If you are aged 50 to 64 with no additional risk factors, please wait to be contacted about your winter vaccination appointment. The flu and COVID-19 vaccines are being given to those most at risk first.
For more information visit http://nhsinform.scot/wintervaccines
Social care staff and visitors are no longer being advised to wear facemasks at all times under new guidance published today (7 September).
The recommendation has been lifted due to a sharp drop in coronavirus infections and a reduction in severity of illness, which has been driven by Scotland’s successful vaccination programme which has so far seen more than 12 million Covid-19 vaccine doses administered in Scotland.
Care home residents and their loved ones will benefit from these more relaxed visiting arrangements. Masks and face coverings in social care may still be worn if recommended in certain situations, such as a local outbreak of COVID, or if staff deem it necessary. Staff and visitors remain free to wear one if they choose.
This guidance balances the risk of harm from COVID-19 with the impact masks can have on communication, mental wellbeing and rights and choices of those working in and using social care services.
Social Care Minister Kevin Stewart said: “Our phenomenally successful vaccination programme has driven down infections and saved the NHS from untold pressures.
“Removing the need for facemasks in social care settings including care homes is the latest step in our path to recovering from the pandemic.
“This will make communication and relationships easier in care settings, benefiting mental health and promoting the rights and choices of those working in and using social care.”
Read the new guidance for face mask use in social care settings.
A further booster vaccination will be offered to those at highest risk of severe COVID-19 disease from September, in line with other nations in the UK.
Following final advice on the autumn/winter booster programme from the Joint Committee on Vaccination and Immunisation (JCVI), the following groups will be offered an additional dose in a community clinic:
Where possible, these boosters will be given at the same time as the flu vaccination to those who are eligible.
As with previous campaigns, vaccinations will be offered first to frontline health and social care workers and those who are most vulnerable to the effects of the virus. Letters will be sent out to the first eligible groups next month with appointments beginning in September.
Discussions on the details of the delivery timetable are underway with health board partners and more information will be made available in due course. However in the meantime, those eligible for a booster need not do anything.
Health Secretary Humza Yousaf said: “The vaccination programme in Scotland continues to be a huge success and this is testament to the efforts of everyone involved in its delivery and all those who took up their appointment offers.
“Vaccination has been our most effective tool against coronavirus. However, the degree of protection offered wanes over time.
“We know that those in high-priority groups are at higher risk of serious illness from COVID-19, and I therefore welcome this latest advice from the JCVI and can confirm that boosters will be offered to all those in eligible groups.
“The additional booster dose will improve your level of protection significantly and is the best way to protect yourself, your family and of course the NHS when we head into the busy winter months.
“I continue to encourage everyone to receive the doses they are eligible for as and when they become available.”
The Charity Commission has opened a statutory inquiry into The Captain Tom Foundation, after identifying concerns about the charity’s management, including about the charity’s independence from the family of the late Captain Sir Tom Moore and businesses connected to them.
The Captain Tom Foundation was registered on 5 June 2020, following the fundraising efforts of the late Captain Sir Tom Moore at the outbreak of the COVID pandemic. It is registered as a grant-making charity, for the advancement of public health and wellbeing.
The Commission opened a case into the charity in March 2021. It has now escalated its engagement due to newly identified concerns about arrangements between the charity and a company linked to the Ingram-Moore family, as well as ongoing concerns about the trustees’ decision making and the charity’s governance.
The Commission is concerned that a failure to consider intellectual property and trade mark issues when the charity was established provided Club Nook Limited, a private company controlled by Hannah Ingram-Moore and Colin Ingram-Moore, the opportunity to trade mark variations of the name ‘Captain Tom’ without objection from the charity. This may have generated significant profit for the company.
The inquiry, which opened on 16 June, will examine whether the trustees have:
The Commission may extend the scope of the inquiry if additional issues emerge.
Helen Stephenson, CEO of the Charity Commission, said: The late Captain Sir Tom Moore inspired the nation with his courage, tenacity and concern for others. It is vital that public trust in charity is protected, and that people continue to feel confident in supporting good causes.
“We do not take any decision to open an inquiry lightly, but in this case our concerns have mounted. We consider it in the public interest to examine them through a formal investigation, which gives us access to the full range of our protective and enforcement powers.”
Previous Engagement
Prior to the inquiry opening, the Commission engaged with the charity on the following issues:
The Commission’s case had identified potential concerns about payments of consultancy fees and payments to related third parties revealed in the charity’s accounts, published in February 2022.
However, based on the information and evidence provided by the trustees, the Commission was satisfied that these specific payments are reasonable reimbursement for expenses incurred by the companies in the formation of the charity. It is also satisfied that any conflicts of interest in relation to these third-party payments were adequately identified and managed
The £38million raised by the late Captain Sir Tom Moore, and donated to a separate charity, NHS Charities Together, prior to the formation of The Captain Tom Foundation is not part of the scope of this inquiry.
It is the Commission’s policy, after it has concluded an inquiry, to publish a report detailing what issues the inquiry looked at, what actions were undertaken as part of the inquiry and what the outcomes were.
After helping three quarters of a million Scots during the pandemic the COVID special helpline service will formally close at 4pm on Thursday 30th June 2022.
This reflects changes in national guidance on testing and isolation advice. All information will continue to be available at www.nhsinform.scot/coronavirus.
NHS 24 Medical Director, Dr Laura Ryan said: “The formal closure of the non-clinical Covid 19 special helpline reflects how life is returning to a more normal or familiar pattern.
“Covid-19 has not gone away. We still need continue to follow the current guidelines and advice to keep everyone safe. This includes getting your vaccines, staying at home if unwell with Covid -19 symptoms, and simple but effective measures such as washing hands frequently.
“There is an extensive range of information on NHS Inform including symptom checkers for Coronavirus which provide advice and suggest what to do if your condition worsens.
“Remember, if you are unwell or concerned about your symptoms, please continue to access care as normal.”
LGBT+ people across Scotland are continuing to face health inequalities across every measure of wellbeing, according to a major new report by NHS Greater Glasgow and Clyde, NHS Lothian and Public Health Scotland.
The findings of the Health Needs Assessment, commissioned by the Boards, found that the COVID pandemic has exacerbated issues, with significant numbers experiencing loneliness and isolation, while almost a half of LGBT+ people in the survey said they had experienced discrimination in the previous year – with trans and non-binary communities experiencing higher levels of abuse.
The assessment also revealed significantly high levels of mental ill-health, with more than half of all respondents reporting issues such as depression, anxiety and stress, with the highest rates experienced by trans and non-binary individuals.
The comprehensive assessment was undertaken to better address gaps in knowledge about the health and wellbeing of LGBT+ patient groups, to better inform approaches to public health for LGBT+ people, across seven groups: lesbian and gay women, gay men, bisexual women, bisexual men, trans women, trans men (trans masculine) and non-binary people across the Greater Glasgow & Clyde and Lothian areas.
Nicky Coia, Health Improvement Manager at NHSGGC said: “This report should serve as a wake-up call for everyone involved in the health and wellbeing of LGBT+ communities.
“Too many continue to suffer from discrimination and abuse, are experiencing social isolation and loneliness and suffering the impacts of poor mental health. This, combined with the poor socio-economic situations many find themselves in, contributes to a substantial health inequalities on every measure of wellbeing.
“While there are positives to be taken in terms of how LGBT+ experience healthcare, particularly from the GPs, there is still work to be done to improve access to, and experience of, person-centred healthcare, that treats the individual, no matter their gender identity or sexual orientation.”
Dona Milne, Director of Public Health and Health Policy at NHS Lothian, said: “We interviewed more than 200 people and over 2,500 people took part in the online survey as part of this research. Their experience is in stark contrast to the progress that many of us may feel has been made in achieving equality in Scotland.
“I want to thank everyone who took part and express our shared desire to highlight this as a key public health issue and deliver real improvements in health and wellbeing for LGBT+ communities.”
Some of the key findings include:
· Nearly three in four (73%) survey respondents said they ever felt isolated from family and friends and nearly two in five (38%) had felt lonely all of the time or often in the previous two weeks. Trans and non-binary people showed the highest levels of isolation and loneliness.
· The survey showed that overall more than half (54%) of respondents said they had mental health problems e.g. depression/anxiety/stress, but this was higher for trans masculine (75%), non-binary people (72%) and bisexual women (61%). Only one in four (25%) survey respondents rated their general mental and emotional wellbeing positively – but this was lowest for non-binary (9%) and trans masculine (12%).
· Of those who answered the question in the survey, nearly one in three (31%) said that they had ever made an attempt to end their life. Although the prevalence of suicide attempts was high across all LGBT+ groups, it was highest among trans masculine and non-binary people, with nearly half of respondents in these groups saying they had made a suicide attempt.
· Overall, nearly half (44%) of LGBT+ people in the survey said they had been discriminated against in the last year, but this was highest for non-binary (65%), trans masculine (62%) and trans women (55%).
· The survey findings show that 37% of LGBT+ respondents had ever experienced an abusive relationship; identity groups with the highest proportion reporting abusive relationships were trans masculine (48%), non-binary (45%), bisexual women (43%) and trans women (38%).
· only 59% overall rated their general health positively. Gay men and gay/lesbian women were the most likely to rate their health positively, while trans masculine and non-binary people were the least likely. A third (33%) of LGBT+ people had a long-term condition or illness that substantially interferes with their day to day activities.
· Most (88%) survey respondent had financial worries at least some of the time. One in six (18%) had experienced food insecurity in the previous 12 months. One in eight (13%) had ever been homeless.
The report’s authors have made 41 recommendations, including an immediate request that all Scottish local authorities should provide or fund at least some, community-led groups or activities for LGBT+ people, with provision for cultural, sport and physical activity and social interest groups, as well as targeting specific identity groups.
Other recommendations call for improvements in LGBT+ education in schools, improved LGBT+ training and awareness for health and other staff, improvements in mental health and gender identity clinics and more visibility of LGBT+ inclusive services.
Professor Nicola Steedman, Deputy Chief Medical Officer at the Scottish Government, said: “The assessment lays bare the fact that too many LGBT+ people are subject to significant inequalities which impact every aspect of their lives. I’m grateful to everyone who took part in the research and NHS Greater Glasgow and Clyde and NHS Lothian for carrying out this important work.
“The Scottish Government is committed to reducing inequality – in all its forms – and we welcome the report. We will continue to work with, and across our partners, to improve the health and wellbeing of our LGBT+ communities.”
Mark Kelvin, Chief Executive of LGBT Health and Wellbeing, said: “This report highlights what many of our community members experience in their daily lives.
“Whilst many people believe that LGBTQ+ people have achieved equality, this report reminds us that there is still a lot of work to do. Scotland is celebrated as being a welcoming and inclusive country and whilst that is true, almost half of LGBTQ+ respondents experienced discrimination in the past year.
“The report also highlights the health inequalities that still exist for many of us and provides very useful and realistic recommendations that will help LGBTQ+ people to live well.
Speaking specifically on how COVID-19 has impacted the LGBTQ+ community, Mark pointed out the dependency on LGBT nightlife for socialisation. He added: “Whilst the closure of pubs and clubs can be seen by many as an inconvenience, for LGBTQ+ people queer-friendly spaces provide an important place of safety and belonging.
“This meant that during the months of closures, people were shut-off from contact with others like them. I’m hopeful that this report can restart conversations with local authorities and other interested parties to open LGBTQ+ Community Centres, where people of all ages can access a place of safety, information, support, and importantly connection.”
Mhairi Crawford, from LGBT Youth Scotland, said: “LGBT Youth Scotland notes the publication of the health needs assessment of LGBT research findings report. We know from our own recently published research that health care remains a significant issue for LGBTI young people in Scotland.
“In particular, we welcome the recommendations for healthcare providers and other public bodies to undergo training, which is a key part of our LGBT Charter, in which we also support organisations to undertake reviews of policies and practice to ensure that they are as welcoming as possible for the LGBTI community, whether they are staff, clients, pupils or wider stakeholders.
“We know that alcohol free spaces are highly valued by young people we work with in our youth spaces – so we welcome the recommendation for more LGBT spaces that don’t have alcohol.
“Finally, we also welcome the recommendation that schools should undertake the LGBT Charter as we know this can have a massive impact on daily lives of LGBTI young people.”
NHS Lothian has warned that increasing cases of COVID-19 are placing mounting pressure on hospital and community services. Health chiefs said community prevalence of the virus is causing serious capacity issues across the whole system.
An estimated one in 20 people currently have the virus in Scotland with two thirds of the cases identified in the 20-59 age group. This is having an impact on workforce, with one fifth of nursing staff not at work as a result of COVID-19 absence.
Dona Milne, Director of Public Health, NHS Lothian urged people not to forget all that has been learned about keeping the virus under control.
She said: “COVID-19 has not gone away and cases are continuing to rise across Lothian. Our hospital system is under extreme pressure and we need people across Lothian to do their bit to prevent the system becoming overwhelmed.
“We would urge people to take sensible precautions when they are indoors or in crowded spaces and remind them that regular hand hygiene is vital and face coverings should be considered, especially in crowded places.”
Tracey Gillies, Medical Director of NHS Lothian said: “The number of hospital inpatients who have tested positive has increased by 50% since a week ago. This presents many logistical issues as they need to be cared for within COVID-19 specific areas.
“On top of that, and in line with community transmission levels, there are increased numbers of staff testing positive with COVID-19, who must then self-isolate to protect patients.
“All of this means services are stretched right across the system, including community and social care services, resulting in high numbers of patients who are medically fit to leave hospital but who cannot be discharged because they need care in place to support them at home.”
Relatives of patients are also being urged to help where they can by providing transport home for patients who are medically fit to be discharged, rather than have their relative wait for hospital transport.
This speeds up the discharge process and in turn frees up more hospital beds sooner, allowing faster admission for patients from our Emergency Departments where admission queues can form when the hospitals are full.
Relatives are also being asked if they can consider offering support to their loved ones who have been clinically assessed as “medically fit for discharge” but might still need extra help around their home.
Dr Gillies added: “We know that it is better for people to be looked after in a homely setting once they are medically fit to leave hospital. Unfortunately, the pressure on community and social care services means many patients are waiting too long for social care support and as a result spending longer in hospital than they need to.
“When appropriate, we therefore ask families to consider if they can step in and help support their loved one once they are fit for discharge. Again, this helps with the flow of patients through our hospitals and ensures that beds are available for the most urgent of cases.”
Dr Gillies reminded people in Lothian to make sure they get the “Right Care in the Right Place” by considering going to their local pharmacy or GP or by calling 111 to get an appointment with an expert in the Minor Injuries Unit (MIU), rather than automatically going to the Emergency Department.
She said: “If you think you need to visit A&E, but it’s not life threatening, call NHS 24 on 111 first, day or night.
“NHS 24 will direct you to the right care in the right place. They will direct you to an expert in our Minor Injuries Unit, GP or pharmacy and help reduce the length of time spent waiting in busy hospital departments.
“It is important too to remember that there is self-care information on NHS Inform.
“If it is an emergency always call 999 or go to your local A&E.”
People in eligible groups who, for whatever reason, have not yet had their spring booster jab are being encouraged to make an appointment now. The call comes as Covid numbers in Scotland are rising once again.
These additional vaccinations have been offered to people aged 75 or over and those aged over 12 who are immunosuppressed, with clinics operating since early March until 30 June.
Anyone in these groups who has not yet come forward can book online or call the national vaccination helpline seven days a week to make an appointment which suits them.
Some health boards are also operating drop in clinics and details can be found on their websites.
Health Secretary Humza Yousaf said: “I am pleased so many people have come forward for their spring booster, which provides important extra protection for our most vulnerable groups.
“Vaccination has been our most effective tool against coronavirus. However, the degree of protection offered wanes over time.
“We are seeing higher numbers of infections across our communities at the moment which is why booster vaccination is needed to maintain the best protection against COVID-19 for those at highest risk of severe effects from the virus.
“Almost 90% of over 75s and around two thirds of those who are aged over 12 and are immunosuppressed have already taken up the offer of a spring booster and if you have missed yours for any reason then you can rearrange it online at NHS Inform or by calling the helpline on 0800 030 8013 seven days a week between 8am and 8pm.
“We continue to encourage everyone to receive the doses they are eligible for as and when they become available.”
The national vaccination helpline number is 0800 030 8013.
More information on the spring booster and how to book online is available at NHS Inform
The UK Health Security Agency (UKHSA) has elevated the classification of the COVID-19 variants Omicron BA.4 and Omicron BA.5 to variants of concern (VOCs) on the basis of observed growth.
As of 17 May, 115 cases of BA.4 and 80 cases of BA.5 have been confirmed in England and the latest UKHSA variant technical briefing was published yesterday.
Whilst Omicron BA.4 and BA.5 are in the early stages of growth in the UK, analysis of the available data suggests that they are likely to have a growth advantage over the currently-dominant Omicron BA.2 variant.
There can be several reasons for growth advantage, but in the case of BA.4 and BA.5, laboratory data suggests a degree of immune escape which is likely to contribute.
Dr Meera Chand, Director of Clinical and Emerging Infections at UKHSA, “said: The reclassification of these variants as variants of concern reflects emerging evidence on the growth of BA.4 and BA.5 internationally and in the UK.
“Whilst the impact of these variants is uncertain, the variant classification system aims to identify potential risk as early as possible.
“UKHSA is undertaking further detailed studies. Data and analysis will be released in due course through our regular surveillance reporting.”
“Based on advice from UKHSA, we the UK Chief Medical Officers and NHS England Medical Director have recommended to ministers that COVID Alert Level should move from level 4 to level 3.
“The current BA.2 driven Omicron wave is subsiding. Direct COVID-19 healthcare pressures continue to decrease in all nations and ONS community positivity estimates continue to decrease.
“We would like to thank healthcare staff for their remarkable efforts during a challenging time. Whilst it is reasonable to expect the number of cases to increase due to BA.4, BA.5 or BA2.12.1, it is unlikely in the immediate future to lead to significant direct COVID pressures. This will continue to be kept under review.”
Chief Medical Officer for England, Professor Chris Whitty
Chief Medical Officer for Northern Ireland, Dr Michael McBride
Chief Medical Officer for Scotland, Dr Gregor Smith
Chief Medical Officer for Wales, Dr Frank Atherton
NHS England National Medical Director, Professor Stephen Powis
First minister Nicola Sturgeon has tested positive for Covid
In a social media post last night, the first minister wrote: “Unfortunately I’ve tested positive for Covid this evening after experiencing mild symptoms.
“In line with Scottish government guidance, I’ll work from home over next few days, and hopefully be back out and about later next week.”
The First Minister attended a number of engagements in Washington DC this week and held a meeting with Sinn Fein’s Michelle O’Neill in Bute House yesterday.
The Joint Committee on Vaccination and Immunisation (JCVI) has provided interim advice to the UK government regarding coronavirus (COVID-19) booster doses this autumn.
The boosters would be for more vulnerable adults, alongside frontline social care and health workers, in order to maintain their protection over the winter against severe COVID-19.
The advice should be considered as interim and for the purposes of operational planning for the autumn for the NHS, care homes and wider health community.
The committee recognises that there is considerable uncertainty with regards to the likelihood, timing and severity of any potential future wave of COVID-19 in the UK in the year ahead.
Despite these uncertainties, winter will remain the season when the threat from COVID-19 is greatest for individuals and for health communities.
As in autumn 2021, the primary objective of the 2022 autumn booster programme will be to increase population immunity and protection against severe COVID-19 disease, specifically hospitalisation and death, over the winter period.
The JCVI’s current view is that in autumn 2022, a COVID-19 vaccine should be offered to:
Professor Wei Shen Lim, Chair of COVID-19 vaccination on the JCVI, said: “Last year’s autumn booster vaccination programme provided excellent protection against severe COVID-19, including against the Omicron variant.
“We have provided interim advice on an autumn booster programme for 2022 so that the NHS and care homes are able to start the necessary operational planning, to enable high levels of protection for more vulnerable individuals and frontline healthcare staff over next winter.
“As we continue to review the scientific data, further updates to this advice will follow.”
Throughout the pandemic, evidence has clearly shown that COVID-19 has disproportionately affected those in older age groups, residents in care homes for older adults, and those with certain underlying health conditions, particularly those who are severely immunosuppressed.
It is important that those who are eligible for the spring booster currently being rolled out – specifically adults aged 75 years and over, residents in a care home for older adults, and individuals aged 12 years and over who are immunosuppressed – still come forward to ensure they are protected.
The JCVI will continue its on-going review of the vaccination programme and the epidemiological situation, particularly in relation to the timing and value of doses for less vulnerable older adults and those in clinical risk groups ahead of autumn 2022.
The committee will announce its final plans for the autumn programme, including further detail on the definitions of clinical risk groups, in due course.
