Hospitals in Scotland are rolling out new single tests to identify whether patients are infected with Covid-19, flu or RSV (respiratory syncytial virus).
The new three-in-one “multiplex tests” will be used when patients arrive showing respiratory symptoms at some emergency departments and assessment units.
They have been introduced with £5 million of Scottish Government investment.
They provide an advantage over “multi-target testing” which requires two or more tests to be carried out – one for Covid-19 and a second for other viruses such as flu A, flu B and RSV.
Health Secretary Humza Yousaf said: “The introduction of these new tests is an important step to help protect our NHS staff and patients, as services remobilise and we learn to live with the virus.
“The results will help hospital staff assess the treatment and placement of patients which should help accelerate patient flow through the system. It will also play a key role in avoiding healthcare associated infections and co-infection.
“It would be a mistake to think that the successful delivery of the vaccination programme means testing becomes less important.
“Testing will continue to play a vital role in our drive to bring down new cases of Covid-19 and break off future chains of transmission.”
The fastest multiplex tests will see results provided within two hours and will be prioritised for emergency admissions to assist with patient placement and treatment. Other laboratory-based tests may take between 90 minutes and eight hours for the results to come through.
All asymptomatic patients, staff and citizens will still be tested for SARS CoV-2 only and this will constitute the majority of testing in Scotland.
The UK’s Chief Veterinary Officer has confirmed that the virus responsible for Covid-19 has been detected in a pet dog in the UK.
The infection was confirmed following tests at the Animal and Plant Health Agency (APHA) laboratory in Weybridge on 3 November. The dog is now recovering at home.
All available evidence suggests that the dog contracted the coronavirus from its owners who had previously tested positive for Covid-19. There is no evidence to suggest that the animal was involved in the transmission of the disease to its owners or that pets or other domestic animals are able to transmit the virus to people.
The advice from UK Health Security Agency (UKHSA) is for people to wash their hands regularly, including before and after contact with animals.
Chief Veterinary Officer Christine Middlemiss said: “Tests conducted by the Animal and Plant Health Agency have confirmed that the virus responsible for Covid-19 has been detected in a pet dog in the UK. The infected dog was undergoing treatment for another unrelated condition and is now recovering.
It is very rare for dogs to be infected and they will usually only show mild clinical signs and recover within a few days.
There is no clear evidence to suggest that pets directly transmit the virus to humans. We will continue to monitor this situation closely and will update our guidance to pet owners should the situation change.
Dr Katherine Russell, Consultant Medical Epidemiologist at UKHSA, said: “COVID-19 is predominantly spread from person to person but in some situations the virus can spread from people to animals.
“In line with general public health guidance, you should wash your hands regularly, including before and after contact with animals.”
Pet owners can access the latest government guidance on how to continue to care for their animals during the Covid-19 pandemic.
The case has been reported to the World Organisation for Animal Health in line with international commitments. There have been a very small number of confirmed cases in pets in other countries in Europe, North America and Asia.
New poll finds disabled workers have been “hit hardest” in the wallet by Covid-19 and have faced financial hardship, increased debt and have been forced to use food banks
Accompanying new TUC analysis finds non-disabled workers are now paid 16.5 per cent more a year than non-disabled workers
And disability charity Leonard Cheshire highlights discrimination against disabled workers, with 1 in 5 employers less likely to employ disabled people
Two in five (40 per cent) disabled workers have been pushed into financial hardship over the last year, according to new TUC polling published today (Tuesday).
The polling – carried out for the union body by BritainThinks – shows how disabled workers’ living standards have been “hit hardest” by Covid-19.
And leading disability charity Leonard Cheshire is today adding its voice to TUC’s, publishing new research which shows the continuing stigma against disabled workers, and calling for action to break down barriers to employment for disabled people.
Financial hardship
Two in five (40 per cent) disabled workers told the TUC that they’ve faced financial difficulty during the pandemic compared to around one in four (27 per cent) non-disabled workers.
They said that they had experienced:
Increasing debt: More than one in six (16 per cent) of disabled workers said their level of debt have increased compared to around one in 10 (11 per cent) non-disabled workers.
Cutting back on spending: Around three in 10 (28 per cent) disabled workers had been forced to cut back on spending, compared to around two in 10 (18 per cent) non-disabled workers.
Using food banks: Disabled workers (six per cent) were twice as likely to have had to visit a food bank than non-disabled workers (three per cent).
Disabled workers (22 per cent) were also twice as likely to say they were concerned about losing their jobs than non-disabled workers (11 per cent).
‘Disability pay gap day’
The poll findings are published alongside new TUC analysis which shows that non-disabled employees earn on average £1.90 an hour (16.5 per cent) more than disabled employees – or £3,458 more a year (based on a 35-hour week).
That means disabled workers effectively stop getting paid today, and work for free for the last 52 days of the year. The TUC has branded today ‘disability pay gap day’.
And disabled women face an even bigger pay gap. Non-disabled men are paid on average 32 per cent (£3.50 an hour, or around £6,370 a year) more than disabled women.
The £3,458 pay gap is the equivalent of:
More than a year (13 months) of the average household expenditure on food and non-alcoholic drinks (£63.70 per week) or
Nearly a year (10 months) of the average expenditure on housing, fuel and power (£83.00 per week) or
Nearly a year (10 months) of what the average household spends on transport (£81.60 per week).
Leonard Cheshire research
Leading global disability charity Leonard Cheshire is releasing new research today which reveals that disabled workers say they have been left behind by the Covid-19 recovery.
The Leonard Cheshire study finds that the vast majority (89 per cent) of disabled young people aged 18-24 years old said that their work had been affected by the pandemic, and that one in five employers (19 per cent) would be less likely to employ a disabled person than a non-disabled person.
The TUC and Leonard Cheshire are urging the government to act now to close the disability employment and pay gap and ensure disabled people gain and retain quality employment.
TUC General Secretary Frances O’Grady said: “Disabled workers have been hit hardest by Covid-19. Many have been pushed into financial hardship and left without a safety net.
“With a cost-of-living crisis looming we need urgent action from ministers.
“As we saw with the last financial crisis disabled people are all too often first in line for redundancy, and those who keep hold of their jobs face a yawning pay gap.
“Disabled people deserve much better. We need mandatory disability pay gap reporting to shine a light on poor workplace practices that fuel inequality at work.
“Without this, millions of disabled workers will be consigned to years of lower pay and in-work poverty.”
Director of Policy at Leonard Cheshire Gemma Hope said: “Disabled people have been disproportionately impacted by the pandemic and employment support is vital to ensure they’re not further left behind.
“Our research also suggests stubborn levels of stigma amongst employers and that young disabled people remain adrift in the current job market.
“We call on government to increase efforts to support disabled job seekers and recruiters to continue working with us in recognising the depth of talent available.”
Government action needed
The TUC is calling on the government to deliver:
Mandatory disability pay gap reporting for all employers with more than 50 employees. This should be accompanied by a duty on bosses to produce targeted action plans identifying the steps they will take to address any gaps identified.
Enforcement of reasonable adjustments: The Equality and Human Rights Commission (EHRC) should get specific funding to enforce disabled workers’ rights to reasonable adjustments.
A stronger legal framework for adjustments: The EHRC must update their statutory code of practice to include more examples of reasonable adjustments, to help disabled workers get the adjustments they need quickly and effectively. This will help lawyers, advisers, union reps and human resources departments apply the law and understand its technical detail.
Council Leaders urge citizens to help keep Covid numbers down
Edinburgh’s Capital Coalition leaders today urged city residents to keep up and renew efforts to help limit the spread of the Covid virus. The call from Council Leader Adam McVey and Depute Council Leader Cammy Day comes after MSPs heard an update from the First Minister yesterday.
A recent national decline in Covid cases has slowed in the past few weeks and hospitalisations and admissions to intensive care units are rising across the country.
Cllr McVey said: “We know with this pandemic that we have to be constantly vigilant and respond quickly to changes in infection rates, so that we keep a lid on case rises as much as we can to protect ourselves, our families and our fellow citizens.
As we head towards winter we’re asking all our residents to please keep sticking together on this and renew our collective efforts to slow the virus’s spread in our communities.
“Get both your jags and, if eligible, your third, booster dose when six months have passed since your second; carry on following the public health guidance on hand-washing, face-coverings, ventilation and meeting outdoors wherever possible; and test yourself regularly with the free lateral flow tests that can be ordered online or collected from chemists, libraries and our community testing centres.
Cllr Day said: “Unfortunately we’re definitely not out of the woods with the pandemic yet, although vaccinations have made a massive difference and helped us return to something much closer to ‘normality’ again.
“We all want to safeguard this progress and also we’ve got to reduce the severe pressure our health and care services are under as we approach the difficult winter months. That means we’re going to have to pull together, look out for one another and avoid giving the virus opportunities to spread as much as we can.”
The Scottish Government is allocating a further £482 million to NHS Boards and Integration Authorities to meet costs of the pandemic and remobilising health services.
This includes funding for Test and Protect and to support the progress of the vaccination programme.
It comes on top of £2.1 billion provided to date to NHS Boards and Integration Authorities to support additional Covid-19 costs. Further funding will be provided as necessary over the course of the year.
Health Secretary Humza Yousaf said: “Our frontline health and care workers have been remarkable throughout the pandemic, and we continue to support NHS Boards and Integration Authorities to deliver and remobilise vital services as we approach the toughest winter the system has potentially ever experienced.
“This £482 million includes just over £121 million for Test and Protect and a further £136 million for the vaccination programme. The rest of the funding will cover costs including additional staffing to support hospital scale-up, equipment, maintenance and IT.”
New guidance will allow care home residents to choose a friend or relative as a ‘named visitor’ who will be able to visit them, even during a managed Covid-19 outbreak.
This is a change to current practice where most homes suspend routine visiting until outbreaks are over. It will allow those living in care homes to continue to have meaningful contact with loved ones, and balance the need for continuing infection prevention and control measures in care homes with the wider wellbeing of residents.
The change will apply to one named visitor when a care home is in a controlled Covid-19 outbreak, and a guidance note has been issued to support care homes to plan for this in consultation with their local Health Protection team.
Revised guidance from Public Health Scotland issued last week has already set out that residents should be able to receive visits from a nominated person even while they are self-isolating as a precaution (i.e. after hospital stays; after being close contacts of a COVID-19 case if fully vaccinated).
Meanwhile Social Care Minister Kevin Stewart has reaffirmed the government’s commitment to introducing ‘Anne’s Law’, to enable people who live in care homes to choose a person or persons to support them in their health and wellbeing, as called for by Care Home Relatives Scotland. A consultation on how best to implement this will be published shortly.
Minister for Mental Wellbeing and Social Care Kevin Stewart said: “Throughout the pandemic, our overriding priority in care homes has been to safeguard and protect staff and residents from infection – but at times that meant that residents were cut off from their loved ones, which we know has caused anguish and distress for many.
“The proposal for a named visitor will provide continuity of meaningful contact for care home residents in managed COVID-19 outbreak situations, helping to protect residents’ wellbeing in parallel by allowing visiting in a safer way, rather than automatically suspending routine visiting during an outbreak.
“We will further strengthen residents’ rights in adult residential settings through the introduction of ‘Anne’s Law’ and a consultation setting out our aspirations for Anne’s Law and seeking views on how best we might make it work in practice will be published shortly.”
The number of days that patients who have been delayed from leaving hospital because of no appropriate place to go to has risen to 7,829 for July 2021, the latest month statistics are available for.
This is an increase of 2,004 from 5,825 delays throughout June and triple the number of bed days occupied from delayed discharge at the start of the Covid-19 pandemic when 2,531 delays occurred.
At the start of the Covid-19 pandemic SNP Ministers made the decision to move hospital patients into care homes, to free up hospital space for dealing with the Covid-19 pandemic. It later emerged that patients being moved from hospitals to care homes where not tested for Covid-19 leading to higher rates of Covid-19 deaths in care homes than anywhere else in Scotland.
The level of delayed discharge in NHS Lothian has now returned to pre- pandemic levels with the number of bed days in hospital for delayed discharge being 11 higher than March 2020, 7,278, when hospital patients where moved to care homes.
Edinburgh and the Lothians were in the process of recovering from a Social Care crisis before the pandemic hit, with the peak of delayed discharge in hospitals being in October 2018, when 11,855 combined days when patients were not able to leave hospital, despite being back to health.
Lothian MSP, Miles Briggs, said: “These figures are very concerning, with the number of patients being stuck in hospital without a suitable destination, returning to pre pandemic levels.
“In Edinburgh and the Lothians there has been a long standing challenge to provide social care, which started to shift towards care in the community.
“We are now seeing increasing numbers of patients not able to leave hospital and the Edinburgh Integrated Joint Board are planning on closing more care homes.
“Patients leaving hospital must have a suitable destination to go once recovered, so that we are not in a position where people are waiting days on end in hospital, when they don’t need to be there.”
Primary and secondary school pupils will start receiving their flu vaccine tomorrow (Monday) as Scotland’s biggest flu immunisation programme gets underway.
Over four million people will be offered the free flu vaccine this year with secondary school pupils eligible for the first time.
Running until December all primary and secondary school pupils will be offered the vaccine which is given as a painless nasal spray.
Public Health Minister Maree Todd said: “More people than ever are being offered the flu vaccine and we hope to see a large uptake amongst pupils as we aim to keep flu out of schools this year.
“If you’ve not missed the deadline for returning consent forms to your school, I’d urge you to complete and return these now. Last year with the public health measures that were in place, there was lower levels of flu than there has been in previous years so our immunity levels to flu may be lower this year.
“The vaccines are safe and the best way to help protect you, and others, from flu this winter.”
The flu virus changes every year, so you need to get the vaccine every year to stay protected. The flu vaccine cannot give you flu, but it can stop you catching it. The COVID-19 vaccine does not offer any protection from flu, you need to get the separate flu vaccine.
In a small number of cases, the nasal spray may not be suitable, and the vaccine can be given as an injection in the arm instead.
For more information about the flu vaccine, visit www.nhsinfrom.scot/childflu, call 0800 030 8013, or speak to a health or immunisation team, practice nurse, or GP.
While the flu vaccination programme will get underway tomorrow, the decision on Covid vaccinations for 12 – 15 year olds is still to be taken.
Health Ministers of the devolved nations wrote to their respective Chief Medical Officers on Friday to seek further advice.
The joint letter reads:
Dear UK Chief Medical Officers,
We are writing on behalf of the 4 nations of the UK following the recent JCVI discussions on 1 and 2 September regarding the COVID-19 vaccination of children and young people aged 12 to 15.
JCVI has updated its advice on this topic. This advice says that the committee is of the opinion that the health benefits from vaccination are marginally greater than the potential harms. However, that margin of benefit, based primarily on a health perspective, is considered too small to support advice on a universal programme of vaccination of otherwise healthy 12 to 15-year-old children at this time.
The JCVI’s advice goes on to suggest that the government may wish to take further advice, including on educational impacts, from the chief medical officers of the 4 nations, with representation from JCVI in these subsequent discussions.
We agree with the approach suggested by JCVI, and so we are writing to request that you take forward work (drawing on experts as you see fit) to consider the matter from a broader perspective, as suggested by the JCVI.
We will consider the advice from the CMOs of the 4 nations, building on the JCVI’s advice, in making our decision. Given the importance of this issue, we would be grateful if you could provide your advice as soon as possible.
Sajid Javid MP Secretary of State for Health and Social Care, HM Government
Eluned Morgan AS/MS Y Gweinidog Iechyd a Gwasanaethau Cymdeithasol Minister for Health and Social Services, Welsh Government
Humza Yousaf MSP Cabinet Secretary for Health and Social Care, Scottish Government
Robin Swann MLA Minister of Health, Northern Ireland Executive
6,152 new cases of COVID-19 were reported in Scotland yesterday.
The Scottish Government has delivered 80 priorities set out by the First Minister in May — but the annoucement was overshadowed by news that Scotland has just recorded more than 5000 daily Covid cases for the first time.
These commitments have been delivered across government and Ministerial portfolios, covering health and care, economy, climate change, communities, children and families, and how we lead Scotland safely through and out of the pandemic.
Deputy First Minister John Swinney said: “Recovery from the pandemic is an urgent priority for the government and I am proud of the bold, ambitious and transformative measures we have delivered in just 100 days.
“But this is only the beginning and there is much more we can and will do to build a fairer and more sustainable country as we continue to drive Scotland’s recovery from the pandemic.
“We have introduced co-ordinated and targeted policies which deliver demonstrable positive change for the people, families and communities who need it most – and for our economy, public services and environment.
“Delivering on the commitments that the First Minister made in May demonstrates our progress in taking the steps needed to make lasting and generational change, and to improve the lives of people across Scotland.”
Achievements include:
consulting on the creation of a National Care Service to improve social care for everyone who needs it
funding for 1,000 extra teachers and 500 pupil support assistants
doubling the carers’ allowance supplement this winter through the introduction of the Carer’s Allowance Supplement (Scotland) Bill
publishing a recovery plan for the NHS
£25 million to help small and medium businesses use digital technology and upskill employees
free NHS dental care for all young people under 26 years old.
opening three new rapid cancer diagnostic centres
tackling loneliness and social isolation – particularly among young and disabled people
free school lunches for more than 90,000 children
appointing Environmental Champions to advise government on international best practice
launching the new Green Jobs Work Academy to help people get the skills they need to move into new, greener jobs
The Scottish Government also committed to 14 new mobile phone masts to deliver high-speed connectivity for the first time to homes and businesses in rural communities. 14 new masts have been built, seven of which have been activated. The remaining seven are due to be activated by November.
But while the Scottish Government hails progress made since May’s Holyrood election, there are growing concerns about rising Covid-19 numbers.
The 100 days commitments had six particular areas of focus:
leading Scotland out of the pandemic
supporting our NHS and care services
backing our economy and creating jobs
helping children, families and young people
tacking the climate crisis
backing our communities and building better lives.
Yesterday – the day the Scottish Government made it’s 100 days delivery statement – also saw the highest ever number of Covid-19 cases. 5,021 new cases were reported in Scotland.
The government hails their first hundred days as a positive start, but it will be their actions to address the most ‘urgent priority’ – the rampant Covid virus – that will prove crucial for Scotland over the coming hundred days.
