NHS Scotland placed on emergency footing

Non-urgent elective care will be postponed in Scotland as part of NHS Scotland’s ongoing preparations for coronavirus (COVID-19).

Speaking in Parliament yesterday, Health Secretary Freeman said that NHS Scotland would be moving to an emergency footing for at least the next three months, in order to be ready to face a substantial and sustained increase in coronavirus cases.

Ms Freeman said the decision to postpone all non-urgent elective care had been made to free up capacity in hospitals, while work to double Scotland’s intensive care capacity continues as NHS Boards retrain staff and repurpose existing facilities.

Ms Freeman said: “We have been clear from the outset about the challenges our health service will face in the weeks and months to come from coronavirus.

“While our NHS is prepared and has a proven track record of dealing with these types of outbreak, we want to free up capacity in our hospital settings, and ensure access to beds for those who need them.

“That’s why we have asked boards to start scaling down non-urgent elective operations from now until further notice.

“Vital cancer treatments, emergency, maternity, and urgent care will continue, and patients have our assurance that all appointments will be rescheduled as quickly as possible as we get through the challenge to our NHS that COVID-19 presents.

“While these are undoubtedly difficult times, we fully expect our NHS to ensure patients are treated in line with their clinical priority, and the impact of COVID-19 on cancer patients has been a priority in all of our planning.”

The Health Secretary’s statement followed news that a second person who tested positive for coronavirus, an elderly patient with underlying health conditions, has died.

This follows the first death of a patient in Scotland with coronavirus, which was announced on Friday 13 March 2020.

Chief Medical Officer Catherine Calderwood said: “I am very saddened to report that an elderly patient with underlying health conditions, who has tested positive for coronavirus, has died. The patient was being treated by the NHS Greater Glasgow and Clyde Health Board.

“I offer my deepest condolences to their friends and family at this difficult time. No further information will be available to protect patient confidentiality.”

Parliamentary Statement: Coronavirus (COVID-19) Update to Scottish Parliament

  • Non-urgent elective activity includes procedures that are non-life threatening and can be postponed without a negative clinical impact, such as elective gallbladder and hernia surgery, non-trauma orthopaedic surgery such as hip and knee operations, and elective gynaecological operations.
  • Contingency planning for the supply of oxygen both in hospital and in the community is in place, and a further 450 new standard concentrators for use in the community have been ordered.
  • The Scottish Government is working closely with COSLA, Health and Social Care Partnerships and Chief Officers to see a reduction of delayed discharges of 400 by the end of March.
  • A national cancer treatment response group has been established to provide ongoing advice and support around cancer treatments, and ensure all appropriate measures are undertaken in the present situation to protect those living with cancer.
  • The NHS will directly contact people who are immunosuppressed next week and work closely with other social services to ensure they are supported.
  • Surveillance testing is being scaled up to monitor the spread of the virus in the community.
  • Monitoring will also continue through our laboratories and will be targeted on the following further groups:
    1. admissions to hospital;
    2. admissions to intensive care;
    3. community testing dependent on circumstances, for example specific situations such as a nursing home outbreak.
  • Key workers such as frontline NHS staff will be tested to ensure they do not self-isolate unnecessarily.
  • In order to cope with rapid increase in numbers of people presenting with respiratory symptoms, patients will now be asked to contact via NHS 24 on the 111 number, rather than through their GPs.

Scottish Parliament suspends public engagement

The Scottish Parliament has suspended public engagement activities as it prioritises supporting parliamentary business and responding to the Coronavirus.

These changes are being made to ensure that the Parliament continues to fulfil its vital functions of passing legislation, enabling Members to represent the views of the people of Scotland and to scrutinise the actions of the Scottish Government, particularly in the context of the national and international response to Covid-19.

It has also made the changes to reduce risk to visitors and staff.

From today (Tuesday 17 March), the following services have been suspended:

• Events, including Member Sponsored Events & Exhibitions;

• Tours, including Members’ Tours;

• CPG meetings at Holyrood;

• The public café and shop;

• Access to the building for the general public on Mondays, Fridays and Saturdays;

• Inward and outward education and community outreach;

• Inward and outward International Relations Office visits;

• Foreign travel for Committee business.

The Holyrood building will for now remain accessible to visitors for meetings connected with parliamentary or constituency business.

The public galleries in the Chamber and Committees will also remain open when Parliament is sitting, though the public is encouraged to watch online at www.scottishparliament.tv.

Speaking as the announcement was made, Presiding Officer, Rt Hon Ken Macintosh MSP, said: “With each day that passes, it has become clearer that we are facing extremely challenging circumstances now and in the weeks ahead.

“All parties in the Parliament have agreed that we must take further steps in order to prioritise Chamber and Committee Business.

“While openness and accessibility are cornerstones of the Scottish Parliament, the coming weeks are likely to see major changes to how we operate from normal.

“We will continue to monitor developments closely, and remain in regular contact with other UK legislatures, the Scottish Government and the Chief Medical Officer.

“We recognise that this health emergency is creating great anxiety amongst staff, Members and visitors alike, and our response will continue to evolve taking account of the latest information available and closely following the public health advice.”

Meeting to discuss community response to Coronavirus pandemic

North Edinburgh activists are to meet tomorrow to formulate a community response to tackling problems caused by the coronavirus pandemic. The meeting will take place in West Pilton Neighbourhood Centre at 2.30pm.

Meeting organiser Willie Black said: “We have already seen communities coming together to do what they can to help their neighbours and our more vulnerable residents, and  the purpose of tomorrow’s meeting is to co-ordinate this community response to make sure no person is being missed or left out.

“By working together and pooling our resources we can better respond to the challenges posed to our community by this pandemic.”

Local voluntary sector organisations, food banks, community centre representatives, council officers, community councils and local elected politicians have all been invited to attended.

What can you do to help? Why not attend the meeting and find out!

 

Coronavirus: keep kids informed

The British Psychological Society says it is vital to talk openly to children and reassure them about the changes they are seeing around them due to Coronavirus.

Some of the changes, like people wearing face masks or empty supermarket shelves, can be scary for children and they are likely to need to talk to someone they trust about some of the imaginative misinformation they might have heard from friends at school.

The advice stresses that it is important to be truthful, but remember your child’s age. An honest and accurate approach is best, giving them factual information, but adjusting the amount and detail to fit their age.

For example, you might say ‘we don’t yet have a vaccination for Coronavirus, but doctors are working very hard on it’  or ‘a lot of people might get sick, but for most people it is like a cold or flu and they get better’.

Other advice from the BPS’s Division of Educational and Child Psychology includes:

  • Younger children might understand a cartoon or picture better than an explanation. We also recommend that adults watch news programmes and then filter this information to their child in a way that’s right for their development.
  • Allow children to ask questions: It is natural that children will have questions and worries about Coronavirus. Giving them the space to ask these questions and have answers is a good way to alleviate anxiety. It is ok to say you don’t know – at the moment, there are questions we don’t have answers to about Coronavirus. You can explain this to your child and add in information about what people are doing to try to answer these questions. Maybe your child has an idea too – let them tell you or draw them.
  • Try to manage your own worries: Uncertainty can make all of us feel anxious or worried. Identify other adults you can talk to about your own worries and questions. What things usually help to make you feel a bit calmer? If you are at home, music, breathing and relaxation techniques, distraction (such as watching something funny), and time with family members or pets can all help. Talk to your children when you feel calm to reassure them.
  • Give practical guidance: Remind your child of the most important things they can do to stay healthy – washing their hands and the ‘catch it, bin it, kill it’ advice for coughs and sneezes. Help your child practise and increase their motivation for keeping going (maybe thinking of a song they want to sing while washing their hands).

The BPS will continue to post advice on its website on ways to cope with the Coronavirus pandemic in the coming days and weeks.

A Message from Morrisons

This is a message of thanks to our customers for their patience and support and to our colleagues and suppliers for their hard work in dealing with the uncharted challenges and uncertainty presented by the spread of Coronavirus (COVID-19).

Whilst customers are stocking up, our colleagues are working around the clock to fill our stores with what you need, to serve our customers and communities and take care of one another when we need each other most.

We want to let you know that looking after our customers and colleagues is our priority at Morrisons, ensuring we all have a clean, safe place to shop and work.

We are working hard to fill our shops and online stores:

• We are a Foodmaker and Shopkeeper and we’re increasing the amount of food we make in our British manufacturing sites to meet customers’ needs
• We’ve increased the amount of stock being sent to stores from our warehouses, with colleagues working incredibly hard
• We’re extending our home delivery service so we can deliver to more customers on their doorstep at the times they need us
• We’re introducing temporary purchase limits on products where there is high demand, so they remain available for longer for more customers to buy
• Cleaning in our stores is being increased throughout the day to ensure high standards of food safety and store cleanliness are maintained

We are following guidance provided by the Government, working closely with our suppliers and ensuring we collectively do everything possible to help the country in these challenging times.

I want to personally thank all our dedicated colleagues who are working very hard in very challenging circumstances, to serve our customers, support our communities and take care of one another.

We expect the days, weeks and months ahead to be testing. I know that working together to support each other we will meet the many challenges we will face.

We have plans in place to respond as the situation develops and we are working every day to meet the changing nature of the impact of this pandemic.

I would like to ask all our customers, when shopping with us, to please consider others even more so everyone can buy what they need, especially those who are most vulnerable in our society. Please continue to treat our colleagues on the front line with the greatest respect.

Thank you for shopping with Morrisons. We promise to do our very best to work together, to support our customers and each other as we face into this challenge.

Sincerely

David

Chief Executive

Message from Sainsbury’s Chief Executive Mike Coupe

You will have seen that, due to the ongoing uncertainty around the full impact of Coronavirus, supermarkets have been much busier than usual and customers are choosing to stock up.

I wanted to personally reassure you that we have more food and other essential items coming to us from manufacturers and into our warehouses and distribution centres. If we all shop just for the food that we and our families need, there will be enough for everyone.

I also wanted to let you know that at Sainsbury’s, we are working really hard to ensure this remains the case. Over the past two weeks we have:

  • Ordered more stock of essential items from our suppliers
  • Put more capacity into our warehouses and
  • Set limits on a small number of items, including some cleaning products, soap and pain relief.

This is a precautionary measure – if everyone shops normally, there will be enough for everyone.

There are gaps on shelves because of increased demand, but we have new stock arriving regularly and we’re doing our best to keep shelves stocked. Our store colleagues are working tirelessly and doing the best job they can.

Which brings me onto a request. Please think before you buy and only buy what you and your family need.

If we all do this then we can make sure we have enough for everyone. And please help elderly and vulnerable friends, family and neighbours with their shopping if you can.

I wanted to take this opportunity to thank you for your continued support and to thank our colleagues who are all working incredibly hard to ensure we can continue to serve our customers well.

Best wishes

Mike

Scotland to receive £780 million for coronavirus response

The UK Government will provide at least £1.5 billion to the devolved administrations for their COVID-19 response, it was announced yesterday.

  • this means £780 million for the Scottish Government, £475 million for the Welsh Government and £260 million for the Northern Ireland Executive
  • this adds to the support people across the country will receive through UK-wide measures tackling the impact of COVID-19 including extending Statutory Sick Pay

The Devolved Administrations will receive at least £1.5 billion from the UK Government to make sure they have the resources they need to support people and businesses through COVID-19. This will mean they can increase funding for the NHS and provide grants to businesses.

Through the £1.5 billion package, the Scottish Government will receive £780 million, the Welsh Government £475 million and the Northern Ireland Executive £260 million – worked out through the Barnett formula.

This funding is in addition to the UK-wide support that people in all four corners of the country will receive from the UK Government. This includes extending Statutory Sick Pay, making it easier and quicker to access benefits, and providing a Business Interruption Loan Scheme, among other measures.

Chancellor of the Exchequer, Rishi Sunak, said: “We will do what is right to help businesses and individuals in every part of the UK. That is why we announced a special funding package at the Budget last week to support those affected by COVID19.

“Today I am confirming this additional funding that will ensure the devolved administrations can support vulnerable people, businesses and vital public services, including the NHS, in Scotland, Wales and Northern Ireland.

Scottish Secretary, Alister Jack, said: “The UK and Scottish Governments are working closely together in the fight against COVID – 19 as we do all we can to delay the spread and alleviate pressure on our public services, people and businesses.

“The £780 million for the Scottish Government announced today is in addition to the £1.9 billion spending increase for 2020-21 confirmed at the Budget last week. This will help ensure the Scottish Government has the resources it needs to support those affected by COVID-19.”

This £1.5 billion announcement is part of the £12 billion response plan announced last week to support public services, people and businesses through the disruption caused by COVID-19.

This included a £5 billion COVID-19 Response Fund for the NHS and public services, a £500 million local authority hardship fund, business rates reliefs and £3,000 grants for the smallest businesses – all of which cover devolved policy areas meaning additional funding is being made available for the devolved administrations.

The UK government will continue to work closely with the devolved administrations as the situation develops to ensure they have the funding needed to tackle the impacts of COVID-19.

 

Coronavirus: early recess for council committees

Council Leaders have called on residents to follow national guidance on combating the Coronavirus while supporting and helping one another.

The plea comes as the Council introduces new measures to protect the city’s most vulnerable and ensure it continues to provide core services.

Social distancing and restrictions on visiting will be introduced in Council-run care homes in Edinburgh as part of a ramped-up response to the Coronavirus (COVID-19) outbreak.

The measures, aimed at protecting some of the city’s most vulnerable people, will see care home residents taking meals in their rooms, while day centres will be closed. They come days after the Council announced emergency funding of £2 million to support Edinburgh’s response to the pandemic.

In schools, assemblies, large gatherings and team meetings will be stopped, unless absolutely essential. 

In line with the latest official guidance announced by both the UK and Scottish Governments earlier today to reduce the spread of the virus, for Council employees in office-based jobs working from home will be introduced on a phased approach in the coming days, with no attendance at events and only essential external and internal meetings.

In terms of official Council committee business, the recess period will now begin from Friday 20 March rather than 30 March and will last until 27 April.

Any urgent decisions during this recess will be made by the Council Leadership Forum (a formal committee of group leaders of each political grouping on the Council, chaired by the Council Leader).

People can reduce their risk of getting and spreading the infection by:

  • avoiding direct hand contact with your eyes, nose and mouth
  • maintaining good hand hygiene
  • avoiding direct contact with people that have a respiratory illness and avoiding using their personal items such as their mobile phone
  • covering their nose and mouth when coughing or sneezing with disposable tissues and disposing of them in the nearest waste bin after use
  • Wash hands with soap and water or alcohol hand sanitiser before eating and drinking, and after coughing, sneezing and going to the toilet.

Council Leader Adam McVey said: “These are very challenging times and I know people are justifiably anxious about what’s ahead of us. As a Council, we’re determined to do everything we can to protect our communities, especially those in our care and throughout Edinburgh who are most vulnerable.

“These measures will help safeguard those most at risk by minimising the spread of the virus through social contact. We’ll continue to work closely with the Scottish Government, NHS Lothian and all our partners to respond as swiftly and impactfully as we can to this fast-changing situation.

“We’ve got incredible community spirit in this city and we’re already hearing some inspiring stories of big-hearted residents rallying to support the most vulnerable.

“There are many ways you can help and our advice right now is act locally. Phone your neighbours, offer to collect a prescription, take their bins out or pick up some shopping. Small but meaningful gestures can help us pull together as a city as we get through this by looking out for one another.

Depute Leader Cammy Day said: “Maintaining services in the midst of this worsening outbreak is a serious challenge but we are working extremely hard to keep Edinburgh functioning as best it can, with a focus on our duty of care to those most in need.

“Our employees’ safety and wellbeing are critical and we’re rolling out contingency plans such as working from home and limiting meetings so that we can reduce the risks to our workforce as much as possible.

“I’d like to thank all the Council teams who’ve already worked day and night for many weeks to deal with this and ensure Edinburgh’s as ready as it can be for what’s to come – they’re doing a tremendous job in very difficult circumstances.”

New guidance for households with possible COVID-19 infection

New guidance to stay at home for 14 days if someone in your household has symptoms of COVID-19 is the focus of the next stage of a public awareness campaign launched by Health and Social Care Secretary Matt Hancock today.

The new guidance will set out that individuals will still be asked to self-isolate for 7 days from the onset of COVID-19 symptoms but any individuals in the household will now be asked to self-isolate for 14 days from that moment as well.

If other members of your household develop symptoms, however mild, at any time during the 14 days, they must not leave the home for 7 days from when symptoms started.

The new phase of the campaign will build on the existing TV, radio, online, digital and billboard adverts currently visible all over the country. These reinforce the importance of washing your hands more often and for 20 seconds, and ask people to self-isolate for 7 days if they develop a high temperature or a new continuous cough, however mild.

The UK Government has taken the further measure of asking whole households to isolate because it is likely that people living with others will infect each other or be infected already. Staying at home for 14 days will greatly reduce the overall amount of infection the household could pass on to others in the community.

The Prime Minister also today set out a number of social distancing measures to reduce the risk of infection from the spread of coronavirus. For those who remain well, are under 70 or do not have an underlying health condition, they are advised to limit their social contact where possible, including using less public transport, working at home and considering not going to pubs, restaurants, theatres and bars.

For those who are over 70, have an underlying health condition or are pregnant, they are strongly advised against these activities and to significantly limit face-to-face interaction with friends and family if possible.

The government’s public awareness campaign offers clear, practical advice so people can play their part in preventing and slowing the spread of the virus.

The most important thing individuals can do to protect themselves remains washing their hands more often, for at least 20 seconds, with soap and water. Make sure you cough or sneeze into a tissue, put it in a bin and wash your hands.

The awareness campaign also reiterates the importance of seeking help online by visiting NHS.UK/coronavirus to check your symptoms and follow the medical advice, rather than visiting your GP. It also urges people with any symptoms to avoid contact with older and more vulnerable people.

Only if symptoms become worse should people use the NHS 111 service. To ensure the phone service is readily available to those who need it, where possible people should use the 111 website rather than calling.

Earlier this month, the Prime Minister published a ‘battle plan’ for tackling the disease in the UK, which sets out plans for a range of scenarios. Last week, the Prime Minister confirmed the UK has moved into the second stage of this plan, the ‘delay’ phase.

Health and Social Care Secretary Matt Hancock (above,left) said: “Coronavirus is the biggest public health crisis we have faced in a generation, and we will do whatever is necessary to protect our elderly and most vulnerable people and keep the public safe.

“This is an unprecedented situation and it’s so important for each of us to rally together and do our bit to protect ourselves and each other, as well as our NHS, from this disease.

“Washing hands regularly for 20 seconds or more remains the single most important thing each of us can do, but we now also need to ask everyone in a household to stay at home if anyone in their home shows symptoms.

“Combating this virus will require a huge national effort. We must do all we can to save lives, protect the NHS and keep the most vulnerable people in our society safe.”

Scots advised to limit social contact

Those most at risk strongly advised to reduce unnecessary contact

To slow the spread of COVID-19 (coronavirus) the general public are being asked to stay at home as much as possible and avoid unnecessary social contact.

People over 70 and those who have high risk and underlying health conditions are being strongly advised to stay at home as much as possible and significantly reduce unnecessary social contact.

The advice is that people should:

  • minimise social contact by avoiding crowded areas and large gatherings, including religious congregations and smaller gatherings such as restaurants, pubs, bars, clubs, cinemas and gyms
  • avoid using public transport as much as possible
  • work from home when possible
  • follow the latest health and travel advice, and follow basic hygiene precautions, such as washing hands frequently, not touching their face and covering their nose and mouth with a tissue when coughing or sneezing

People showing symptoms suggestive of coronavirus should stay at home for seven days and only contact NHS 111 or their local GP if their symptoms worsen during that period.

Members of a household where someone has suspected symptoms should stay at home for 14 days.

This package of necessary measures comes into force with immediate effect.

Schools will remain open for the time being, however this decision will be consistently monitored and reviewed depending on the spread of the infection.

Those who cannot work from home should continue to go to work unless advised by their employer or if they display symptoms.

These measures will be kept under constant review as we try to slow down the spread of the infection.

The First Minister said: “Life as we know it will change in the coming weeks and months, but our goal is to protect lives.

“We are facing an unprecedented situation that will require major societal change if we are to protect people, especially those most at risk and our NHS.

“The package of measures we are announcing today is based on scientific and clinical advice. While it will cause some disruption and be difficult for us all, it will help us to prepare for the virus and to protect ourselves and each other in the long run.

“We need your help to slow the spread of the infection. That is why we are advising everyone in Scotland to restrict their social contact and to stay at home as much as possible. We are strongly advising those who are over 70 or have an underlying health condition to stay at home.

“People have a vital role to play in helping us contain this infection and I urge everyone in Scotland to follow the latest health and travel advice, and follow basic hygiene precautions, such as washing hands frequently, not touching their face and covering their nose and mouth with a tissue when coughing or sneezing.

“This has not been an easy decision but it is vital if we are to stop the spread of the infection.”

For those under 70 underlying health conditions refers to all those eligible for the flu vaccine. Those who have compromised immune systems will be contacted with specific advice in the coming days.

Health Secretary Jeane Freeman will update the Scottish Parliament tomorrow (Tuesday 17 March) on the Scottish Government’s plans to build up and scale up capacity in Scotland’s National Health Service.