First Minister: Vaccinating younger teenagers ‘not ruled out’

Coronavirus (COVID-19) update: First Minister’s statement – 20 July 2021

Good afternoon everyone. As you can see I am joined today by Dr Nicola Steedman, the Deputy Chief Medical Officer and she will answer questions with me shortly.

Firstly, though, an update on the current state of the pandemic, starting with a summary of today’s statistics.

1,604 positive cases were reported yesterday – 9.2% of all of tests carried out. That takes the total number of confirmed cases now to 332,455.

There are 529 people now receiving hospital treatment – which is 7 fewer than yesterday and 47 people are in intensive care, that is 2 more than yesterday.

Sadly, a further 13 deaths were reported in the past 24 hours, which means that the total number of deaths registered, under the daily definition, is now 7,813.

As always, my condolences are with everyone who has suffered bereavement.

Now, although case numbers remain high – and I’ll cover the implications of that shortly – they are very much right now on a downward path.

To illustrate that point – in the 7 days up to 2 July, there were an average of 3,305 new cases being reported each day but, in the 7 days to 16 July, that had fallen to an average of 2,112 new cases a day.

So that amounts to a decline in the past two weeks of more than 1/3 – and that is very encouraging. Because of that, we were able to go ahead yesterday with the move to level 0.

But as I said a moment ago, case numbers – though they are definitely falling – do remain higher than we should be comfortable with.

Covid as we know is highly infectious – indeed, Delta is significantly more transmissible than previous variants of the virus.

And although vaccination is weakening the link between Covid cases and serious illness, the virus is still potentially dangerous.

And, of course, long Covid is affecting many, including those in younger age groups.

All of this means that vigilance and care remain really important. Restrictions were eased yesterday as part of a gradual process – but restrictions were not abandoned yesterday.

Important measures and mitigations do remain in place – and we continue to ask people across the country and I do so again today to treat the threat that Covid poses seriously at this stage.

I’ll emphasise that point in more detail towards the end of my remarks, but before then I’ll touch briefly on some other issues.

The first of those is vaccination.

As of this morning, 3,984,433 people had received their first dose of vaccine.

That’s an increase of 2,483 since yesterday. As you can see were are getting to the end of first doses.

In addition to that, 16,340 people had a second dose yesterday and that means the total number of second doses is now 2,995,086.

All adults have now been offered first dose appointments – indeed that has happened earlier than we had initially anticipated.

And as of now, around 90% of all adults in the population have actually taken up the opportunity and had the first jag administered.

Also, more than 2/3 of all adults have had the second dose as well – and that proportion will continue to rise on a daily basis, as the programme of second doses continues.

Remember the clinical advice is that – in order to maximise the protection and the longevity of the protection of the vaccine – we should leave 8 weeks between first and second doses.

I think it’s important to say that the level of uptake achieved so far is quite remarkable by the standard of any previous vaccination programme. And it actually exceeds what we dared hoped for when this programme started back at the turn of the year. That said, we want to see uptake levels increase further, we want to get as close to 100% uptake as it is possible to do.

To put it bluntly, each and every single person who gets jagged helps us take a step back to normality. And of course the converse of that is true, for as long as there remains a proportion of eligible people who have not had the vaccine that leaves us with a vulnerability against the virus.

So we must keep at it.

Although around 90% of all adults have taken up the offer of the first dose, so far amongst 30 – 39 year olds that is only 81% and in the 18 – 29 year old age group it is 70%.

So I want to stress again today and we will keep stressing this that if you are 18 or over, and if you haven’t yet had a first dose, then you can still get it. In fact, we really, really want you to get the first dose of vaccine.

You can access that by registering online, through NHS inform but remember you don’t have to register – you’re also able to simply turn up at one of the drop-in vaccination centres that are now operational across all mainland health board areas.

Covid is – and this is something we should always be thankful for – is less of a threat to younger people than to older people – but that doesn’t mean it poses no threat at all to young people.  

Some young people do need hospital care when they get the virus, some young people will even end up in intensive care and of course, as we know, young people can get long Covid which we still don’t fully understand the implications of.

Vaccination will help protect you from those risks– but it will also help you protect other people.

So please – get vaccinated as soon as you possibly can. If you know somebody in a younger age group in your own family that hasn’t had the vaccine yet, please encourage them to do so. There’s lots of information on the NHS Inform website, not just about how to get the vaccine but about the vaccine itself. It is a safe vaccine so please get it or encourage those you know who haven’t done so already to get it.  

It’s the single most important thing any of us can do right now to give protection to ourselves but also protect others and of course to help all of us collectively get back to more normality.

Obviously, we want to extend the protection of the vaccine as far as we can.

To that end, the advice yesterday from the Joint Committee on Vaccination and Immunisation on the vaccination of 12 to 17 year olds is important and I want to spend just a couple of minutes talking about that.

At this stage – given that it considers the risk of 12 to 17 year olds falling seriously ill from Covid to be very low – the JCVI is not recommending that we vaccinate all young people in that 12 to 17 year olds age group.

Now, the Scottish Government has always followed the advice of the JCVI – for good reason. You’ll have heard me talk about that before in different contexts including recently that eight week interval between first and second doses.

But I am acutely aware that some other countries are vaccinating younger teenagers and I certainly consider it to be extremely important that this is not ruled out here.

So to that end, the Chief Medical Officer is writing to the JCVI asking that the benefit of vaccinating all 12-17 year olds is kept under close and ongoing review – and that it takes account of all available data from countries already doing this. I think that it is really important if there is a benefit to be got from vaccinating younger teenagers then it’s really important that we make sure younger people don’t lose out on that.

In the meantime though and most immediately, we intend to get on with implementing what the JCVI is recommending – and it is recommending that vaccine should be offered to specific groups of 12 to 17 year olds.

Vaccination is already available to 16 and 17 year olds at higher risk of falling seriously ill and they will continue to be eligible.

But in addition, the JCVI is advising that 12 to 15 year olds should be eligible for vaccination if they have Down’s Syndrome; severe neuro-disabilities; or underlying conditions that mean their immune systems are suppressed.

In addition, it advises vaccination for 12 to 15 year olds with severe learning disabilities; with profound and multiple learning disabilities; or who are on the learning disability register. 

Finally, vaccination is recommended for 12 to 17 year olds who are household contacts of people with suppressed immune systems. And in that latter case that is less about the protection of the young person and more about the protection of somebody they may live with.

We will shortly provide details of our operational plans to vaccinate these groups of young people as quickly as possible.

And of course in light of what I said earlier about this advice being kept under review, we will make sure that we are prepared to go further as soon as that is recommended. If indeed that is recommended.

The final point on vaccination I want to stress is that if you are currently 17 years old but if you are due to turn 18 on or before 31 October this year, you are now eligible for vaccination as part of this year’s programme.

You can self-register again through the portal on NHS Inform or go to a drop in centre.

So, I want to just emphasise this point today, if you or indeed if you know somebody in this category, if you are due to turn 18 before the end of October, register for an appointment or go to a drop-in centre, and get your vaccination as soon as possible.

Finally, today, I want to return briefly to the need for all of us to continue to treat this virus seriously and follow all of the rules and advice still in place.

We did take a further very welcome step back to normality yesterday with the next step in what is a careful and gradual easing of restrictions.

Full details of what that means are on the Government’s website.

These rules are more relaxed, considerably more relaxed than the ones we’ve all had to live with in the first part of the year.

But – as I mentioned at the start – case levels are still high and Covid is still dangerous.

So I want to comment more today on the things – in addition of course to that vital imperative of vaccination – that it is important for us still to do so that we are individually and collectively reducing the risk.

Because of vaccination, we are undoubtedly in a much better position than we were last year, or even at the start of this year. But we can’t abandon caution altogether or at least we will be foolish if we do that. We all still have a role to play, in helping to protect ourselves and each other.

Firstly, although the limits have increased slightly as of yesterday, the limit on the number of friends and family who can meet together – 8 people from 4 households indoors and 15 from 15 households outdoors – is still really important because that limits the number of households the virus might spread to as the result of one social occasion.

Face coverings also remain important – and a really good way for all of us to help protect each other – and of course they continue to be a legal requirement in certain settings here in Scotland and indeed that requirement to wear face coverings in some settings is likely to remain in force for some time to come.

Also, please test yourself regularly, particularly if you are planning to visit somebody, or go to an event or perhaps if you’re planning to spend a few days on holiday in a different part of the country.

Free lateral flow tests can be obtained through NHS inform. You can get them sent to you by post but you can also collect them from testing centres and local pharmacies.

Remember If you test positive through one of these devices – or indeed if you have symptoms of the virus – then you should self-isolate, and book a PCR test as quickly as possible.

And, lastly, because it remains really important, please keep following all the basic hygiene measures.

Meet other people outdoors as much as possible and particularly while the weather is as good as it is right now. It’s a really good opportunity to stay outdoors and minimise the risk of transmission that bit more.

As I said a moment ago, stick to the limits on group sizes, and if you are meeting indoors, open windows and keep rooms well ventilated. 

And please remember physical distancing, hand-washing, face coverings as I’ve just said – all of these measures are as important now as they have been throughout.

And if all of us do these things, then I hope we will see cases continue to fall in the days and weeks to come and if that happens then that creates the conditions we hope for a further easing of the remaining restrictions over the next few weeks.

My thanks again to everybody for all of your cooperation and all of the sacrifices you continue to make. It doesn’t get any easier but it remains really important so my thanks to everyone.

RCEM: ‘It is absolutely essential that masks are worn by everyone in A&Es’

Dr Katherine Henderson, President of the Royal College of Emergency Medicine has stated that it is absolutely essential that patients and visitors in Emergency Departments continue to protect themselves and others with face masks, hand washing and social distancing.

Dr Katherine Henderson said: “While restrictions have been eased, it is absolutely essential that we continue to keep everyone safe in hospital settings and in Emergency Departments. Patients and visitors must therefore expect to wear a mask and maintain social distancing.

“Emergency Departments regularly see vulnerable patients. We must do all we can to keep those patients safe, but also to ensure that these patients feel safe coming to the hospital and the Emergency Department if, and when, they need help.

“We ask patients and visitors to kindly respect and co-operate with this guidance and help to keep everyone safe. Staff will not tolerate any abuse whatsoever. They absolutely do not deserve it, but it is a sad reality that we are already hearing and seeing abusive behaviour towards staff. It is clear these measures will help protect the most vulnerable patients, so it is right that all patients and visitors follow them.

“Staff will request all patients and visitors to put a mask on when in an Emergency Department and they will not be engaging in any debate on the guidance.

“It is a matter of public health and infection prevention control to keep all our patients safe.”

Vaccination Bus arriving at Morrisons Ferry Road tomorrow

COVID vaccination bus is still at Tesco, Musselburgh today until 7pm.

The bus will be rolling back into Edinburgh tomorrow to Morrisons on Ferry Road.

You can get your shopping as well as you 1st or 2nd dose of Moderna or Astra Zeneca:

https://nhslothian.scot/Coronavirus/Vaccine/Pages/Drop-in-Clinics.aspx

Lateral Flow Testing Kits available at Volunteer Edinburgh

Now that Covid-19 restrictions are easing, you may be thinking about re-starting services and face-to-face volunteering activities.  Lateral Flow Devices (LFDs) are one of the measures you can put in place to help you resume services safely and with confidence (writes Volunteer Edinburgh Chief Officer PAUL WILSON).

Volunteer Edinburgh is a “distribution centre” for LFDs for small or local voluntary organisations or community groups. 

If you would like some testing kits to distribute to your staff, volunteers or service users  these are available for collection from the Volunteer Edinburgh office at 222 Leith Walk  between 10am and 4pm, Monday to Friday. 

While we are not operating an appointment system for collection it would be much appreciated if you could call us on 0131 225 0630 to let us know roughly what time you will be coming: as we only have limited staff in the office this will ensure that someone is available to help you when you arrive.

For information on how to use the LFDs please see the Scottish Government guidance HERE and for information on testing, vaccinations and self-isolation support please click HERE

 

Paul J WilsonChief Officer

“If not now, when?”: Boris Johnson rolls the dice

On England’s so-called ‘Freedom Day’, PM Boris Johnson made a statement at a Downing Street press conference:

Good afternoon, today we’ve reached the fourth step on our roadmap and I know that with cases increasing steadily and with more and more people being asked to self-isolate, there will, of course, be those who would rather that we waited weeks or months longer and kept social distancing and all the restrictions that we have been placing on our lives.

And so I want to remind you all why I believe that taking this step now – however difficult it seems – and the logic remains the same that if we don’t open up now then we face a risk of even tougher conditions in the colder months when the virus has a natural advantage and we lose that firebreak of the school holiday.

And there comes a point when restrictions no longer prevent hospitalisations and deaths, but simply delay the inevitable. And so we have to ask ourselves the question: if not now, when?

And though both hospitalisations and deaths are sadly rising, these numbers are well within the margins of what our scientists predicted at the outset of the roadmap. And so it is right to proceed cautiously in the way that we are.

But it is also right to recognise that this pandemic is far from over. And that is why I’m afraid it is essential to keep up the system of Test, Trace and Isolate. I know how frustrating it is for all those who have been affected – or pinged and I want to explain that people identified as contacts of cases are at least five times more likely to be infected than others.

And even if they have been vaccinated there is a significant risk that they can still pass the disease on. And so as we go forward I’m afraid the continuing sacrifice of a large minority the continuing sacrifice of those who are being asked to isolate remains important to allow the rest of society to get back to something like normality.

And, at this stage, it is simply a consequence of living with Covid and opening up when cases are high in the way that they are.

As you know we will be moving on August the 16th to a system of testing rather than isolation for those who are double vaccinated by which time we hope that the wall of immunity in our country will be even higher.

And, in the meantime, I want to assure you that we will protect crucial services including the staffing of our hospitals and care homes, the supplies of food, water, electricity and medicines, the running of our trains, the protection of our borders and the defence of our realm, by making sure that a very small number of named, fully vaccinated, critical workers to leave isolation solely for this work.

But for the vast majority of us, myself included, I’m afraid we do need to stick with this system for now. And, of course, the only reason we are able to open up in this way at all, is that we have vaccinated such a large proportion of the population – and at such speed.

It is phenomenal that every adult in the country has now been offered a first dose. But unfortunately that does not mean that every person over 18 has yet had a first dose.

So far 96% of over 50s and 83% of 30-50 year olds have taken up the offer in England. But there are still 35 per cent of 18-30 year olds – 3 million people –who are completely unvaccinated.

And though we can see the enthusiasm of millions of young people to get their jabs, we need even more young adults to receive a protection that is of immense benefit to your family and friends – and to yourselves.

And so I would remind everybody that some of life’s most important pleasures and opportunities are likely to be increasingly dependent on vaccination.

There are already countries that require you to be double jabbed as a condition of quarantine free travel and that list seems likely to grow. And we are also concerned – as they are in other countries – by the continuing risk posed by nightclubs.

I don’t want to have to close nightclubs again – as they have elsewhere – but it does means nightclubs need to do the socially responsible thing and make use of the NHS Covid Pass which shows proof of vaccination, a recent negative test or natural immunity – as a means of entry.

As we said last week, we reserve the right to mandate certification at any point, if it is necessary to reduce transmission. And I should serve notice now that by the end of September – when all over 18s will have had the chance to be double jabbed –we are planning to make full vaccination the condition of entry to nightclubs and other venues where large crowds gather.

Proof of a negative test will no longer be sufficient. Let me stress – we want people to be able to take back their freedoms as they can today.

We want this country to be able to enjoy the fruits of our massive vaccination campaign. But to do that we must remain cautious and we must continue to get vaccinated.

And that is why we are asking you to come forward and get your jabs now.

In a statement to Parliament, Vaccine Minister Nadhim Zahawi set out self isolation exemptions for those in critical roles, JCVI advice on vaccination for children and upcoming rules for nightclubs

With permission, I would like to make a statement on the pandemic. Today marks an important milestone Mr Speaker in our fight against this virus, as we take Step 4 on our roadmap.

It is a long-awaited moment for the businesses who now can open their doors at long last, the happy couples who can have weddings without curbs on numbers and of course the people who can see more of their loved ones in care homes.

Although we have made huge advances Mr Speaker in our race between the vaccine and the virus, we are not at the finish line yet. Instead, we are entering what I believe to be the next stage. A stage where we continue with caution, while doing what it takes to manage the risk of this virus – which is still with us and still possess a threat. Cases and hospitalisations have risen over the past week, as we predicted Mr Speaker and we know that these numbers will get worse before they get better.

Although there’s never a perfect time to take this step, making the move today gives us the best chance of success. We’re cautiously easing restrictions when we have the natural firebreak of the school holidays and when the warmer weather gives us an advantage. So we will move forward, with caution, drawing on the defences we have built, as we set out in our five-point plan two weeks ago.

One of these five defences is the protective wall provided by our vaccination programme and I would like to start by updating the House on this life-saving work.

Our vaccination programme has given us extra legs in our race against this virus. The protection it has built up in people across the United Kingdom means the ratio between cases and hospitalisations is the lowest it has been during this pandemic.

This reinforces the need to protect as many people as we can, as quickly as we can and we made a four-week delay to Step 4 so we could do exactly that.

8 million more vaccinations in that period. We set the target of giving second doses to two-thirds of UK adults by today – and we hit that target last week, with five days to spare. We also pledged to offer a first dose of a vaccine to all adults — and we’ve met this target too.

And now almost 88 per cent of adults have taken up this offer – and although uptake amongst 18 to 30-year olds is much lower and needs to increase we are looking at this. So our work is not over yet. Just as we strive to reach the remaining adults who have not yet had first or second doses, we are already making our plans for the next stage.

Because we do not know how long immunity lasts and because coronavirus mutates, just like flu, we must stay one step ahead of the virus.

So we are drawing up plans for a potential booster programme — subject to advice, the final advice from the JCVI — so we can protect the most vulnerable ahead of winter.

And we are also looking at extending our vaccination programme so we can protect even more people. We asked the JCVI to consider whether children and young adults should be given the offer of a vaccine – and this advice has been published today.

Before I continue, allow me to apologise to you for mistakenly referencing to this on air this morning, before setting out the details in full before the House.

The JCVI considered not just the health impacts, but also the non-health impacts, like how education is disrupted by outbreaks in schools. I should reassure the House that the number of children and young people who have had severe outcomes from COVID is extremely low with a hospitalisation rate during the second wave of between 100 and 400 for every million.

And when we look at the small numbers that were hospitalised, most of them had severe underlying health conditions.

Today’s advice recommends that we continue to vaccinate 16 to 17-year-olds who are in an at-risk group , as we do now. But it also recommends expanding the offer of the vaccine to some younger children with underlying health conditions that put them at greater risk of COVID-19. This includes children aged 12 to 15 with severe neuro-disabilities, Down’s Syndrome, immunosuppression, and profound or multiple learning disabilities.

The JCVI advice also recommends offering a vaccine to children and young people aged 12 to 17 who live with someone who is immunosuppressed.

This means we can indirectly protect the immunosuppressed, who are at higher risk of serious disease from COVID-19 and may not generate a full immune response to vaccination. Finally, the JCVI advises that we should offer the vaccine to all 17-year-olds who are within three months of their 18th birthday, so we can make sure they are protected as soon as they turn 18.

Together with Health Ministers in all parts of the United Kingdom, the Secretary of State has accepted this advice and has asked the NHS to put it into action as soon as possible.

As we do this, we will be using the Pfizer/BioNTech vaccine, which is the only vaccine in the UK that’s been clinically authorised for people between the ages of 12 and 17. I know that people will have questions about what it means for them and their children. But I can assure them Mr Speaker that nobody needs to come forward at this stage.

The NHS will get in touch with them at the right time, and they will make sure that the jabs are delivered in a setting that meets their complex needs. We also asked the JCVI to consider rolling out vaccines out to all children and young people over the age of 12. And although we are not taking this step today, the JCVI is keeping this matter under review, and they will be looking at more data as it becomes available especially on children with a second dose of the Pfizer/BioNTech vaccine. The steps we are taking today mean we will be offering even more vulnerable people the protection that a vaccine brings. And we will all be safer as a result.

We know that vaccines are our most important defence against this virus. This is especially the case in adult social care settings that are home to some of the people most vulnerable people in our communities who are vulnerable to a devastating impact from COVID-19.

So last week, this House passed regulations to make vaccination a condition of deployment in care homes – and the Lords will consider those regulations tomorrow.

These regulations are designed to help maximise vaccine uptake and protect some of our most vulnerable citizens. Yet I recognise the need for more detail on the Government’s analysis of the expected impact of these regulations.

So today we have published an Impact Statement – and we will be publishing a full Impact Assessment as soon as possible.

As we learn to live with COVID-19 we must be pragmatic about how we manage the risks we face. Self-isolation of positive cases and their close contacts remains one of the most effective tools we have for reducing transmission.

However, we recognise there are some very specific circumstances where there would be a serious risk of harm to public welfare if people in critical roles are unable to go to their workplace – like air-traffic controllers or train signallers.

So people in those kinds of roles who have received two vaccinations — plus two weeks beyond a second vaccine — will not need to self-isolate to perform those critical tasks. They will, however, have to continue to self-isolate at all other times.

The people eligible for this will receive personalised letters setting out the steps they must follow. Mr Speaker, this is a sensible and pragmatic step – and one that will be used sparingly and responsibly.

We are being similarly pragmatic at our borders. As my Right Honourable Friend, the Transport Secretary, has confirmed: UK residents arriving from amber countries who have been fully vaccinated will no longer have to quarantine – although they will still need to comply with necessary testing requirements.

This will not apply to France, due to the persistent presence of cases of the Beta variant, which was first identified in South Africa. We are doing everything in our power to restore international travel – and restore it safely. But new variants pose the greatest threat to our path out of this pandemic – and we will not hesitate to act in a similar way with any other country.

We will continue to keep a close eye on the data and be firm and decisive in how we protect the process we have made and the progress we have made. But the enduring message is this: getting vaccinated is the best way to ensure you can travel as freely as possible.

Vaccination also holds the key for doing the things we love doing here at home Mr Speaker. We are supporting the safe re-opening of large, crowded settings — such as nightclubs, as we saw last night, and music venues with the use of the NHS Covid Pass as a condition of entry, to reduce the risks of transmission. I encourage businesses to draw on this support and use the NHS COVID Pass in the weeks ahead.

We will be keeping a close watch on how it is used by venues, and we reserve the right Mr Speaker to mandate it if necessary. By the end of September, everyone aged 18 and over will have the chance to receive full vaccination – and the additional two weeks for that full protection to really take hold.

So at that point we plan to make full vaccination a condition of entry to nightclubs and other venues where large crowds gather. Proof of a negative test will no longer be sufficient.

Any decisions will, of course, be subject to parliamentary scrutiny – and we will ensure the appropriate exemptions for those who have genuine medical reasons for why they can’t get vaccinated. And I am clear: we will always look at the evidence available and do all we can to ensure people can continue to do the things they love.

Our vaccination programme has put us on the road to recovery. We should all be proud of how this national effort is helping us take steps towards a more normal life.

But we must keep reinforcing that wall of protection. Getting the jab. Getting the second jab if you’ve had the first. And getting the booster shot if you’re asked to come forward.

And with such a deadly virus – and the continued threat of new variants – our wall of protection must be more than just vaccines alone. We must continue to do all the other sensible things we know can keep the virus at bay. Getting tested. Considering the advice. And continuing to act with caution.

Taken together, Mr Speaker, this will help us all enjoy these new experiences – and safely slow the spread of this deadly virus.

I commend this statement to the House.

‘Test to Release’: England’s frontline health and care staff can work rather than self-isolate

Frontline NHS and social care staff can attend work rather than self-isolate with testing mitigations in exceptional circumstances under updated guidance announced this morning.

From today (Monday 19 July), double vaccinated frontline NHS and social care staff in England who have been told to self-isolate will be permitted to attend work in exceptional circumstances and replaced by testing mitigations.

This will include staff who have been contacted as a close contact of a case of COVID-19 by NHS Test and Trace, or advised to self-isolate by the NHS Covid-19 app.

This measure is being introduced to alleviate pressure on NHS and social care services and will be contingent on staff members only working after having a negative PCR test and also taking daily negative lateral flow tests for a minimum of seven days, and up to 10 days or completion of the identified self-isolation period.

This measure is being introduced to alleviate pressure on NHS and social care services and will be contingent on staff members only working after having a negative PCR test and daily negative lateral flow tests.

The government is clear the change applies only to frontline NHS and social care staff where their absence may lead to a significant risk of harm.

The decision to allow NHS and social care staff to attend work after being told to self-isolate should be made on a case-by-case basis, and only after a risk assessment by the organisation’s management.

This must be authorised by the organisation’s local Director of Infection Prevention and Control, the lead professional for health protection, or the Director of Public Health relevant to the organisation.

Health Secretary Sajid Javid said: “As we learn to live with this virus, it’s important that we ensure frontline staff can keep providing the best possible care and support to people up and down the country.

“The government has backed healthcare services at every turn through this global pandemic and these new rules will fortify our collective defences against this awful virus, by allowing fully vaccinated frontline NHS and social care staff to continue to work when needed.”

Careful consideration should be given by local NHS and social care organisations to the risk of onward transmission compared to the risk to delivery of critical services.

Staff who are permitted to attend work will remain under a legal duty to self-isolate as a close contact when not at work, but will be considered to have a ‘reasonable excuse’ under the Self-Isolation regulations to leave self-isolation to attend work where their absence could result in harm. They will continue to receive self-isolation reminders.

UK Health Security Agency Chief Executive, Jenny Harries, said: “With the number of cases continuing to rise, it is imperative that we do everything we can to manage this virus and support our NHS and social care services under the strain of increased demand and sustained pressure.

“We have provided specific guidance to NHS and social care settings for circumstances where there is a significant risk to health or safety resulting from staff absence or a critical service cannot run.

“This measure only applies to double vaccinated staff, who will only be able to attend work after testing negative on PCR and daily lateral flow tests, and following a risk assessment and the supervision of the health service.”

In order to mitigate the increased risk associated with attending work, the following mitigations must be implemented:

  • The staff member should be fully vaccinated, defined as having received both doses of an MHRA approved vaccination, with 14 days having elapsed since the final dose.
  • The staff member should undertake a PCR test and should self-isolate until they receive the result. They should only attend work if this result is negative.
  • They should undertake daily LFD tests prior to starting work each day. Test results should be reported to NHS Test and Trace via the web portal and to their duty manager. Any staff member who has a positive LFD test during this period should not attend work and should arrange a PCR test as soon as possible.
  • If the staff member develops any COVID symptoms, they should stay at home and immediately arrange a PCR test.
  • Staff working during this 10-day period should comply with all relevant infection control precautions and PPE should be properly worn throughout the day. Any breaches should be reported immediately to their line manager.
  • The staff member should not work with clinically extremely vulnerable patients or residents, as determined by the organisation.

Existing guidance will be updated by Public Health England today (Monday 19 July), and shared with NHS trusts and relevant social care organisations across England.

These changes apply in England only. The Scottish Government will announce any changes to exisiting arrangements, if necessary, in due course.

Major milestone reached as scheduled first doses completed for all adults in Scotland

The vaccination programme completed first doses for all over 18s who have attended their scheduled appointments at close of play yesterday – Sunday 18 July.

Second doses continue to be scheduled and it is expected all adults will have received them by Sunday 12 September.

Some of those eligible have rearranged their initial appointment for health or work reasons and will get their first dose shortly. Anyone else who has not yet received their first dose for whatever reason is urged to head to a local drop-in clinic or go to NHS Inform to book an appointment convenient for them.

Health Secretary Humza Yousaf said: “It is testament to the incredible work being done by all those involved in the vaccination programme that we have reached this milestone of giving first doses to all those who attended their scheduled appointments.

“I want to thank them and of course, everyone who has taken up their offer of a vaccine as each and every one is playing their part in helping us out of the pandemic and of course, protecting themselves and those around them.

“For anyone who hasn’t yet come forward, we urge you to do so now. We have made getting a vaccination easier than ever – head to one of the drop-in clinics being offered across the country or, if you prefer, book an appointment online at NHS Inform. Please check your NHS board’s social media posts for the latest information on where you can attend.

“All of the evidence says that the vaccines are working as we continue to battle the faster-transmitting Delta variant which is now dominant so I urge everyone to take advantage of the vaccination programme which is open to every adult in Scotland.”

Information on drop-in clinics

A Sense of Freedom?

Scotland moves to Level 0

What you can do at Level 0 in Scotland:

  • you can meet friends and family socially in groups:
    • of up to 8 people from 4 households in your home or theirs – and can stay overnight
    • of up to 10 people from 4 households in an indoor public place like a café, pub or restaurant. Hospitality settings will be required to close at midnight
    • of up to 15 people from 15 households outdoors
  • under 12s do not count towards the total number of people meeting outside or indoors
  • you do not need to physically distance from family and friends in a private home or outdoors. However, your gathering should maintain at least 1m distance from all others
  • you need to maintain at least 1m distance from other households in all indoor public settings
  • you can travel anywhere in Scotland
  • you can travel anywhere in England, Wales, Northern Ireland, the Isle of Man or the Channel Islands – before you travel you must check the travel rules in those countries
  • you can provide informal childcare, for example to look after a grandchild
  • up to 200 people can attend weddings and funerals
  • you can take part in any sport or exercise activity, including adult indoor contact sports
  • tradespeople can carry out any work in your home such as painting, decorating or repairing
  • you should continue to work from home where possible. 

What can open at Level 0

Places and business that can open at Level 0 include:

  • cafés, pubs and restaurants
  • all shops and stores
  • all close contact services including hairdressers, barbers and beauty salons
  • all sport and exercise
  • tourist accommodation
  • all visitor attractions
  • all public buildings like libraries and community centres
  • all entertainment (apart from nightclubs and adult entertainment)
  • stadiums and events – with maximum numbers

What must close at Level 0

Places and business that must close at Level 0 include:

  • nightclubs and adult entertainment

Move to Level 0 is ‘encouraging milestone’, says business chief

Scotland moves to a ‘modified’ Level 0 from tomorrow, Monday 19th July.

Dr Liz Cameron, Chief Executive of the Scottish Chambers of Commerce said: “The confirmation that Scotland will move to Level 0 on 19th July marks another encouraging milestone towards the full re-opening of Scotland’s economy and business’s ability to recover.

“The fact remains though that the modified framework deviates away from what businesses had been preparing for and moving the goalposts at this late stage will cause uncertainty, negatively impacting on business confidence and recovery.

“The postponing of the phased return of offices will be a bitter blow for employees and employers alike, many of which had been getting ready to welcome employees back into offices from next week. T

“his will also sound alarm bells for those town and city centre businesses, reliant on office worker footfall and custom, who now need to wait another month until those workers start to return.

“Scotland’s hospitality sector, one of the hardest hit by restrictions, will be concerned that anticipated restrictions were not lifted, including little reprieve for the night-time economy, with challenging restrictions on trading remaining.”

On changes to rules for self-isolation and quarantine, Liz Cameron said: “A greater four-nations alignment on international travel restrictions and self-isolation is positive, however, until all restrictions are lifted many businesses operating in Scotland’s travel and tourism sector simply won’t be able to open.

“The international travel industry is vital to Scotland’s wider tourism and hospitality sectors, and it’s essential that financial support for these businesses is not only continued but enhanced to allow them to fully recover when restrictions do finally lift.”

On moving beyond Level 0, Liz Cameron said: “Our view is clear that we should continue on the path set out towards the lifting of all restrictions on the 9th of August as planned.

“The role of the Scottish and UK Government must evolve to enable businesses and communities to operate with autonomy, according to personal circumstances, business preferences and sectoral requirements.”

STUC General Secretary, Roz Foyer, said: “We welcome the more cautious approach set out today by the First Minister. The trade union movement has consistently called for a cautious approach to easing restrictions, based on the data in conjunction with vaccine uptake.

“Many workers will be breathing a sigh of relief at the continuation of mandatory use of face masks. However, for hospitality staff, many of whom will not yet be fully vaccinated, the announcement of larger indoor events may understandably cause fear and worry.

“When planning for the return to office working, we need employers to work with trade unions and employees to consider a phased and flexible approach for their return to work, ensuring workers’ health and wellbeing is protected while working from home or in the office.”

Cllr Kate Campbell: “We’re making Edinburgh a Living Wage city”

Councillor KATE CAMPBELL, Convener for Housing, Homelessness and Fair Work, writes about Edinburgh’s ambitions to be a Living Wage city.

Fair work. You’d think in Scotland in 2021 we wouldn’t need the ‘fair’. Just the concept of work in one of the most prosperous, democratically developed and progressive nations in the world – it should just include a presumption that work will be fair.

But sadly, that isn’t the case.

We’ve too many workers in our city paid the minimum, not the living wage – that’s around 38,000 people who earn less than £9.50 per hour.  Many don’t have job security or guaranteed hours. Many have little or no access to training or development and lack any form of representation through trade unions.

I’m not going to pretend that the City of Edinburgh Council alone can fix this. We can’t. But there are some things we can do.

Firstly – we’re going to make Edinburgh a Living Wage city.

Step one is to acknowledge all the fantastic employers in our city. We need to champion the people and organisations who recognise the value of their staff. And the benefit of investing in them. And we need to come together to promote those benefits.

We’re setting up a group of existing living wage employers across different sectors. We’ll work together to understand the barriers that prevent organisations becoming living wage employers, and how we can break down those barriers. And then we’ll put together an action plan.

It’s clear that in Edinburgh tourism is a major employer, and we know that hospitality is one of the areas that has historically struggled to pay the living wage.

But hospitality businesses have also been hit hard during the pandemic – reduced capacity due to social distancing, closure due to lockdowns, outbreaks and the need to self-isolate.

As labour shortages arise from Brexit there will be a need for businesses to offer more to retain skilled staff. Fair work and the living wage will be absolutely key.

Over recent years we’ve seen customers ask more of businesses – sustainability is a good example. People want to spend money with organisations that they believe are contributing to saving the planet, or at least working hard to mitigate any negative impacts from their activity. It costs more – but customers value sustainability so it pays for itself.

So, it’s important that as customers we are asking for the same ethical values of fair employment – because as citizens we will all benefit.

The pandemic has hit many hard but people on the lowest wages, and small businesses, have undoubtedly borne the brunt. Let’s all be part of the recovery to a better city. It’ll be hard for some businesses to make the leap to becoming living wage employers – so let’s make sure we support and encourage them.

This article first appeared in the Evening News