coronavirus – Page 127 – The NEN

First Minister: envisaging a ‘new normal’

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House yesterday:

Good afternoon everyone. Thank you for joining us for today’s briefing as usual.

Today I’m going to focus quite a lot on the paper we’ve just published about how we might, at the right time and in the right way, begin to restore some normality to our lives, while still containing the COVID-19 virus.

But before I do that, I will start as usual with an update on some of the key statistics in relation to the virus in Scotland.

As at 9 o’clock this morning, there have been 9,409 positive cases confirmed – which is an increase of 371 from yesterday.

A total of 1,748 confirmed or suspected COVID-19 patients are in hospital – and that is a decrease of 28 from yesterday.

And a total of 148 people last night were in intensive care with confirmed or suspected cases of the virus. And that is a decrease of seven since yesterday. Let me say again as I did yesterday, these figures on hospital admissions and admissions in to intensive care are very encouraging and do give us real optimism at this stage.

However in the last 24 hours, I am very sorry to have to report that 58 deaths have been registered of patients who had been confirmed through a test as having the virus – and that takes the total number of deaths in Scotland, under that measurement, to 1,120.

Once again, it’s really important for all of us to remember that each of these deaths represents a unique, loved and irreplaceable individual. And I want to again extend my deepest condolences to everyone who has lost a loved one.

I also want again to thank all of our health and care workers right across the country. This evening many thousands of us will, yet again applaud your efforts – we are all so deeply grateful to you for the extraordinary work you are doing.

So let me turn now to the paper we have published just a few moments ago about the decisions we will need to take as we seek to contain this virus while also restoring a semblance of normality to our lives.

And I want to be very clear with you at the outset – what we are publishing at this stage today is, by necessity, a first cut.

I am seeking today really, to start a grown up conversation with you, the public.

The decisions that lie ahead of us, of all of us, are really complex.

We will – as we have done all along – seek to inform those decisions with the best scientific advice possible.

But the science will never be exact, so we will also require to make very careful judgments.

And we are in uncharted territory – it’s impossible to know with absolute certainty what the impact of our decisions will be in advance.

That means we must also be prepared to adapt and change course as we go. We want to ease restrictions, of course we do, but we cannot absolutely rule out having to reapply some of them in future should we have evidence that the virus is again running out of control.

And I want to be frank with you every single step of the way about all of these complexities and uncertainties.

So while today’s paper is still quite high level, it is the start of a process.

It sets out the objectives and the principles that will guide us, the different factors that we will need to take into account, the framework in which we will take decisions, and the preparations we need to make now.

In the days and the weeks ahead, evidence, data and modelling will allow us to take firmer decisions.

As that happens, this paper will evolve into a detailed plan with metrics, actions, milestones and measurements attached to it.

And I give an assurance today that as we go through this process, we will share our thinking on an ongoing, iterative basis.

But let me briefly set out some of the key points today.

Firstly, and this is an obvious point, this virus causes real harm. And we see that every day in the statistics that we report, especially in the numbers of people who have died.

But the lockdown measures we are taking to contain the virus are also doing damage.

They’re doing harm to the economy and to living standards, to children’s education, to other aspects of our physical health, and to mental health and wellbeing. And the toll of all of that may also, in time, be measured in poorer health outcomes and lives lost.

So we must try to find a better balance than the one we have right now.

But my second point is that, as we do so, we cannot and we must not take our eye off the need to suppress the virus and minimise the damage that it does.

And let me be very clear about this, continuing to suppress COVID-19 is the central objective that we set out in this paper today.

Obviously, we cannot guarantee that no one will get this virus in the future – far from it – but an assumption that it is somehow safe to allow a certain proportion or a certain section of the population to get the virus is not part of the approach we will be taking.

Third, we are increasingly confident that measures we are taking now are suppressing the virus.

The key factor – and you may have heard this before – is what is known as the reproduction rate – the R number. And that needs be as far below one as possible.

Now before lockdown that R number was very likely above three. And that means everyone with the virus was infecting three more people, each of them was infecting three more people and so on and on. That is what is exponential growth.

Our best estimate now is that the R number is somewhere between 0.6 and one – though I should say that it is probably still higher in certain settings, such as care homes.

But we can’t yet be absolutely sure about any of that. That’s why we need more time to monitor the statistics we report every day – like case numbers, hospital and ICU admissions, and numbers of deaths. And we need to develop further our data through ongoing surveillance.

It’s only when we are sure that the virus is under control that we can even start to ease any of the restrictions.

And it’s my next point really that takes us to the hard part.

When we do reach that stage, the virus will be under control only because of the severity of the restrictions we are all living with just now. But the virus will not have gone away.

So as we start to lift the restrictions, the real risk – and it is a very real risk – is that COVID-19 runs rampant again.

So a return to normal as we knew it is not on the cards in the near future. And it’s really important that I am upfront with you right now about that.

What we will be seeking to do is find a new normal – a way of living alongside this virus, but in a form that keeps it under control and stops it taking the toll that we know it can do.

Social distancing and limiting our contacts with others will be a fact of life for a long time to come – certainly until treatments and ultimately a vaccine offer different solutions. So that means possibly for the rest of this year and maybe even beyond.

And that’s why talk of lifting the lockdown – as if it’s a flick of a switch moment – is misguided.

Our steps – when we take them – will need to be careful, gradual, incremental and probably quite small to start with.

We will need to assess them in advance and monitor them in action. Sometimes, as I said a moment ago, we may even need to reverse things.

As we go, we will apply our judgment to the best scientific advice possible, we will continue to collaborate closely with the other governments across the UK, and we will learn from international experience. The fact is that different countries are at different stages of this pandemic – but none of us are anywhere near through it yet and we all face the same challenges.

So as we make these decisions here, careful balances will have to be struck.

For example, it may be that be that certain business in certain sectors can re-open – but only if they can change how they work to keep employees and customers two metres distant from each other.

Similarly with schools – classrooms may have to be redesigned to allow social distancing, so maybe not all children can go back to or be at school at the same times.

Some limited outdoor activity might be able to restart earlier than indoor activity. But let me be clear, big gatherings and events are likely to be off for some months to come.

We will also consider whether different approaches would make sense for different areas – though our preference, not least for ease of understanding, will be for as much consistency as possible.

And of course given how severely this virus is affecting older people and those with other health vulnerabilities, some form of shielding will almost certainly be required for the foreseeable future.

Now let me stress that what I have just set out there are not firm decisions – but they do illustrate the kind of options we will be assessing.

And as we do so, we will consider not just the health imperatives, but also issues of practicality, sustainability, fairness and equity, ethics and human rights.

And lastly, as well as changes to how we live, we will use public health interventions and technology to the maximum possible to help us control this virus.

In the next phase, extensive testing, tracing of those who test positive and the isolation of symptomatic people to break the chain of transmission will be a central part of the approach that we will take. And the preparations to make that possible are already under way.

We will also discuss with the UK government – for this is a reserved responsibility – the need for stronger surveillance measures for those coming into the country from elsewhere.

So in short, this paper sets out the difficult decisions we face and the way in which we will go about preparing for them, making them and also assessing their impact.

I want to stress again because it’s important that I am frank. The path ahead is not an easy one – it is paved with complexity and uncertainty. But with openness, transparency and frankness along the way, I believe that together we will be able to navigate it. It is for me and for government to work through and lead that process. But this is about all of us – hence this discussion that we are opening up with all of you today.

The paper we have published is available on the Scottish Government website. I will post a link to it on Twitter, later this afternoon.

So, please, even if – like I suspect most of the population – you are not in the habit of reading government documents, have a look at it. And if you have views on it please let us know. These views are important and will be helpful.

As I said earlier, I will continue to share our thinking with you as it develops.

But let me now end now on a vital point and one that you have become used to hearing me make each day. Moving on from where we are now as all of us want to do as quickly as it is safe to do will only be possible if and when we do get this virus properly under control.

And that means sticking with the current rules that are in place just now.

Stay at home except for essential purposes.

Stay two metres apart from others when you have to be out.

Do not meet up with people from other households.

And isolate completely if you or anyone in your household has symptoms.

This is tough, this is the toughest set of circumstances that the vast majority of us have ever lived through – and I can’t stand here and promise you it is going to get a whole lot easier soon.

But as I hope we have started to set out today, if we keep doing the right things, and if we consider all of the options carefully and with the right objectives in mind, I do believe there will be a way through.

And we will find that way through. So thank you for all you are doing to help. And please if you can, engage with this discussion as we go through the days and weeks to come.

Thank you very much for your patience right now in allowing me to go through that in detail.

coronavirus-covid-19-framework-decision-making

Health Secretary announces virus testing boost in England

All essential workers in England and members of their households who are showing symptoms of coronavirus will now be able to get tested.

The biggest widening of access to coronavirus testing made possible due to substantially increased testing capacity
Essential workers with coronavirus symptoms can get tested, helping them return to work if test is negative
Broad range of testing methods being rolled-out to increase accessibility, including home testing kits, mobile testing sites and satellite testing kits
New campaign to provide clear information for essential workers on how to get a test

All essential workers in England, and members of their households who are showing symptoms of coronavirus will now be able to get tested, the UK government has announced.

This will mean individuals and people they live with will have the reassurance of knowing whether their symptoms are caused by coronavirus and can decide whether they are well enough to return to work.

A new campaign will help essential workers in England – including NHS and care staff, teachers, hospital cleaners, public servants, the emergency services, supermarket staff, delivery drivers, and other critical infrastructure staff – to access testing.

Booking the test has been made simpler via a new online system. From today, employers can register and refer self-isolating staff, and from tomorrow employees will be able to book a test directly for themselves or members of their household who are experiencing symptoms – a high temperature or new continuous cough.

This will speed up the process of getting an appointment and take the burden off employers, helping reach everyone who has symptoms at the earliest opportunity.

Secretary of State for Health and Social Care Matt Hancock said yesterday: “We have already prioritised testing for patients and health and social care workers and other key workers today I can go further.

“We are making it easier, faster and simpler for any essential worker in England who needs a test to get a test. From today, employers of essential workers will be able to go on GOV.UK to get a test for any of their staff who need a test. And from tomorrow, any essential workers who need a test will be able to book an appointment on GOV.UK themselves directly.

“This all applies for people in essential workers’ households who need a test too. It’s all part of getting Britain back on her feet.”

Essential workers using the new portal can enter their details and will then receive a text or email the same day inviting them to either book an appointment at one of more than 30 drive-through testing sites across the country, or receive a home testing kit.

Test results from the drive-through sites will be sent out by text within 48 hours, and within 72 hours of collection of the home delivery tests.

The aim is that most people should not have to drive for more than 45 minutes to get to a regional testing site. However, additional testing methods are being rolled-out to support testing accessibility:

A network of new mobile testing units is being rapidly established. These will travel the country to reach care homes, police stations, prisons and other sites where there is demand for testing. The units have been designed to clinical requirements by army engineers and can be easily set up in under 20 minutes.
The new mobile units will work alongside the drive-through test sites, together sending thousands of patient samples to the network of Lighthouse Labs, to rapidly increase the number of tests completed each day.
A delivery service for home testing kits has been designed with key industry partners, including Royal Mail and Amazon. The home delivery service will come on line from tomorrow. The availability of home testing kits will initially be limited, but more will become available soon. This will ensure those not able to travel to a test centre can still take the test, find out their results and return to work if possible.
Working with Public Health England, the Care Quality Commission and the Association of Directors of Adult Social Services, the government is sending packages of ‘satellite’ test kits directly to care homes across England, to enable testing of symptomatic residents.

Since the beginning of April, the government has significantly increased the UK’s coronavirus testing capacity and is on track to provide 100,000 tests a day by the end of the month.

The 3 new Lighthouse Labs in Milton Keynes, Glasgow and Alderley Park in Cheshire are increasing the country’s capacity to test for coronavirus, with each site scaling up to test tens of thousands of patient samples each day.

Each individual site took just 3 weeks to complete and begin testing, staffed by an army of highly qualified staff and volunteers from industry and academia across the country.

Under the UK government’s five-pillar strategy, swab testing has been offered to different groups in a phased approach, prioritising NHS workers, but the ultimate aim is that anyone who needs a test will be able to have one.

Testing helps the government and scientists understand the current spread of the virus and plan how to manage the pandemic moving forwards.

Anyone who thinks they are eligible and has symptoms and would like to be tested should speak to their employer or use the self-referral website to request a test.

The response to coronavirus is a national effort. The government is working collaboratively across the four nations to ensure the take up of testing among essential workers. Each of the devolved administrations will have their own eligibility criteria and testing priorities, however the government is working closely to align approaches.

Lockdown speeders: more drivers seen breaking limit

44% of people claim to have seen more drivers speeding
30mph-limits are the most commonly abused by pandemic speeders

Nearly half of people have witnessed an increase in drivers breaking the speed limit during the government lockdown, according to research carried out by the RAC.

Forty-four percent of UK adults say they have seen more drivers speeding now than they did before the Government introduced the coronavirus lockdown. Roads with 30mph limits appear to be the most abused, with 23% of the 2,020 people questioned by the RAC saying they had seen drivers very obviously breaking the law by going too fast.

Fifteen per cent said they had seen drivers breaking both 20mph and 40mph limits, whereas in 50mph limits only 10% felt there was an increase in speeders. In 60mph and 70mph limits the uplift in speeders is far less pronounced, with 6% and 5% respectively reporting they had seen these limits being broken – but this still represents an increase in observed speeding on these roads compared to before the lockdown.

Just under one in 10 (8%) people claimed they have seen more drivers using handheld mobile phones at the wheel than they would in normal, non-lockdown conditions. Shockingly, 5% of those surveyed believed they had witnessed vehicles racing on public roads.

Evidence from police forces across the country sadly backs up what people surveyed told the RAC, with the Met Police clocking one driver doing 134mph in a 40mph zone and Greater Manchester Police recording a driver going 129mph on the M62.

According to Department for Transport data, excessive speed was responsible for 4,652 road traffic collisions – or the equivalent of 13 road traffic collisions a day during 2018, although due to how data is recorded this figure may underestimate the true number of collisions.

RAC road safety spokesman Simon Williams said: “The frightening conclusion from our research is that a significant number of irresponsible drivers are taking advantage of quiet ‘lockdown’ roads by driving far too fast, putting lives unnecessarily at risk.

“Since the Government told the nation to stay at home many roads have become almost deserted so it’s a concern this is being seen by some as an opportunity to illegally ignore speed limits. It would only take a fraction of a second when driving well over the speed limit for something terrible to happen.

“Couple this behaviour with the fact there are many cyclists on our roads and more people are having to walk in the road to maintain a safe distance from others on pavements and you have a recipe for disaster.

“The last thing the NHS needs as it works night and day to help patients with coronavirus is to have to deal with people injured in avoidable road traffic collisions caused by motorists driving far too fast.

“While there are fewer drivers on the road, it appears police speed traps are more needed now than ever as some of the speeds in built-up areas appear to be excessive. Some police forces, including Greater Manchester and The Met, have already announced crackdowns and it looks as though a similar approach needs to be taken in other parts of the country. It seems very wrong that people who drive so far above the limit should get away scot-free especially during a national emergency.”

For more information about why motorists should be more careful when driving on empty roads during the COVID-19 pandemic visit the RAC website.

Charity tackles ‘lockdown’ isolation facing autistic people

National Autistic Society Scotland is working to tackle the social isolation faced by autistic people across the country by launching a programme of online Social Groups.

The disruption of daily life and routine resulting from the pandemic and the ‘lock down’ has been very challenging for autistic people and their families many of whom are struggling with mental health and intense anxiety.

Research from the charity has also shown that two thirds of autistic people in Scotland feel socially isolated and this was before social distancing was introduced in light of the Coronavirus pandemic.

Social distancing has meant the charity has had to cease face-to-face Social Groups and ‘coffee clubs’ for 200 autistic people, a lifeline for many which allow for people to meet up, develop communication skills and confidence, make friends and live more independently.

The charity is now launching its Social Groups programme online providing opportunities for autistic people to connect and chat about whatever they wish to – from film & TV, to cooking and other hobbies.

They also provide a safe and supported space where people can share their thoughts and gain confidence from each other as well as hearing from staff who can share information on staying safe and healthy.

Nick Ward, Director of the National Autistic Society Scotland said: “Our Social Groups are a lifeline for autistic people across Scotland and we’ve worked hard to get these up and running online so we can play a role supporting people through this difficult time by giving them an online space to come together and socialise.

“This is an extremely challenging time for the charity but we want to expand the reach of our social groups programme to as many autistic people across Scotland so no one has to feel alone. We are busy applying for emergency funding to do this.”

Rory McGill is 25, from Cumbernauld and has been attending one of National Autistic Society’s Social Groups for 2 years. Rory says: “In the past I’ve struggled to talk to people and found it difficult to make friends.

“Going to the NAS social group has really helped build my confidence and has meant I’ve made some good friends. We do interesting stuff like go-karting and laser quest which we obviously can’t do right now which is frustrating.

“The pandemic has been quite emotional for me and it can make me quite anxious so I’m really looking forward to social groups starting up online so I can chat to others, I think it will really help.”

Government begins large-scale virus infection and antibody test study

20,000 households are being contacted to take part in the first wave of a major new government study to track coronavirus (COVID-19) in the general population.

Major long-term study will track spread of COVID-19 in general population
Study will include antibody testing to help understand levels of immunity
Up to 300,000 people to take part over 12 months

The study will help improve understanding around the current rate of infection and how many people are likely to have developed antibodies to the virus.

Participants in the study will form a representative sample of the entire UK population by age and geography. The results will help scientists and the government in the ongoing response to the coronavirus outbreak, with initial findings expected to be available in early May.

Led by the Department for Health and Social Care (DHSC) and the Office for National Statistics (ONS), the study draws on the world-leading scientific expertise of the University of Oxford, backed by the proven testing capabilities of data science company IQVIA UK and the National Biosample Centre in Milton Keynes.

The flagship study forms part of Pillar 4 of the UK government’s COVID-19 testing strategy, to conduct UK-wide surveillance testing to learn more about the spread of the disease and help inform the development of new tests and treatments.

It will add to the population data already being collected through the national surveillance programme operated by Public Health England, which has been enhanced since the end of February.

Health Secretary Matt Hancock said: “Understanding more about the rate of COVID-19 infection in the general population, and the longer-term prevalence of antibodies, is a vital part of our ongoing response to this virus.

“This survey will help to track the current extent of transmission and infection in the UK, while also answering crucial questions about immunity as we continue to build up our understanding of this new virus.

“Together, these results will help us better understand the spread of the virus to date, predict the future trajectory and inform future action we take, including crucially the development of ground-breaking new tests and treatments.”

Participants will provide samples taken from self-administered nose and throat swabs and answer a few short questions during a home visit by a trained health worker.

The swab tests will show whether or not participants currently have the virus. They will be asked to take further tests every week for the first 5 weeks, then every month for 12 months.

In total, 25,000 people will take part in the pilot phase of the survey, with plans to extend it to up to around 300,000 over the next 12 months.

Adults from around 1,000 households will also provide a blood sample taken by a trained nurse, phlebotomist or healthcare assistant. These tests will help determine what proportion of the population has developed antibodies to COVID-19. Participants will be asked to give further samples monthly for the next 12 months.

Swabs will be taken from all participating households, whether their members are reporting symptoms or not. Blood will not be taken in any households where someone has symptoms of COVID-19 or is currently self-isolating or shielding.

The trained study health workers will use all the recommended precautions to protect themselves and everyone in the household from getting the virus. Swab test results will be communicated back to participants by their GPs and confidentiality will be protected throughout the process.

National Statistician Sir Ian Diamond said: “The Office for National Statistics has huge experience in running very large household surveys that gather vital information from a genuinely representative sample of the entire population.

“In this case we’ll be using that capability to help our health expert colleagues to create a reliable picture of the scale of COVID-19 infection and antibody development that will inform the key decisions that lie ahead in this pandemic.

Professor Sarah Walker of University of Oxford Nuffield Department of Medicine said: “This is one of the largest and most important studies underway into the COVID-19 virus and will transform our understanding of the infection. The University of Oxford is delighted to be the study sponsor.

Tim Sheppard of IQVIA UK said: “IQVIA is proud to be playing our part in helping to understand COVID-19 – the greatest public health challenge that has faced the world in a generation.

“Our nursing team has 30 years’ experience of working with the NHS to support patient care. This population study is vital, time-critical work, and is another part of our global mission to better understand COVID-19 and change the course of this pandemic.”

Hibs tops to thank NHS

Hibernian FC is today delighted to announce that the club will proudly bear the words “Thank You NHS” on the front of our new shirts when next season does get underway.

The club decided to take the opportunity to express the thanks of the entire Hibernian and football community to our magnificent health service for the heroic, selfless and dedicated efforts of its staff during the coronavirus pandemic.

The club has spoken to senior management at both NHS Scotland and NHS Lothian, our suggestion has been warmly received, and the club will be working in partnership with NHS Lothian and Hibernian Community Foundation to deliver a layer of meaningful communications, engagement and community service.

We are further delighted to announce that our first home league game will be “Thank You NHS Day” and we will welcome hundreds of NHS staff along as our guests.

The words of thanks will adorn our new home shirts, and supporters will be asked to pay the sum of £5 to have the transfer applied, with all profits being donated to our local NHS charity, Edinburgh & Lothians Health Foundation.

Our mocked-up picture shows how the new kit will look with the message applied. We will be announcing how to pre-order your shirt over the next few days and the orders will be fulfilled when the strips are available in July.

The club is planning further fundraising throughout the season and expects to hand over a six-figure donation to the NHS charity by the end of the season. In addition, the club is donating a minimum of 100 tickets to NHS staff for all of our home matches, with fans being invited to participate in fundraising to help fund more.

Ronald Gordon, Hibernian Chairman, said: “In sport we celebrate our heroes and our stars. The NHS have shown they are our true heroes and our stars – they have valiantly cared for and nurtured us through the most difficult and challenging health crisis of our lives.

“Their efforts on behalf of all of us, which still continue today, have been magnificent and Hibernian wants to say thank you and celebrate them in the most meaningful way that we can.

“Additionally, we will be raising money and inviting NHS heroes to our games at Easter Road, and the club and our players will be working with our friends and colleagues at NHS Lothian to deliver a programme of health promotion and community service that will raise awareness and inform our entire community. I’m very proud, because this initiative speaks to the character and purpose of Hibernian Football Club.”

Scotland’s Minister for Public Health, Sport and Wellbeing, Joe FitzPatrick, said: “The dedicated NHS workforce are under unprecedented pressure as they deal with the impact of the pandemic.

“I welcome this excellent initiative by Hibernian FC, which will allow the club and its supporters to say thank you to the NHS. This generous gesture – which will be supported by further fundraising activity – will also see tickets given to NHS staff for home games, and a donation to Edinburgh & Lothians Health Foundation. As well as joining Hibs in thanking the NHS staff, I applaud the club for this wonderful idea – it highlights the positive impact football can have on a range of issues.”

Tim Davison, Chief Executive of NHS Lothian, also welcomed the idea, saying: “This is a big-hearted move from Hibernian Football Club and I know that all our staff and patients will greatly appreciate the generosity and thoughtfulness of this wonderful gesture.

“We are proud of our amazing teamwork at NHS Lothian too, so are delighted and grateful that a club with such strong local community roots should honour us in this way.”

Esther Robertson, Interim Chair of Edinburgh and Lothians Health Foundation, the official charity fund of NHS Lothian, said: “This is a lovely idea and will help us fund more initiatives to support the wellbeing of patients and staff during these challenging times.

“Our funds provide extras which core NHS funding cannot be used for, such as providing tablets to patients to help them keep in touch with loved ones while in hospital, providing recliner chairs in rest rooms for hard working staff and funding art activity packs to help reduce anxiety and boredom in patients while in hospital for extended periods. Initiatives like these make a big difference to patients and staff, particularly when the going gets tough.”

Leeann Dempster, Chief Executive, said: “Our front-of-shirt sponsorship is our most visible and valuable sponsorship opportunity and we thought this season of all seasons we needed to show our appreciation to the NHS.

“As Ron said, we want to say thanks and we want to help raise awareness and also raise funds for good health causes. We know our supporters will rally behind this in their thousands.

“The club and Community Foundation have a proud track record of working with NHS Lothian through our unique GameChanger initiative, and we will be combining to create a programme for matchdays and non-matchdays to help tackle some of the health and social issues we will see arise post-Covid-19.

“For the avoidance of any doubt, this initiative does not cost the public purse one penny. It has been helped enormously by a small group of supporters who supported us in the idea and we are grateful to them all.”

Napier nursing and midwifery students take up NHS placements

Students from Edinburgh Napier University have spoken of their pride at taking up placements alongside NHS workers as part of the national drive to combat coronavirus.

Almost 1000 undergraduate and postgraduate student nurses and student midwives from the School of Health & Social Care are now being assigned to hospitals and care homes mainly across the Lothian and Borders NHS areas in response to the public health crisis.

The second and final year nursing and midwifery students have begun taking up caring roles following in-depth discussions involving a number of organisations to hammer out the details of the emergency measures to support the NHS. Those who have chosen to get involved will work on placement for an initial period of six months or until the crisis is over.

The recruitment of student talent to the national effort follows talks between the UK Government, Scottish Government, the Nursing and Midwifery Council, higher education and health officials aimed at putting in place the necessary regulatory and governance arrangements while also respecting students’ course requirements.

Changes to learning and teaching arrangements had to be made, supported by dedicated academic teams, and professional services staff worked tirelessly to help allocate students to paid placements.

Lecturer Dr David Whiteley has put together a continuously updated online support package so both students and School staff have all the latest information and guidance they need at their fingertips.

Edinburgh Napier staff are also supporting the health authorities and NHS Education for Scotland with the wider background infrastructure by collating details of developments like ward closures and mergers, initially from NHS Lothian and NHS Borders, so students can be allocated to roles where they will offer the most effective support.

Dr Hazel Willis, Interim Dean of Edinburgh Napier’s School of Health & Social Care, said: “The Covid-19 pandemic has changed all of our lives and is requiring universities, NHS boards and student nurses and midwives to work in exceptional ways to address the requirements of the NHS and the wider population.

“Our students have demonstrated outstanding levels of professionalism during this period of uncertainty, and these remarkable people have the support of all of us as they go out to both aid and assist but also to learn from our frontline doctors, nurses and midwives in these challenging times.”

Lesley Murray, 47, of Bonnyrigg, Midlothian, who is in the second year of a Bachelor of Nursing (Mental Health) degree, has been placed in the Hermitage Ward at the Royal Edinburgh Hospital.

She said: “This is the opportunity of a lifetime, to be needed on the frontline and able to meet that need to support our much-loved NHS. It’s a frightening time for all of us, and although I’m paying attention to those fears and anxieties, mainly I’m choosing to focus on the unique learning experience that will come from it.

“Being in mental health, it will be interesting to see how this affects the mental health and resilience of the population during and after the crisis. I imagine the impact will be felt for a long time, so to be involved directly in the care of others during the crisis will give me the context for people’s difficulties as they arise in the future.

“I feel fortunate that I’m in a position to do more than just applaud the NHS at this time; I can get involved and support it.”

Euan Hill, 21, from Jedburgh, Roxburghshire, has been placed in the emergency unit at Borders General Hospital.

Euan, who is in the third year of a Bachelor of Nursing (Adult) undergraduate degree, said: “I feel privileged to be asked to assist the workforce.

“Throughout my training, the support offered by my colleagues within the NHS has been amazing, and the prospect of working alongside them at this difficult time is daunting but very satisfying. There will be lots of challenges over the next few months, but I know that the guidance offered by the NHS and the University will put me in the best position to give the support my colleagues need.”

Looking Beyond Lockdown

First Minister opens discussion on “new normal”

A document outlining how decisions will be taken to control coronavirus (COVID-19) while restoring a degree of normality to everyday life has today been published by the Scottish Government.

The paper – COVID-19: A Framework for Decision-Making – sets out the position during this ongoing period of lockdown and outlines the factors that must be considered as we move gradually to ease restrictions.

It also recognises that new ways of living – effectively a “new normal” – may have to be in place for some time to come.

First Minister Nicola Sturgeon said: “Today I am seeking to start a grown up conversation with the public about the complex decisions that lie ahead of us as we look beyond lockdown.

“As we have done all along, we will seek to inform the public with the best scientific advice possible, but the science will never be exact and we are in uncharted territory so we also need to make careful judgements and be prepared to adapt and change course as we go.

“We want to ease restrictions, but we cannot rule out having to reapply them should the virus run out of control.

“Every day we see evidence that this virus causes real harm, but so too do the lockdown measures we are taking to contain it. This is causing harm to the economy and living standards, to children’s education and to mental health and wellbeing.

“That is why we need to try to find a better balance than the one we have now, but as we do so we cannot take our eye off the need to suppress the virus and minimise the damage it does.

“It is only when we are sure the virus is under control that we can even start to ease any of the restrictions because the virus will not have gone away.

“As we start to lift the restrictions, the real risk is that COVID-19 runs rampant again so a return to normal as we knew it is not on the cards in the near future.

“What we will be seeking to find is a new normal – a way of living alongside this virus, but in a form that keeps it under control.

“Physical distancing and limiting our contacts with others will be a fact of life for a long time to come – certainly until treatments and ultimately a vaccine offer different solutions. But if we all keep doing the right things, there will be a way through – and we will find it, together.”

SNP MSP for Edinburgh Pentlands, Gordon MacDonald, said: “It is welcome that the Scottish Government has published an outline of how and when the lockdown may be lifted and I urge everyone to take the time to read the document.

“It’s vital that any decision to ease restrictions is based on the best scientific advice possible – but we are in uncharted territory and we must be prepared to adapt. That might mean having to reapply restrictions after they are lifted.

“Only when we are sure the virus is under control, can we even start to ease any of the restrictions because the virus will not have gone away.

“There are no easy answers – but it is right for the Scottish Government to be clear about the factors that will inform decision making.

“In the coming days and weeks members of the public will be invited to contribute their thoughts and views on the next steps we must make together.

“Unfortunately, returning to what we regard as a normal life will not be possible in the near future so we need to prepare for a new normal until treatments and a vaccine offer different solutions.

“While these measures are difficult for all of us, they are saving lives and protecting our NHS.”

The discussion document:

coronavirus-covid-19-framework-decision-making

North Edinburgh charities unite to deliver over 11,000 free meals during lockdown

Charity and community groups in North Edinburgh have joined forces to deliver over 11,000 free, healthy meals, toiletries and cleaning supplies to vulnerable individuals and families during four weeks of lockdown.

More than a dozen organisations have come together to form the North Edinburgh Covid-19 Foodshare Group, supporting those in food poverty or experiencing hardship as a result of the coronavirus pandemic.

Despite launching only four weeks ago, the group has already coordinated community groups and volunteers to safely deliver a record number of healthy meals to those who need them most. It now aims to deliver over 15,000 meals each week, thanks to support from funders, donors and members of the public.

In just one week, more than 10,000 ready-meals and sandwich packs were delivered to residents in Muirhouse, Salvesen, Pilton, Granton, Drylaw and Telford, as well as more than 1,000 essential food, toiletry and cleaning supply kits.

A phoneline has also been launched to handle requests for assistance. Local residents in Muirhouse, Salvesen, Pilton, Granton, Drylaw and Telford can call 0131 356 0220, with the hotline open Monday to Friday, 10am to 4pm.

Due to high demand, the group is asking funders and members of the public to help them reach more people living in food poverty by funds. All money raised will go towards supporting vulnerable people living in Edinburgh during the pandemic crisis.

To ensure deliveries were made safely, 100 charity and voluntary sector volunteers and keyworkers were trained in Covid-19 safety protocols by Scran Academy to ensure everyone adhered to government guidance on physical distancing.

Willie Black, Chair of West Pilton Neighbourhood Centre, said: “This is a truly remarkable effort. It’s a great demonstration of the power of communities pulling together, working in partnership to build a new future for north Edinburgh.

“It’s an extremely difficult time for vulnerable families and individuals across the city. They may have experienced homelessness, be elderly or socially isolated.

“Getting support out to them is our priority and we have been overwhelmed by the generous support of our funders and donors. But there is more to be done. We estimate that to meet the demand we need to deliver a minimum of 15,000 emergency packs per week.

“On the other hand, we are trying to manage our supplies to ensure we have enough to go around while this pandemic continues to affect us all.”

Residents who have already received packages from the Group have described the resource as vital for enabling them to feed their families:

Family from Muirhouse:

“My husband has lost his job, and we were 2093 in the queue to speak to someone at Universal credits, 14 hour wait, no money, no food. My health visitor referred us to Covid-19 Foodshare Group and they just appeared with food and packed lunches for us. I have never cried to see food to feed my kids, but I just have no money. They turn up every day with packed lunches and for the last three weeks a food parcel has appeared at our door.”

Muriel, elderly Drylaw resident. Husband in care facility:

“Many many thanks for your kind and considerate actions. To the staff, you have no idea, how your thoughts for older isolated people impacts on our daily life.

The comfort and solace it gives to us, when you are alone and can’t reach out to touch our loved ones is like winning the lottery, an absolute god send to me!

Thank you from the bottom of my Heart.”

Isolated resident from Pennywell:

“Please let the chef know that the mushroom soup was absolutely amazing and fandabbydozy!”

Family from Pilton:

“Both me and my partner are temporarily out of employment, with 2 kids at home. The first week we survived thanks to the kindness of a neighbour. I really appreciate the food packs and the different foods we are receiving now. It has saved us”.

Single parent from Granton:

“I want to send my appreciation first of all by sending you this message. You guys have helped my own household and my sons during this pandemic. I think we might have really struggled if it wasn’t for all the good work you guys are doing for the community, you are all amazing”.

Butterfly Conservation launches plea to public to help monitor butterflies

Leading wildlife charity, Butterfly Conservation, known for its sector-leading butterfly and moth population data going back over 50 years, has launched a plea to the public to help contribute to assessing the effects of climate change while it’s scientists and volunteers are unable to carry out monitoring of wildlife sites during the lockdown.

A vital indicator of the effects of climate change in the UK, butterfly phenology (the study of the timing of natural events) recording is going to be severely affected this spring due to the restrictions on movement to halt the spread of coronavirus. And the charity is calling for anyone at home with an outdoor space to help.

Richard Fox, Associate Director Recording and Research said: ‘studying the changing flight times and locations of butterfly species across the UK is vital to understanding the impacts of climate change on our native wildlife.

‘This spring we are going to have a gap in our phenology data as our scientists and volunteers are not able to carry out their usual monitoring at nature reserves and across the UK countryside.

‘So, we are asking the general public to please help us out. This is something you can do for science and climate change in your own back garden. We know that climate change is making butterflies emerge earlier in spring and some are spreading to new parts of the UK. We need you to tell us where and when you saw them.’

Two new studies by the University of York, in collaboration with Butterfly Conservation and other partners have shed some light on how butterflies and moths are responding to climate change, but there are still many unanswered questions and trends are continuing to change.

As the climate has warmed, butterflies have tended to fly earlier in the year and, in some cases, produce more generations each year,but it’s not yet clear how these changes will affect their fortunes in the long term. Recent research suggests that an earlier start benefits some species but is detrimental for others.

Richard continues: ‘Keep a look out in your garden for butterflies such as the Brimstone, Comma, Speckled Wood, Holly Blue and Orange-tip. We want your records, and to know when you saw them on the wing.

‘If you live in certain areas, particularly in northern England and in Scotland, we’re particularly interested in your observations as all of these butterflies are spreading northwards, colonising areas where they didn’t occur previously.

“The Comma, for example, has spread hundreds of miles northwards since the 1970s. Just this week we received a sighting from a garden in Fife which was the first Comma that the volunteer had seen there in 60 years.

‘Monitoring the changing distributions of butterflies is important to understanding the effects of climate change on our environment. We know that for some species climate change has helped to boost numbers, while for others it has had an adverse effect, but there’s still so much to learn.

‘You never know what you might see. There has even been a scattering of Painted Lady butterfly sightings across the country in the last week. This species is a migrant from warmer parts of Europe, which normally arrives at the end of May or early June.

‘We can’t gather data in our usual ways this spring, so we need the help of everyone who is at home, with a garden or outdoor space, during the lockdown period. Each recording is important for our work to conserve UK butterflies and we would love the public to get behind us.’

To submit a recording, simply go to