other future emergencies.

Launching the report, Gareth Davies, the head of the NAO, said: “This report demonstrates the enormous efforts of staff across health and social care to respond at speed to the unprecedented challenge of the COVID-19 pandemic.

“While we have not sought to evaluate government’s response in this report, our work raises some important considerations.

“The speed and nature of the response in health and social care has been shaped by longstanding differences between the sectors and ongoing financial pressures. Government’s ability to increase beds, ventilators, PPE and testing has varied in part because of the number of other bodies, both national and international, with which it has had to engage.

All of these issues need to be taken into account as government plans for the later phases of the pandemic and future emergencies.”

Readying-the-NHS-and-adult-social-care-in-England-for-COVID-19

Commenting on the report, UNISON assistant general secretary Christina McAnea said: “This is a catalogue of errors and highlights once again a complete absence of planning or thought for social care.

“Discharging patients to care homes without testing was simply scandalous and accelerated the spread of the virus among an obviously high-risk group.

“This report confirms what staff have said from the start, that the supply of protective equipment in social care was woefully inadequate.

“And it makes clear the (UK) government doesn’t know how many people have actually been tested in care.

“It’s plain the care sector was out of sight, out of mind in the early stages of the pandemic. The result has been a tragic and catastrophic loss of life.

“When the government announced compulsory face coverings for the NHS but made no mention of care, it was clear lessons haven’t been learned. The sector’s still being treated as an afterthought.”

Care home testing must increase, say Scottish Tories

SNP Ministers must step up their efforts and get on top of testing care home staff and residents in NHS Lothian.

2,665 care home staff and 2,460 care home residents have been tested cumulatively since the start of the Covid-19 outbreak, up to the 7th June.

This is despite SNP Health Secretary Jeane Freeman promising last month that every care home worker would be routinely tested.

The Scottish Conservatives challenged SNP First Minister Nicola Sturgeon on the matter at First Minister’s Questions where Nicola Sturgeon revealed only a fifth of care home staff had been routinely tested across the country.

Table 5 – Number of Tests – Care Home Staff and Residents
             
Number of Tests
Week Commencing 1 June Cumulative total to 7 June
NHS Board Staff Residents Staff Residents
Ayrshire and Arran                67                  30                689              579
Borders                22                  13                343              193
Dumfries & Galloway                  4                    7                  75              159
Fife             178                  30                763              372
Forth Valley             876               565            2,176           1,858
Grampian             115               167            1,709           1,668
Greater Glasgow & Clyde                17               678                920           5,709
Highland                47                  40                258              265
Lanarkshire                43               119                586              956
Lothian             566               327            2,665           2,460
Orkney                  6                    5                  20                 15
Shetland                  8                    9                  74                 52
Tayside             264               139                876              741
Western Isles                30                    4                  41                 22
Scotland          2,243            2,133          11,195        15,049

Scottish Government statistics reveal that across Scotland’s 14 health boards, only 18,110 care home staff have been tested out of an estimated 50,000 across the country – NHS Border said it didn’t have the capacity to run care home tests.

Lothian MSP Miles Briggs has repeatedly raised concerns over the level of testing in care homes since the start of the Covid-19 pandemic.

Earlier this month it was revealed that over 900 hospital patients were discharged to care homes with being tested for Covid-19.

The Scottish Conservatives are calling for all for SNP Ministers to set a deadline for when all care home staff will be routinely tested.

Miles Briggs, who is the Conservative health spokesperson, said: “There has simply not been enough testing carried out in care homes since the start of the Covid-19 pandemic, which has had disastrous consequences.

“SNP Ministers have been repeatedly told that testing is crucial for reducing the spread of Covid-19, but have slow to implement testing in care homes.

“In Edinburgh and the Lothians there have only been 2,665 tests carried out on care home staff, no where near as many as are necessary.

“Nicola Sturgeon and SNP Ministers must set a firm deadline as to when all care home staff will be tested.”