First steps towards recovery as the Festival Fringe comes to a close

TICKET SALES SLUMP BY A QUARTER

The 2022 Edinburgh Festival Fringe draws to a close today having brought together artists, international arts industry and media, and both loyal Fringe fans and new audiences. 

After some of the most challenging years on record for the sector, the hard work and effort of the artists, venues, producers, promoters, arts and media industry, and staff should be recognised and celebrated.

The lead up brought with it understandable anxiety, as Fringe-makers took on the risk and uncertainty of returning in a year like no other. Audience patterns have changed, industrial action caused significant disruption to rail travel and refuse collection, and affordable accommodation in Edinburgh was at crisis point. This year’s festival has been a colossal and collective effort.

We recognise and thank the residents and businesses of Edinburgh and the Lothians, home to the Fringe for the last 75 years. Residents of our historic city accounted for 39% of all tickets issued (+4% on 2019), and their support and commitment to the festival is evident.  Overseas audience attendances also increased, accounting for 10% of all tickets issued (+2% on 2019).

While the number of tickets issued is testament to the commitment of those who put on the shows and the audiences who came to see them, far beyond what we could have imagined at the start of the year.

The growing cost of Edinburgh for artists points to the need for long-term recovery, investment, and support to ensure the sustainability and longevity of one of the world’s most important cultural events.

Some clear challenges have emerged, and we need a collective approach to address these, or the future of this long-running beacon for cultural connection and development will be in jeopardy.

This year’s Fringe saw an estimated 2,201,175 tickets issued across 3,334 shows which were performed by artists from 63 countries. The festival welcomed diverse work from Scotland, the UK, Europe and the rest of the world, with 13 showcases including work from Canada, Finland, Belgium, Taiwan, South Korea, Ireland – North and South, Denmark and Australia.

The 2022 programme tackled themes and issues such as mental health, gender and gender identity, neurodiversity, disability, feminism, lockdown, experience of migration, LGBTQ+, politics, race and racial identity and work for children; with upcoming talent showcased alongside well-known performers and international work.

The Street Events programme was extended into new sites, with 3,284 performances by Street Performers across the programme.  These included 650 Taster Stage slots on new sites in St Andrew Square and Cathedral Square in St James Quarter.  170 shows were represented, with five additional slots given to community groups and schools.   

Over 35 professional development events for Fringe participants were delivered in partnership with 16 external organisations in Fringe Central, our dedicated centre for artists at the heart of the Fringe, and on Fringe Connect, our online home for artists.

The Arts Industry office accredited 1,354 producers, programmers, bookers, talent agencies, festivals and others from 45 countries, looking to find work, tour it and support artists beyond the festival itself. They were joined by over 770 of the world’s media, and 147 delegates who participated in Screen Fringe.

The communities, learning and access team worked on a number of key initiatives, including loaning out 150 sensory backpacks for autistic children and adults.  BSL interpretation took place in West Parliament Square on five days of the festival, and a dedicated Changing Places toilet was located beside George Square.

The Society worked with over 30 Edinburgh charities and community groups to distribute over £60,000 of Fringe vouchers and Lothian bus tickets, enabling residents from across the city to experience the festival, many for the very first time.  In addition, over 900 schoolchildren came to the Fringe as part of our schools’ outreach work.

Shona McCarthy, CEO of the Edinburgh Festival Fringe Society, said: “Our enormous congratulations go out to everyone who came together to create the 2022 Edinburgh Festival Fringe. 

“This year’s festival is the first step in what will be a long road to recovery and renewal.  The hard work of thousands of artists, and hundreds of venues, producers and staff has combined to deliver the 75th anniversary festival during one of the most challenging summers on record.

“We recognise the significant amount of work that is still required to support the long-term sustainability of this phenomenal Festival.  As we review and discuss all the learnings from this year, our focus this autumn will be on planning for the 2023 Edinburgh Fringe.  

“Collectively we will work to advocate for greater support for those at the heart of the Fringe – our artists.  The eyes of the world look to this historic city every August, and we need to work together to ensure the Fringe is the best place for creatives to express their ideas, audiences to support them and for people across the sector to develop their skills and careers for the next 75 years.”

Benny Higgins, Chair of the Edinburgh Festival Fringe Society, added: I add my congratulations to those that worked tirelessly this August to deliver the 75th anniversary of the Edinburgh Festival Fringe.  The importance of this festival cannot be underestimated.  Artists use the Fringe as a place to perform, connect and springboard onto their next career opportunity. 

“Recovery takes time, and that is why in June we launched our future development goals.  The Society acts to offer anyone a stage and everyone a seat, and there is much to do in the coming months.  We need to ensure the Fringe is the best place for thriving artists, while ensuring fair work and good citizenship. 

“Our digital experience will be key to delivering our climate action targets, and we need to do more to ensure who you are, and where you’re from, is not a barrier to attending or participating in the Fringe.

As a charity, the work of the Edinburgh Festival Fringe Society would not be possible without the valuable support of our partners, sponsors and funders.

We are hugely grateful to the support of partners City of Edinburgh Council, EventScotland, Creative Scotland, The Scottish Government, British Council, the Department for Culture, Media and Sport, St James Quarter and Nuveen. 

Our thanks to sponsors TikTok, Johnnie Walker Princes Street, Edinburgh Gin and Cirrus Logic. Our continued appreciation also to our Fringe Angels, Patrons, Friends and supporters who help make the Fringe happen each year.

Next year’s Edinburgh Festival Fringe will run from 04 – 28 August 2023.

Covid: UK is first country to approve dual-strain vaccine

The UK has become the first country to approve a dual vaccine which tackles both the original Covid virus and the newer Omicron variant. The vaccine will now be part of the autumn booster campaign.

The Joint Committee on Vaccination and Immunisation (JCVI) has published its advice on which vaccines should be used in this year’s autumn booster programme.

All of the available boosters provide good protection against severe illness from COVID-19 and the Committee has emphasised that getting a booster in good time before the winter season is more important for those eligible than the type of vaccine that is received.

The vaccines advised for use in the autumn booster programme are:

For adults aged 18 years and above:

  • Moderna mRNA (Spikevax) bivalent Omicron BA.1/Original ‘wild-type’ vaccine
  • Moderna mRNA (Spikevax) Original ‘wild-type’ vaccine
  • Pfizer-BioNTech mRNA (Comirnaty) Original ‘wild-type’ vaccine
  • in exceptional circumstances, the Novavax Matrix-M adjuvanted wild-type vaccine (Nuvaxovid) may be used when no alternative clinically suitable UK-approved COVID-19 vaccine is available

For people aged 12 to 17 years:

  • Pfizer-BioNTech mRNA (Comirnaty) Original ‘wild-type’ vaccine

For people aged 5 to 11 years:

  • Pfizer-BioNTech mRNA (Comirnaty) Original ‘wild-type’ vaccine paediatric formulation

‘Bivalent’ vaccines have been developed by global manufacturers since the emergence and dominance of the Omicron variant. These vaccines contain two different antigens (substances that induce an immune response) based on two different COVID-19 strains, or variants. The original mRNA vaccines contain one antigen (monovalent), based on the original ‘wild-type’ strain.

Studies indicate the Moderna bivalent vaccine produces a marginally higher immune response against some variants than the Moderna mRNA Original ‘wild-type’ vaccine. The clinical relevance of these small differences is uncertain.

The committee will consider further bivalent vaccines for use in the programme as they are approved by the MHRA.

In its latest advice the JCVI has stated that, where feasible, it would be preferable for a single type of booster vaccine to be offered throughout the duration of the autumn programme for simplicity of deployment.

Professor Wei Shen Lim, Chair of COVID-19 immunisation on the JCVI, said: “All of the available booster vaccines offer very good protection against severe illness from COVID-19. As more vaccines continue to be developed and approved, the JCVI will consider the benefits of including them in the UK programme.

“It is important that everyone who is eligible takes up a booster this autumn, whichever vaccine is on offer. This will increase your protection against being severely ill from COVID-19 as we move into winter.”

Dr Mary Ramsay, Head of Immunisation at UKHSA, said: “Although cases of COVID-19 are relatively low at present, we are expecting to see the virus circulating more widely during the winter months.

“The booster is being offered to those at higher risk of severe illness and by taking up the booster vaccine this autumn, you will increase your protection ahead of the winter months, when respiratory viruses are typically at their peak.”

Scotland’s winter vaccination programme gets underway

Latest step in fight against COVID-19

People aged 65 and over as well as frontline health and social care staff will be first in line for a winter booster jab to protect the most vulnerable from COVID-19 and ease the pressure on hospitals.

Letters with appointment times for those aged 65 and over will begin landing on doormats this week so the NHS can get ahead of any potential surge in infections.

The booster jabs will be given at the same time as the flu vaccine to those eligible where possible – evidence shows that administration of both vaccines together is a safe and efficient way to deliver maximum protection over the winter months.

From 22 August the online portal will be available for health and social care workers to book their appointments. Staff should book on the portal or follow advice from their boards on any local arrangements.

Appointments for all other priority groups will be made available as the programme progresses – people in those groups should wait until they are contacted or called forward.

The programme follows advice from the Joint Committee on Vaccinations and Immunisation (JCVI) which recommended vaccinating people as soon as possible to have the best chance of mitigating the impact of COVID-19 over the winter.

Health Secretary Humza Yousaf said: “As was the case in previous rounds of the vaccination programme, spring/summer boosters have enjoyed very high uptake among eligible groups with 86% of older adult care home residents and 93% of those aged 75 and over gaining an important additional layer of protection at a time when Covid cases rose sharply.

“I’d like to thank all those who have worked so hard to ensure that Scotland still has the highest overall uptake of first, second and third doses in the UK.

“Following the JCVI’s recommendations, we will roll out the winter booster programme getting jabs in arms from early September to ensure those most at risk are protected over winter.

“Vaccination remains the best way to protect your health and those around you – I strongly encourage everyone to take up the offer of a booster jab when they get the call up.”

Consultation: What impact has COVID-19 had on the Scottish labour market?

The COVID-19 Recovery Committee is to analyse the impact of the pandemic on the Scottish labour market, including how long Covid, long-term sickness and early retirement is affecting the number of those in work.

Submit your views – Road to recovery: impact of the pandemic on the Scottish labour market

As the country starts the process of recovery from the pandemic, a key issue that has emerged is a persistently high number of people no longer part of the workforce, termed ‘economically inactive’. 

A blog by the Fraser of Allander Institute concluded in April 2022 that: “More worrying for the outlook for the Scottish labour market is the fact that we now have over 20,000 more people economically inactive because of long-term sickness than we had pre-pandemic.”

The Committee will investigate the reasons behind these high numbers, including the emergence of above average numbers of long-term sick.

They want to understand if this is this due to pre-existing conditions, or new conditions, such as long COVID, or other factors, such as stress brought on by pandemic experiences. The Committee will also look at whether early retirement is one of the drivers behind this change in the labour market.

COVID-19 Recovery Committee Convener Siobhian Brown MSP said: “Unlike previous economic shocks, where the labour force numbers recovered much more quickly, we are seeing concerning persistent numbers of long term economically inactive people.

“We want to find out why this has happened and what needs to be done to encourage these people back into the work place.

“We are keen to learn more about the labour market impact of the pandemic on people with pre-existing health conditions, what influenced people to take early retirement and whether specific groups of society or areas of the country have been impacted more than others.

“There is no doubt that the reasons behind this will be complex but in order to address this issue we must first understand why people are no longer working.”  

Let the Committee know your views:

Road to recovery: impact of the pandemic on the Scottish labour market

The call for views closes on 9 September.

Regulator announces statutory inquiry into The Captain Tom Foundation

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:

  1. been responsible for mismanagement and/or misconduct in the administration of the charity and whether, as a result, the charity has suffered any financial losses, including through any unauthorised private benefit to any of the current or previous trustees;
  2. adequately managed conflicts of interest, including with private companies connected to the Ingram-Moore family;
  3. complied with and fulfilled their duties and responsibilities under charity law.

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:

  • In March 2021 the charity requested the regulator’s permission to employ Hannah Ingram-Moore, a former trustee, on a salary of £60,000 per year, for 3 days a week. The Commission requested evidence of the benchmarking exercise undertaken.
  • The charity provided the Commission with this evidence and a revised proposal to appoint Hannah Ingram-Moore on a salary of £100,000 on a full-time basis.
  • In July 2021 the regulator refused permission to employ Hannah Ingram-Moore as chief executive on a salary of £100,000, considering the proposed salary neither reasonable nor justifiable.
  • In August 2021 the Commission permitted the charity to appoint Hannah Ingram-Moore as interim CEO on a salary of £85,000 per year, on a 3-month rolling contract, for a maximum of 9 months whilst the trustees conducted an open recruitment process. This period has now ended and the charity has recruited a new CEO.

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.

COVID-19 variants: latest updates

Latest updates on SARS-CoV-2 variants detected in the UK

The UK Health Security Agency (UKHSA) is reminding people to ensure their COVID-19 vaccinations are up to date and to continue following COVID-safe behaviours, as latest technical data indicates BA.4 and BA.5 have become dominant in the UK and are driving the recent increase in infections.

The UKHSA’s COVID-19 variant technical briefing 43, published today, includes epidemiological analysis that shows that Omicron BA.4 and BA.5 now make up more than half of new COVID-19 cases in England, accounting for approximately 22% and 39% of cases, respectively.

Omicron BA.4 and Omicron BA.5 were designated as variants of concern on 18 May on the basis of an apparent growth advantage over the previously-dominant Omicron BA.2 variant.

UKHSA’s latest analysis suggests that Omicron BA.5 is growing 35.1% faster than Omicron BA.2, while Omicron BA.4 is growing approximately 19.1% faster. This suggests that BA.5 is likely to become the dominant COVID-19 variant in the UK.

The increasing prevalence of Omicron BA.4 and BA.5 is likely to be a factor in the recent increase in cases seen in the UK and elsewhere, though there is currently no evidence that Omicron BA.4 and BA.5 cause more severe illness than previous variants.

So far, vaccination means that the rise in cases is not translating to a rise in severe illness and deaths. UKHSA scientists are urging anyone who has not had all the vaccines they are eligible for to make sure that they get them as soon as possible.

COVID-19 HAS NOT GONE AWAY, so it is also vitally important that people continue to follow the guidance. Stay at home if you have any respiratory symptoms or a fever and limit contact with others until you are feeling better, particularly if they are likely to be at greater risk if they contract COVID-19.

Professor Susan Hopkins, Chief Medical Advisor at UKHSA said: “It is clear that the increasing prevalence of Omicron BA.4 and BA.5 are significantly increasing the case numbers we have observed in recent weeks. We have seen a rise in hospital admissions in line with community infections but vaccinations are continuing to keep ICU admissions and deaths at low levels.

“As prevalence increases, it’s more important than ever that we all remain alert, take precautions, and ensure that we’re up to date with COVID-19 vaccinations, which remain our best form of defence against the virus. It’s not too late to catch up if you’ve missed boosters, or even first doses so please take your recommended vaccines.

“Our data also show that 17.5 per cent of people aged 75 years and over have not had a vaccine within the past six months, putting them more at risk of severe disease. We 2urge these people in particular to get up-to-date.

“If you have any symptoms of a respiratory infection, and a high temperature or feel unwell, try to stay at home or away from others – especially those who are elderly or vulnerable. Face coverings in crowded indoor spaces and hand washing will help to reduce transmission of infection and are especially important if you have any respiratory symptoms.”

UKHSA encourage everyone to continue to follow the most up-to date guidance.

As we learn to live safely with COVID-19, there are actions we can all take to help reduce the risk of catching COVID-19 and passing it on to others.

The risk of catching or passing on COVID-19 is greatest when someone who is infected is physically close to, or sharing an enclosed or poorly ventilated space with, other people.

You will not always know whether someone you come into contact with is at higher risk of becoming seriously ill from respiratory infections, including COVID-19. They could be strangers (for example people you sit next to on public transport) or people you may have regular contact with (for example friends and work colleagues).

There are simple things you can do in your daily life that will help reduce the spread of COVID-19 and other respiratory infections and protect those at highest risk.

Things you can choose to do are:

  • Get vaccinated
  • Let fresh air in if meeting others indoors
  • Practise good hygiene:
  • wash your hands
  • cover your coughs and sneezes
  • clean your surroundings frequently
  • Wear a face covering or a face mask, particularly if you are in crowded and enclosed spaces.

Scotland saw the largest increase in Covid cases in the UK last week, according to the Office for National Statistics (ONS).

It estimates about 250,700 people – one in 20 – had the virus in the week ending 17 June – an increase on the previous week when about 176,900, or one in 30 people, had Covid.

Meanwhile, NHS Lothian said a fifth of its nursing staff were off work as a result of the virus. With a 50% rise in hospital inpatients testing positive in the last week, NHS Lothian says its services are coming under increasing pressure.

Coalition launches Covid Safety Pledge

A coalition of trade unions, covid safety groups and the Independent SAGE have launched a new ‘Covid-19 Safety Pledge’, designed to ensure workplaces adopt measures to minimize the spread of COVID-19 infections.

The Pledge, aimed at workplaces in both the public and private sectors, asks employers to sign up to three key commitments: protect workers and customers from Covid-19, risk assess their premises and practices to safeguard against infection and specifically ask any workers who test positive for Covid to stay at home while infectious and to provide the support necessary for them to do so.

Employers who sign up for the scheme will be presented as a covid safe workplace, with their name displayed on the Pledge website (covidpledge.co.uk) in addition to being able to display the Pledge sign within their premises.

The move has been backed by the Scottish Trades Union Congress (STUC) in addition to covid support groups such as Covid Families for Justice and Clinically Vulnerable Families.

The STUC warned that employers in Scotland should not roll back on health and safety and support for staff. Supermarket giant Sainsbury recently introduced a policy that allows staff to attend work if infected with covid and punishes them for covid related absence.

Commenting, STUC General Secretary Roz Foyer said: “It’s vitally important that the legacy of COVID-19 isn’t a rollback on workers’ safety or rights. The Covid-19 Safety Pledge allows employers to stand by their workers, ensuring the highest levels of protection against infection are taken, in addition to supporting staff and consumer wellbeing whilst on their premises.

“For people across Scotland – especially those who are clinically vulnerable – this Pledge can act as a clear indicator of responsibility and support for employers wanting to do right by their staff, customers and service users.

“We are also calling on the Scottish Government to support the pledge. Our joint COVID-19 Fair Work Statement should be updated for the new circumstances but also to continue to commit to the fair treatment of workers and the control of the virus.”

COVID-19 variants identified in the UK

Omicron BA.4 and BA.5 designated as variant of concern by UKHSA

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.”

UK Covid Alert Level has moved from level 4 to level 3

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 TESTS POSITIVE FOR COVID-19

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.

JCVI provides interim advice on an autumn COVID-19 booster programme

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:

  • residents in a care home for older adults and staff
  • frontline health and social care workers
  • all those 65 years of age and over
  • adults aged 16 to 64 years who are in a clinical risk group

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.

Additional support for learning – the gap between ambition and reality for our children

Around a third of children and young people in Scotland’s publicly-funded schools (that’s around 233,000 pupils) need additional support. And that number has been increasing for years (writes STEPHEN MOORE, a Member of the Accounts Commission) . 

There are many reasons why a child might need additional support. These can be as varied as having a life-threatening physical condition to being a young carer. Most children and young people who need additional support go to a mainstream school, with a much smaller number going to special schools. 

The Scottish Government’s stated ambition is for all children and young people in Scotland to have the opportunity to grow up loved, safe and respected, enabling them to reach their full potential. 

Every child has the same rights under the United Nations Convention on the Rights of the Child, including the right to an education that develops their personality, talents and abilities to the full, and the right for their parents to get the support they need. Schools, councils and other public bodies are required to work together to provide the right type of support for all children and their families. But this isn’t always happening as it should. 

The needs of children and young people vary considerably. Some children only have a short-term identified need. Others have complex needs that will require ongoing support throughout their lives. Some children and young people need help involving specialist educational support as well as social work services, health services and the voluntary sector.

At their best, these multidisciplinary teams work together, enabling children and young people to get the support they need, empowering them to reach their full potential and live the life they choose. 

These ambitions aren’t, however, consistently being delivered in practice. In 2020, an independent review found that not all pupils in Scotland are always getting the additional support they need, when they need it. In many cases, individuals’ needs are not given the focus they should be. Numerous aspects of additional support therefore need to be improved. 

It’s distressing and frustrating that we repeatedly hear of the barriers that some families fight against to get the right support to help their child to learn. Too often, families are worn down by a prolonged search for the right support, and by having to manage a crisis that could have and should have been avoided. Families are partners with public services and should be regarded as such. 

On top of that, transitions between school stages – and how they are managed – can have a big influence on the success or otherwise of someone’s journey through the education system.

A child’s needs can evolve over time, from pre-school until after they have left school. Not getting the right support both at these different stages and to make moving between the stages as seamless as possible can have a lasting impact on learning, wellbeing and happiness. Public services are required to anticipate these changing needs and plan accordingly. 

Councils provide support in different ways, with a wide variation in spending on pupils who need additional support. This partly reflects the different ways services are provided and the varying costs of supporting individuals – but may also reflect local decisions by councils to prioritise between a wide range of services. 

Education aims to improve the health and wellbeing of children and young people, supporting wider outcomes such as life skills, apprenticeships and employment. This is set out in the National Improvement Framework and is embedded across the education system. School education and success shouldn’t just focus on exam results. It’s vital to monitor the outcomes that matter most to individuals who need additional support but, as we’ve said previously, information to allow this to happen isn’t always available. 

From the information that is available, even the current measures show wide disparity. We know that children and young people who need additional support don’t always get the opportunities they deserve. Overall, a smaller proportion of school leavers with additional support needs progress to a ‘positive destination’ such as college, university, training or employment. This potentially affects their life chances and personal fulfilment. 

And the proportion of children who achieve expected Curriculum for Excellence Levels for their stage at school is significantly lower for pupils who need additional support compared to those who don’t. 

Across so many areas, Covid-19 has exacerbated and deepened risks and inequalities. School closures and reductions in vital support services have intensified inequalities for children and young people who need additional support. We know that individuals who have disabilities and complex needs, along with their families, were particularly affected.

The impact on the mental health of children and young people who need additional support has also been significant. Some families have asked if their child can repeat a year at school due to the difficulties they’ve experienced, or because there was insufficient planning to move from one stage of learning to another.

However, it must be recognised that for some children who need additional support, learning at home rather than in a school environment was a more positive experience. 

The Scottish Government and councils are already working to implement changes following the independent review in 2020. These changes need to consider the wide range of services that should work together to put the child/young person and their family at the centre. Public services need to improve how they’re joining up, across professions, to plan and provide the right support to meet individuals’ needs. 

We’ve seen that many public services responded quickly to the challenges presented by the pandemic, showing that change can happen quickly and effectively to support individuals and communities. And councils have the power to improve services as they ‘build back better’. Children and young people must be given the support and access to the right services that enable them to flourish and thrive. It will be crucial to make improvements to services and staffing that ensure continuity as someone moves through the education system. 

Central to the Accounts Commission’s priorities is emphasising and reporting on the debilitating and life-impacting inequalities faced by too many across Scotland’s communities. The lack of the right support, at the right time, for children and young people who need additional support – and their families – can exacerbate and intensify these inequalities. So we will continue to focus on this important area as part of our ongoing work. 

A spokesperson for the Scottish Children’s Services Coalition commented: “The blog raises issues that we have been highlighting for several years, reiterating our concerns that children and young people with additional support needs (ASN) and their families, are on many occasions not receiving the care and support that they need when they it.

“There are still too far many barriers faced by families seeking support, often leaving them in a crisis situation that could easily have been avoided with prompt access to the appropriate services.

“While we have witnessed a more than doubling in the number of those with ASN, such as autism, dyslexia and mental health problems over the last decade, putting an immense strain on services, there has been a cut in spending on additional support for learning and a slashing in specialist educational support.

“Covid-19 has had a further major impact on those with ASN, for whom exclusion from school and lack of vital support proved devastating. This however exacerbated a situation that existed long before that and we are potentially facing a ‘lost generation’ of vulnerable children and young people, not able to access the support that they need, with a resultant impact on the economy and society.

“We would urge the Scottish Government and newly elected local authorities to work together to ensure that those children and young people with ASN are a priority and that they can access the necessary support to allow them to reach their full potential.”