People aged 60 to 69 and adults aged 16 and over with underlying health conditions have begun to receive invitations for their flu and COVID-19 booster vaccinations through the post.
Appointments for this group will take place at a local community clinic and will run from late October and throughout November.
Currently, as per JCVI advice, we are vaccinating people in the highest risk groups for both flu and COVID-19 including those who are aged 70 years and over, people in older adult care homes, those who are on the Highest Risk List and frontline health and social care workers.
In addition we are delivering flu vaccinations to children under 2 years old who have underlying health conditions, preschool children aged 2-5, all school pupils, pregnant women and all NHS healthcare workers.
The winter flu and COVID-19 vaccination programme is working together to reduce the risks for both types of illness. Wherever possible, those eligible for the booster jab will receive both the flu vaccine and COVID-19 boosters on the same day. This is safe and effective to do.
More than 1.5 million COVID-19 and flu vaccinations have been administered since September 6.
For those in the underlying health conditions group, the type of health condition will guide whether they will be given a flu jab, the COVID-19 booster, or both vaccines.
Details on who is eligible for these vaccinations and when they can expect an invitation are available on NHS Inform.
Health Secretary Humza Yousaf said: “For those eligible for the COVID-19 boosters, appointments can only take place six months (24 weeks) after your second dose. As such, it may take several weeks before you receive your invitation letter. We remain on track with Scotland’s booster programme prioritising those at the highest risk for both COVID-19 and flu.
“We started this as soon as possible following the JCVI advice – that the booster dose should be offered no earlier than six months after completion of the primary vaccine course. It is important to note that many people in the original early priority cohorts of the initial vaccination programme had already had a 6 month gap prior to this JCVI advice.
“In addition to delivering the COVID-19 vaccine boosters, this year we are offering a record number of free flu vaccines to help protect the people of Scotland. It is the biggest ever flu vaccination programme in Scotland reaching over 4 million people.
“Appointments for both vaccines are being scheduled based on clinical need and age and it will take until the middle of January for everyone to be offered their vaccines. Boosters will be offered to many of the groups who routinely have the flu vaccine to protect people from both illnesses. To support this, we are ensuring those most vulnerable are vaccinated first.
“But I would like to stress: everyone who is eligible will be offered a vaccination. If you haven’t received your appointment letter yet, please be patient. You do not have to do anything now – you will be contacted, notifying you of your appointment.
“The flu virus changes every year, so you need to get the vaccine every year to stay protected. The vaccine cannot give you flu, but it can help stop you catching it, or suffering severe symptoms. The COVID-19 vaccine does not offer any protection from flu, you need to get the separate flu vaccine.
“Flu can be extremely serious and is very infectious. With COVID-19 still circulating in the community we can best protect those most at risk as well as ease pressure on our National Health Service and social care services by encouraging everyone eligible to get vaccinated against flu.”
Scottish Labour said: “This is more proof that the SNP are failing to protect the most vulnerable this winter: They’ve shifted goalposts for booster jabs.
“Many will now have to wait at least another month for a third jag. Cases are spiralling and we need faster action from the Government.”
To find out more about vaccine eligibility and when you will be invited visit:
nhsinform.scot/fluandcovid19vaccsguide
For more information about the flu vaccine, visit:
nhsinform.scot/fluvaccine
For more information about the COVID-19 booster visit:
The Delta variant sub-lineage known as Delta AY.4.2 was designated a Variant Under Investigation (VUI) by the UK Health Security Agency (UKHSA) on 20 October 2021 and has been given the official name VUI-21OCT-01.
The designation was made on the basis that this sub-lineage has become increasingly common in the UK in recent months, and there is some early evidence that it may have an increased growth rate in the UK compared to Delta. More evidence is needed to know whether this is due to changes in the virus’ behaviour or to epidemiological conditions.
The genome of VUI-21OCT-01 does not have many mutations compared to Delta. However, a small change may be enough to cause a difference in the virus properties in some circumstances. UKHSA is monitoring this closely.
The original Delta variant remains overwhelmingly dominant in the UK, making up approximately 99.8% of all cases. As of 20 October, there were 15,120 cases of VUI-21OCT-01 confirmed by whole genome sequences in England since it was first detected in July.
In the last week, VUI-21OCT-01 accounted for approximately 6% of all Delta cases. Cases have been confirmed through whole genome sequencing in all 9 regions of England.
While evidence is still emerging, so far it does not appear this variant causes more severe disease or renders the vaccines currently deployed any less effective. As is routine for any new variants under investigation, UKHSA is carrying out laboratory and epidemiological investigations to better understand the properties of this variant.
Dr Jenny Harries, Chief Executive of the UK Health Security Agency, said: “Viruses mutate often and at random, and it is not unexpected that new variants will continue to arise as the pandemic goes on, particularly while the case rate remains high.
“It is testament to the diligence and scientific expertise of my colleagues at UKHSA, and the genomic sequencing capacity developed through the pandemic, that this new variant has been identified and analysed so quickly. However, it should serve as objective evidence that this pandemic is not over.
“The public health advice is the same for all current variants. Get vaccinated and, for those eligible, come forward for your third or booster dose as appropriate as soon as you are called. Continue to exercise caution. Wear a mask in crowded spaces and, when meeting people indoors, open windows and doors to ventilate the room.
“If you have symptoms take a PCR test and isolate at home until you receive a negative result.”
UKHSA continues to examine all available data relating to SARS-CoV-2 variants in the UK and abroad. We constantly assess the genetic diversity within the known Variants of Concern (VOCs) to inform our ongoing public health response to the pandemic. New sub-lineages within Delta continue to be identified. This is to be expected and UKHSA is monitoring the situation closely.
“To signal the return of a ‘business as usual’ model when the country is still in the grip of a pandemic is utterly reckless”
The British Dental Association Scotland has warned that plans to return NHS practices to pre-COVID models of work will devastate dental services across the country.
Cabinet Secretary Humza Yousaf yesterday wrote to every NHS dental team in Scotland, indicating that all emergency support will be withdrawn by 1 April 2022. Since the first lockdown NHS practices have operated under a COVID support package, reflecting pandemic pressures and tight restrictions that continue to limit capacity across the service.
A return to delivering a low margin/high volume model of care is, BDA Scotland contends, simply unsustainable under current conditions. While some restrictions may ease in the coming months, there are no indications the service is likely to return to anything resembling ‘business as usual’.
With a growing number of staff facing abuse from frustrated patients unable to secure appointments, the BDA has warned the move will only raise patient expectations, while pushing NHS colleagues into the private sector or out of dentistry altogether.
Yousaf has signalled minor changes to the payment system for dentists that will take effect from 1 February 2022, largely covering the treatment of children. While welcome, these reforms will have a negligible impact on capacity within the service and will not ease the pressure on practice finances once the COVID support payments are withdrawn.
The SNP committed to delivering free NHS care for all in Scotland in the recent election. The BDA has stressed this approach runs counter to that vision, and that real focus and energy must be applied to developing a new, sustainable model for delivering care.
David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said:“The Scottish Government seems set to pull the rug out from under every dedicated NHS dentist.
“If Ministers had an objective to decimate NHS dentistry, this approach would offer a great starting point. To signal the return of a ‘business as usual’ model when the country is still in the grip of a pandemic is utterly reckless. The net result will be to push colleagues out of the NHS and to leave this profession altogether.
“Ministers put NHS dentistry front and centre in their pitch for government. To deliver on their promises we need real commitment to find a new and better way for delivering for the patients that need us.”
On behalf of the City of Edinburgh Council, Underbelly announces that tickets for Edinburgh’s Christmas 2021 are now on sale.
– Tickets on sale for selected rides and attractions.
– The much-loved ice rink returns, sponsored by Lidl GB and partnered by Essential Edinburgh.
– East Princes Street will see the return of festive food & drink and the Christmas Market.
– West Princes Street will include Santa Land, featuring the magical Santa’s Grotto and family friendly attractions.
– EH postcodes receive 20% discount.
Edinburgh’s Christmas is back and set tobring festive cheer to the heart of the city.
This year we see the return of the city’s much-loved Christmas ice rink, sponsored by Lidl GB and partnered by Essential Edinburgh, in its new home on George Street. The firm favourite will include a first for Edinburgh’s Christmas, skate up festive food and drink offerings alongside family sessions. Lidl on Ice will open on 19 November.
Once again East Princes Street Gardens hosts one the UK’s favourite Christmas Markets. The fantastic festive market will offer a wide range of European and local food, drink and craftswhich are bound to get you into the Christmas spirit.
The Forth 1 Big Wheel will return, alongside the Star Flyer, all against the backdrop of the iconic Edinburgh Castle.
Edinburgh’s Christmas at East Princes Street Gardens will open on 20 November.
In a first for Edinburgh’s Christmas, those looking to get to the top of the nice list will find the city’s magical Santa’s Grotto in West Princes Street Gardens.
The lower gardens will be transformed into Santa Land featuring family friendly attractions including the Christmas Tree Maze and market stalls, full of festive treats and gifts.
Santa Land will open on 19 November.
Tickets for Ice Skating, Santa’s Grotto, The Forth 1 Big Wheel and Star Flyer are now available to purchase through the Edinburgh’s Christmas website. Those with an EH postcode receive 20% off their tickets.
This year, Edinburgh’s Christmas is going contactless and introducing a new ‘tap and ride’ scheme, rather than purchasing tickets from the traditional box office you will be able to purchase your ticket at each ride.
Further additions to the programme include:
Winter Windowswill return throughout the city, and this year’s theme is “Connections and Kindness”.
This special creative project encourages Edinburgh’s young and budding artists to showcase their talents to residents and visitors outside of the classroom. School pupils are invited to design their own stained-glass window to be displayed in our streets and community hubs.
This year’s theme allows Edinburgh’s school children to reflect on the connections made and kindness that they received and gave during the global pandemic.
The Nativity Scene, which this year moves to St Andrew Square.
The Nativity Carol Concert, organised in conjunction with Edinburgh Churches Together, takes place on 28 November in St Andrew Square.
Following on from the success of the Light Night rainbow installation on the Mound in 2020, Edinburgh’s Christmas is working with Edinburgh based artist Hannah Ayre who will produce a beautiful contemporary art installation, illuminating the Mound with cascading geometric snowflakes.
This installation will sit alongside Edinburgh’s Christmas tree donated by the Hordaland County Council in Norway and will replace the Light Night event.
The Mound installation will be illuminated from 20 November.
The Neighbourhood Market will return in 2021 and offer free listings for local Edinburgh businesses and attractions to showcase their products. In 2020, 207 local Edinburgh businesses showcased their products on the Edinburgh’s Christmas website.
To make sure Edinburgh’s Christmas is an experience as enjoyable as possible to all, Underbelly is pleased to be offering sensory packs to children and adult visitors with additional needs.
These will be available to hire, free of charge, and will contain a fidget toy, earplugs, water bottle, stress reliever and ear defenders. These items are designed to help users relax in situations they might find stressful.
The sensory packs are designed and kindly provided by the Edinburgh Festival Fringe Society.
Underbelly is meticulously planning Edinburgh’s Christmas with Covid-19 in mind and is dedicated to creating a safe and fun environment for the 2021 Christmas celebrations.
Working closely with the City of Edinburgh Council and Essential Edinburgh, Underbelly has created an unmissable festive programme, helping to boost domestic tourism and reinvigorating Princes Street and the surrounding areas.
Edinburgh’s Christmas is designed to support economic recovery across the capital, driving footfall to the wider city centre area, bringing some much-needed cheer and happiness to both residents and visitors to Edinburgh.
This year’s festivities will also support Edinburgh’s Social Inclusion charity, the OneCity Trust with donations being taken at point of sale on the Edinburgh’s Christmas website and collection points at bars.
Underbelly Co-Directors, Charlie Wood and Ed Bartlam said: “The Underbelly team has been working tirelessly to create a bespoke Edinburgh’s Christmas programme that not only provides unforgettable memories and experiences, but also makes visitors feel safe and at ease at all times.
“It’s been a very challenging couple of years for everyone but our proposed plans for Christmas are designed to support economic recovery throughout the capital, and to help Edinburgh be together again.”
Roddy Smith, Chief Executive and Director of Essential Edinburgh said: “We’re delighted to be able to partner with Underbelly to restore Edinburgh’s world-renowned festive celebrations for 2021.
“This year’s event has been designed to provide a much-needed boost to local business by supporting footfall throughout the wider city centre, providing more businesses with the chance to reconnect with residents and visitors to our spectacular capital city.
“We are especially pleased to support the fantastic ice rink on George Street which I am sure will be a great hit with everyone.”
Edinburgh’s Lord Provost and President of the OneCity Trust Frank Ross, said: “The festive season is a very special time for our city and our communities and I’m sure this year’s programme will be warmly welcomed by residents and visitors.
“Whilst the safety of everyone remains a priority it will be fantastic to see people coming together again and enjoying Edinburgh’s Christmas this year where there really is something for everyone.
“Festive favourites like the big wheel and the Christmas market will be back and it’s great that the fun is spread out a bit further this year, with Santa Land in West Princes Street Gardens and a magical festive ice rink at the west end of George Street. It promises to be a cracking Christmas party for everyone to enjoy.”
“Partnerships such as this with Underbelly and Edinburgh’s Christmas are crucial to our work. Not only will the return of Edinburgh’s Christmas help bring people back together and promote social inclusion, but the money raised will be a vital lifeline for so many community projects across Edinburgh through our main grant funding programme.”
LISTING INFORMATION
Edinburgh’s Christmas 2021 19 November – 4 January
Facebook: EdinburghsChristmas Instagram: EdinburghsChrsitmas Twitter: EdXmas Website (and to subscribe to the Edinburgh’s Christmas newsletter): www.edinburghschristmas.com
Prices start from £6. EH postcodes receive 20% off
Edinburgh’s Christmas, East Princes Street Gardens 20 November – 4 January
Santa Land, West Princes Street Gardens 19 November – 4 January
Lidl on Ice, George Street 19 November – 4 January
Winter Windows around the city centre 19 November – 4 January
Edinburgh’s Christmas Neighbourhood Market Place 20 November – 4 January
Advertising blitz to urge public to get flu and COVID-19 vaccines
Boots, LloydsPharmacy and Asda come together to support largest ever winter vaccine drive
This year will see the country’s biggest flu programme in history with 35 million people eligible for a free vaccine
A nationwide advertising campaign launches today (Friday 22 October) as part of the government’s call to the public to get their COVID-19 booster and flu jabs, to protect themselves and their loved ones this winter.
The multimedia campaign will run on outdoor billboards, broadcast and community radio and TV to support the national vaccine drive.
The colder weather traditionally leads to increased transmission of viruses. Experts have warned that this year there could be a significant flu surge coinciding with continuing or rising COVID-19 cases. Immunity to flu is expected to be lower due to lower levels of the virus in circulation last winter.
Vaccines give high levels of protection but immunity reduces over time, so it is vital vulnerable people come forward to get their COVID-19 booster vaccine to top-up their defences and protect themselves this winter. For those not eligible for a booster, the protection from two doses is sufficient.
Vaccines provide the best possible protection against infection and serious disease. The UK government is pushing the biggest ever winter vaccine campaign for COVID-19 and flu, so people can protect themselves and their loved ones this winter and play their role in reducing pressure on the NHS.
The campaign television advert hits screens today and asks people to “get vaccinated, get boosted, get protected.” It features Michelle, an NHS nurse, explaining the benefits of the flu jab and COVID-19 booster vaccine.
The new television advert will be seen in primetime spots alongside Emmerdale and Coronation Street as well as daytime shows such as This Morning and Loose Women.
Targeted digital channels will also carry the campaign adverts including social media platforms, digital radio and online video such as YouTube.
People will be invited for the COVID-19 booster jab when it’s their turn – if they have not been contacted within a week of reaching 6 months since their second jab they can call 119 or book online. Those who are eligible for a free flu vaccine can book an appointment through their GP surgery or local pharmacy.
The offer of a first and second COVID-19 vaccine remains open to anyone who is eligible. Vaccines are available for those aged 12-15 to offer the best possible protection this winter in schools, and they will also be available in vaccine centres from this weekend.
This week the country’s leading pharmacies have joined forces to encourage people to come forward and get their free flu vaccine and COVID-19 booster jab when eligible. Alongside independent pharmacists, Boots, LloydsPharmacy and Asda – who together have over 4,000 pharmacies across the UK – have backed the call for people to get vaccinated for the best possible protection this winter.
Secretary of State for Health and Social Care, Sajid Javid, said: “Our vaccine programme is building a wall of defence across the country and our booster rollout is now well underway with more than 4 million jabs in arms.
“As we go into winter, it is vital that eligible people get their booster jab and their flu jab to protect themselves, their loved ones and the NHS.
“This is a national mission and I’m hugely grateful to the public, volunteers and NHS workers rolling out jabs. It is fantastic to see some of our biggest high street pharmacies give their backing to the winter vaccination programme.
Vaccine confidence is high with data from the Office for National Statistics showing nearly all (94%) of those aged 50 to 69 say they would be likely to get their COVID-19 booster if offered, with the figure rising to 98% for those over 70. Similarly, over three quarters (77%) of those 50-69 would be likely to get the flu vaccine and nearly all (94%) of those over 70.
Dr Raj Patel, GP and Deputy National Medical Director of Primary Care for NHS England, said: “Flu is a huge killer and last year GPs and pharmacists jabbed record numbers of people and as we head into what could be one of the most challenging winters yet for the NHS, it has never been more important to get your flu and covid booster jab.
“Flu has a serious impact on the health of thousands of people every winter and it has never been easier to ensure you are protected, so I would urge everyone to book an appointment directly with you GP or pharmacist as soon as possible.”
Mary Ramsay, Head of Immunisation, UK Health Security Agency said: “This is the first winter when COVID-19 and seasonal flu are expected to be circulating together, putting more lives at risk. Vaccinations are important to protect against both diseases.
“Please book an appointment if you are eligible for the flu vaccine, or get your COVID-19 booster as soon as you are invited – which is due 6 months after a second dose.”
Michelle, Nurse who features in the advert said: “As a frontline worker for the NHS, I’ve seen first-hand the devastating impact both Covid and flu can have in winter.
“Vaccines offer the best protection and I hope this campaign drives home to the importance of coming forward for your vaccine.”
GP and TV doctor, Dr Dawn Harper said: It’s really important that if you are eligible to take up the offer for the different vaccinations – this is both the flu vaccine and COVID-19 booster – you do so.
“Thousands of people die from the flu each year and this year we’re expecting high levels to circulate as we head into winter. With the added threat of further COVID-19 and our immunity wavering, it’s so vital that people get protected against both these deadly viruses.
“This is a huge drive and we need everyone do their part by protecting themselves, and those around them. You can get your COVID-19 booster and flu vaccinations at vaccination centres, GPs or community pharmacists so please, make sure to book your appointment as soon as you’re invited.
Dr Leyla Hannbeck, Chief Executive Association of Independent Multiple Pharmacies, said: “Community pharmacies are already on track to smash last year’s flu vaccination record this season which showcases that patients are keen to get protection against the flu.
“Pharmacies, bravely remained open throughout the pandemic despite the risks and are increasingly seen as first port of call for members of the community to meet their basic healthcare needs.
“They provide accessibility and convenience for patients to get their flu vaccination. As we are approaching winter and with the potential higher cases of Covid, it is essential that all eligible patients get vaccinated.”
Marc Donovan, Chief Pharmacist at Boots, said: “Boots offers free NHS and private flu jabs and are seeing high demand this year. We have already taken over one million flu jab bookings to date but there are still plenty of appointments available at our pharmacies across the UK.
“Boots is also supporting the NHS to deliver COVID-19 booster jabs this winter at select pharmacies, offering a free flu jab at the same time to all eligible patients. Having both vaccines offers optimum protection from getting seriously unwell from these viruses in the coming months.”
Victoria Steele, Superintendent Pharmacist at LloydsPharmacy, said: “It is very likely that we’ll see much greater levels of transmission of the influenza virus this winter. Immunity and protection are increasingly at the forefront of our minds, and we have seen this through the high volume of flu bookings at LloydsPharmacy this year and through increased sales of winter medicines, as many start to take precautions as we head into cold and flu season.
“It is important that we all do what we can to protect ourselves and loved ones this winter by getting both the flu vaccine and the COVID booster vaccine, for those who are eligible.
“I’d encourage people to book as soon as possible, as it does take time for the body to develop its antibodies after any vaccine. You can book your appointment for a flu vaccine online or by visiting your local LloydsPharmacy.”
‘Incredibly concerning’ that Government is not taking more action to protect public against Covid, warns BMA
Responding to the press conference given by Health Secretary Sajid Javid on Wedneday in which he said that the number of Covid cases are expected to rise to 100,000 a day and that the Westminster Government would not be implementing its ‘Plan B’ at this stage, BMA council chair Dr Chaand Nagpaul said: “The Westminster Government said it would enact ‘Plan B’ to prevent the NHS from being overwhelmed; as doctors working on the frontline, we can categorically say that time is now.
“By the Health Secretary’s own admission we could soon see 100,000 cases a day and we now have the same number of weekly Covid deaths as we had during March, when the country was in lockdown. It is therefore incredibly concerning that he is not willing to take immediate action to save lives and to protect the NHS. Especially as we head into winter, when the NHS is in the grips of tackling the largest backlog of care, with an already depleted and exhausted workforce.
“The Government has taken its foot off the brake, giving the impression that the pandemic is behind us and that life has returned to normal. The reality today is an unacceptable rate of infections, hospitalisations and deaths, unheard of in similar European nations. In comparison to France, we have more than 10 times the number of cases and almost four times as many deaths per million.
“It is wilfully negligent of the Westminster Government not to be taking any further action to reduce the spread of infection, such as mandatory mask wearing, physical distancing and ventilation requirements in high-risk settings, particularly indoor crowded spaces. These are measures that are the norm in many other nations.
“While new treatments are always welcome, the UK Government itself has said these will not be available to patients until at least the end of the year, but urgent action is needed now to stem the scale of suffering and the real risk of overwhelming the NHS.
“It’s vital that the Government does everything to ensure it is made as simple and easy as possible for people to receive their booster, or even their first and second jab, especially in groups where uptake is lower. However, relying on the vaccination programme alone without other measures will not be sufficient to prevent rising infection rates, illness and deaths, given that no vaccine is 100% effective.
“Only last week two select committees found the UK was an international outlier when it came to public health policy during this crisis. We are rapidly approaching a position where, yet again, the Government is delaying for too long, and equivocating over taking action. This is the time to learn the lessons of the past and act fast, or else we will face far more extreme measures later.”
“The government should not wait for COVID infections to rocket and for NHS pressures to be sky high before the panic alarm is sounded”
Health leaders are calling on the UK government to introduce measures, such as mandatory face coverings in crowded and enclosed spaces, without delay to keep people well and avoid the NHS from becoming overwhelmed this winter.
The NHS is seeing worrying increases in coronavirus cases in its hospitals and the community at a time when it is preparing for a busy winter period, its staff are close to burnout, and it is being expected to recover many of its services that were disrupted by the pandemic.
The NHS Confederation is warning that the extent of this recovery could be at risk without preemptive action over winter from the government and the public.
Last month, the government set out its COVID-19 winter strategy, which focused on building the population’s defenses through vaccinations and other pharmaceutical interventions, as well as test, trace and isolate measures, and public health messaging.
Within that, a ‘Plan B’ would be enacted if pressures on the NHS were deemed to be at risk of becoming unsustainable. Additional measures could include clear communications to the public that the level of risk has increased, introducing certificates for people’s COVID-19 vaccine status, and legally mandating people to wear face coverings in certain settings, in addition to considering asking people to work from home if they can.
Many of these measures, particularly around mask-wearing and COVID-19 certification, are already common in parts of Europe where the prevalence of the disease is lower.
The membership body is calling for these actions to be introduced sooner rather than later so that if cases of coronavirus still rise to worrying levels, the government can then introduce tougher measures, if needed.
Alongside this, the NHS Confederation believes that this should go further with a ‘Plan B plus’, calling on the public to mobilise around the NHS and do whatever they can to support frontline services this winter. This could include:
Getting vaccinated, including booster shots when invited.
Turning up for scheduled healthcare appointments on time.
Using frontline services responsibly, such as by only calling 999 in emergency situations and accepting appointments with primary care professionals other than GPs, such as practice nurses and community pharmacists, as well as remotely from both primary and secondary care, if offered and suitable
Volunteering to support the NHS and joining or returning to the workforce, if eligible.
Matthew Taylor, chief executive of the NHS Confederation, said: “The NHS has shown that it has been there for its patients throughout the pandemic and is working hard to tackle the increased demand for its services, with 1.1 million procedures and 25.5 million GP appointments delivered in August.
“The NHS is preparing for what could be the most challenging winter on record and it will do everything it can to make sure its services are not disrupted but these outside pressures are not solely within its gift to influence. As cases of coronavirus continue to climb, alongside other demands on the health service and pressure on staff capacity in both the NHS and social care, leaders are worried about what could be around the corner.
“There is a crucial opportunity for the public to pull together and show extra support for the NHS by behaving in ways that will keep themselves and others safe and also safeguard stretched frontline services for those most in need.
“It is time for the Government to enact Plan B of its strategy without delay because without preemptive action, we risk stumbling into a winter crisis. Also, health leaders need to understand what a ‘Plan C’ would entail if these measures are insufficient.
“The government should not wait for COVID infections to rocket and for NHS pressures to be sky high before the panic alarm is sounded.
“Additional investment has been given to the NHS to support its recovery and leaders are committed to putting that to best use as rightly, the public expects a return on its investment but if the government fails to get a grip on the rising cases of coronavirus and other illness, this could be put at risk.”
Confirmed cases of coronavirus in the UK have exceeded 40,000 for the last seven days, with 43,738 recorded yesterday and 49,156 on Monday. The last time cases were in this bracket was in mid-July.
Also, English hospitals have seen a 10% increase in Covid-19 cases in the last week, with 7,749 people reported at the last count. Deaths are averaging around 120 a day but today there were 223 deaths within 28 days of a confirmed positive diagnosis.
Vaccinations have played a significant role in keeping these numbers lower than they could have been and were in previous waves of the pandemic, with the NHS currently supporting booster shots and flu vaccinations to more patients than ever, as well as supporting Covid-19 jabs for 12- to 15-year-olds.
Over 83 million jabs have been given in England so far.
Existing COVID-19 safety mitigations in schools are to remain for now, following advice from senior clinicians.Pupils will continue to be required to wear face coverings in secondary school classrooms as they begin to return from the October break.
Secondary-aged pupils, and staff in primary and secondary schools, will also still require face coverings in communal areas or when moving around the building.
The Chief Medical Officer has advised that while there are encouraging signs, a more cautious approach would allow more time for 12 to 15-year-olds to take up the vaccination.
Confirming that school mitigations will remain in place for now, Education Secretary Shirley-Anne Somerville also urged continued vigilance to protect pupils and staff.
Ms Somerville said: “In recent weeks we have seen the previous sharp decline in COVID-19 case numbers starting to level off, and that is why we have decided to adopt a cautious approach and maintain safety mitigations in school for the time-being.
“Progress with vaccinating 12-15 year olds has been remarkable and is already over 40%. However, this was only rolled out a few weeks ago and allowing further time will mean that that encouraging figure rises even higher.
“This decision is based on advice from senior clinicians and takes account of the most recent data. We will continue to monitor case rates on a weekly basis, with a view to lifting restrictions at earliest possible time.
“While I fully understand that this will be disappointing news for some young people and their parents, as has been the situation throughout, the safety of children, young people, and all education staff, remains the overriding priority. There is no room for complacency and we must all continue to remain vigilant to reduce the spread of COVID-19.”
EIS General Secretary Larry Flanagan said, “The EIS has argued for great caution in any easing of school mitigations, especially in light of continuing high levels of infection and the incomplete roll out of vaccinations for pupils.”
“The priority is to keep schools open but as safe as possible, so this delay from the Scottish Government, with regard to easing mitigations, is welcome and will allow, also, more time for ventilation challenges to be met ahead of winter.”
Yesterday’s Scottish Government announcement means that pupils will continue to be required to wear face coverings in secondary school classrooms as they return from the October break.
Secondary-aged pupils, and staff in primary and secondary schools, will also still require face coverings in communal areas or when moving around the building.
The Coronavirus vaccine certification scheme will become subject to enforcement from today meaning higher risk venues and events affected must verify customers are fully vaccinated, or otherwise exempt, before entry.
The grace period from the October 1st launch date, allowing venues to test and trial the scheme without facing enforcement action, has now expired.
People attending a range of late night venues and larger indoor and outdoor live events, such as music festivals or large sporting events, will be required to show staff proof they are fully vaccinated or are otherwise exempt. This can be done via the NHS Scotland Covid Status App on their mobile device or using the paper certificate.
Health Secretary Humza Yousaf said: “The grace period allowed venues and businesses affected more than two weeks to test the scheme in practice and make suitable arrangements. It has also provided the Government with helpful feedback from the sectors affected and we continue to liaise with them going forward.
“This is a very limited scheme and we hope this will allow businesses to remain open and prevent any further restrictions as we head into autumn and winter. This virus has not gone away and vaccine certification will have a role to play in keeping transmission under control as part of a wider package of measures. It adds a further layer of protection in certain higher risk settings.
“I also want to ensure that as many people get vaccinated as possible and particularly to increase uptake in the younger age cohort, so anything to incentivise that is helpful.”
Local council officers will be responsible for enforcement of the certification scheme which will apply to the person responsible for each premises. Officers will adopt an approach of engaging, explaining and encouraging the responsible person before enforcement options are considered.
People in Scotland can download the NHS Scotland Covid Status App via their mobile device. A paper certificate or the downloadable PDF is also available from NHS Inform.
In response to the immediate pressures on the NHS because of COVID-19 and the backlog in care caused by the pandemic, military assistance has been requested for NHS Lanarkshire and NHS Borders.
Acute services in both health board areas are operating at capacity because of workforce shortages associated with the virus.
A total of 63 military personnel will be deployed to NHS Lanarkshire – this includes three nurses, 45 military medics, 12 General Duties Troops and three drivers who will be working in acute settings.
In NHS Borders, 14 military medics, two nurses and four additional military personnel will provide assistance in acute settings. A military driver will provide transport. Two military medics will oversee operations from the army’s headquarters in Scotland.
Military support within the two health board areas is due to start on 19 October and continue initially until 10 November 2021 though this will be kept under constant review.
Health Secretary Humza Yousaf said: “The NHS is experiencing significant pressure at the moment because of COVID-19 admissions and the backlog in care built up during the pandemic and we are taking a range of steps to introduce additional capacity in order to help with the unprecedented pressures on the health and care system.
“Earlier this month we announced a record winter package funding of £300 million to support a range of measures to maximise capacity in our hospitals and primary care, reduce delayed discharges, improve pay for social care staff, and ensure those in the community who need support receive effective and responsive care.
“In the NHS Borders and NHS Lanarkshire areas, staff shortages because of COVID-19 are affecting bed capacity and temporary military assistance has been requested to support the boards at this time.
“With increasing levels of social mixing and close social contact it is expected that this winter COVID-19 will circulate alongside respiratory viruses, such as flu, adding to the winter pressures usually faced by the NHS.
“This military support will allow both boards to support existing staff to reduce waiting times, enhance care and provide a better experience for our patients.
“As always I would like to thank all those involved in our healthcare systems for their continuing hard work and dedication over this particularly busy time.”
MPs publish Coronavirus: Lessons Learned To Date report
Covid vaccine programme “one of most effective initiatives in UK history” but delay to first lockdown a “serious error” that should have been challenged
The House of Commons and Science and Technology Committee and Health and Social Care Committee have published their Report, Coronavirus: lessons learned to date, examining the initial UK response to the covid pandemic.
The 150-page Report contains 38 recommendations to the Government and public bodies, and draws on evidence from over 50 witnesses—including Rt Hon Matt Hancock MP, Professor Chris Whitty, Sir Patrick Vallance, Sir Simon Stevens, Dame Kate Bingham, Baroness Harding of Winscombe and Dominic Cummings—as well as over 400 written submissions.
The Report was agreed unanimously by members of both Select Committees, which consist of 22 MPs from three political parties—Conservative, Labour and SNP.
The joint inquiry, which began in October 2020, examined six key areas of the response to covid-19: the country’s preparedness for a pandemic; the use of non-pharmaceutical interventions such as border controls, social distancing and lockdowns to control the pandemic; the use of test, trace and isolate strategies; the impact of the pandemic on social care; the impact of the pandemic on specific communities; and the procurement and roll-out of covid-19 vaccines.
The inquiry concluded that some initiatives were examples of global best practice but others represented mistakes. Both must be reflected on to ensure that lessons are applied to better inform future responses to emergencies.
In particular:
The forward-planning, agility and decisive organisation of the vaccine development and deployment effort will save millions of lives globally and should be a guide to future Government practice;
The delays in establishing an adequate test, trace and isolate system hampered efforts to understand and contain the outbreak and it failed in its stated purpose to avoid lockdowns;
The initial decision to delay a comprehensive lockdown—despite practice elsewhere in the world—reflected a fatalism about the spread of covid that should have been robustly challenged at the time;
Social care was not given sufficient priority in the early stages of the pandemic;
The experience of the covid pandemic underlines the need for an urgent and long term strategy to tackle health inequalities; and
The UK’s preparedness for a pandemic had been widely acclaimed in advance, but performed less well than many other countries in practice.
The 38 recommendations made, if implemented by the Government and by public bodies such as the NHS, would ensure that during the remaining period of the pandemic and in any new emergency, the UK could perform better by having distilled lessons—positive and negative—from the UK’s initial response to covid.
In a joint statement on the publication of the Coronavirus: lessons learned to date Report, Rt Hon Jeremy Hunt MP, Chair of the Health and Social Care Committee, and Rt Hon Greg Clark MP, Chair of the Science and Technology Committee, said: “The UK response has combined some big achievements with some big mistakes. It is vital to learn from both to ensure that we perform as best as we possibly can during the remainder of the pandemic and in the future.
“Our vaccine programme was boldly planned and effectively executed. Our test and trace programme took too long to become effective. The Government took seriously scientific advice but there should have been more challenge from all to the early UK consensus that delayed a more comprehensive lockdown when countries like South Korea showed a different approach was possible.
“In responding to an emergency, when much is unknown, it is impossible to get everything right. We record our gratitude to all those—NHS and care workers, scientists, officials in national and local government, workers in our public services and in private businesses and millions of volunteers—who responded to the challenge with dedication, compassion and hard work to help the whole nation at one of our darkest times.”
The Report includes an Executive Summary with conclusions, recommendations and lessons learned at the end of each Chapter.
