Heart Research UK Healthy Heart Tip, written by Dr Helen Flaherty, Head of Health Promotion at Heart Research UK
EAT MORE FIBRE
Dietary fibre comes from the plants we eat and it is an essential part of a healthy diet. It is well known that eating fibre can prevent constipation, but did you know it can also lower your risk of heart disease, stroke, type 2 diabetes and bowel cancer? Most of us do not eat enough fibre and this may be putting our health at risk.
Check out our tips below to help you increase the amount of fibre in your diet.
Which foods are high in fibre?
Dietary fibre can only be found in foods that come from plants, such as wholegrain cereals, wholemeal bread, wholemeal pasta, brown rice, fruit, vegetables, beans, and lentils.
Checking the labels on food products will show you how much fibre they contain. A product that is “high fibre” is one that has at least 6g of fibre per 100g. White bread, white pasta, white rice and non-wholegrain cereals are lower in fibre because the fibrous part of the plant (the bran) is removed during processing.
Reasons to eat more fibre
Fibre contains the parts of plants that are not absorbed by the body. When you eat plant foods, the fibre passes through your stomach and intestines relatively intact. This adds bulk to your stools and makes them easier to pass. By increasing the amount of fibre you eat, you can lower your risk of heart disease, stroke, type 2 diabetes and bowel cancer.
Fibre also helps to lower high blood cholesterol and high blood pressure to keep your heart healthy. Including plenty of fibre in your diet can also help you to achieve or maintain a healthy weight, which is important for good heart health.
Tips to increase your fibre intake
Obtaining fibre from a variety of food sources is a great way to ensure a healthy balanced diet. It is important to make sure you are drinking enough fluid as this will help the fibre to do its job.
– For snacks choose unsalted nuts and seeds, fresh fruit, vegetable sticks or oatcakes
– Opt for potatoes with their skins on, like jacket potato or boiled new potatoes
– Aim to have at least five portions of fruit and vegetables a day. Remember, frozen, dried and tinned fruit and vegetables count towards your 5 a day. Choose tinned fruit in natural juice rather than syrup, which is high in sugar.
– Add extra vegetables or pulses, such as beans, lentils and chickpeas to your favourite meals like curries, bolognaise, chilli, soups and stews. You can also try adding linseeds to yoghurts, soups or juices
– For breakfast why not choose a high-fibre cereal. Look out for cereals that are labelled as “whole grain” or with “bran” or “fibre” in their name. Try to choose plain varieties with no added sugars. You could also try porridge topped with some fruit
– Some people worry that if they increase their fibre intake it will cause them to suffer from flatulence (wind). To avoid this, you should gradually increase the amount of fibre in your diet to allow your body time to adjust
– Instead of white bread, white rice and white pasta, try switching to wholemeal or granary bread, brown rice and wholemeal pasta.
We are extremely disappointed that the possible opening of gyms in Scotland has been delayed until September 14th.
We know that the majority of our Scottish members (over 120,000 of them across 24 gyms!) are desperate to get back to their gyms to improve their physical and mental wellbeing and they, and the whole gym and fitness centre industry in Scotland, will be as disappointed as we are.
We have a vital role to play in the fight against obesity which is a public health challenge in Scotland and right across the UK.
More broadly, it strikes us as truly extraordinary that, in the middle of a health crisis, the First Minister and her team have not ascribed any real priority to working with us and our sector to understand our capacity to help provide for the better health and well-being of the Scottish people at this time.
Her approach seems to be in direct contrast to other countries. For example, our gyms in Switzerland are in their 12th week of opening and in Denmark we are in our 7th week after opening.
Across those countries, we have welcomed over 3 million visitors since reopening. We have been audited and visited by police and authorities in those countries on dozens of occasions and passed every test.
As far as we know, there have been no incidents of transmission or infection in our facilities – and both Denmark and Switzerland have good “track and trace” systems and tracing Apps operating.
Furthermore, we reopened gyms in Northern Ireland 3 weeks ago and in England this week and these re-openings have met with strong local support for the access to exercise and much consumer praise for the protocols, standards and safety processes that have been implemented.
In prior speeches the First Minister has alluded to “evidence” that gyms are a problem and in her speech she referenced “clinical advice” that gyms pose a “particular risk”.
We acknowledge that there are problems, challenges and risks in all areas of society at the moment – and gyms have their own specific risks of course. That is precisely why we and the entire gym and fitness industry have invested huge effort and rigour in devising safety protocols and procedures that materially reduce the risk of viral transmission.
These protocols are now allowing hundreds of thousands of people in the UK and across Europe to reap the mental and physical benefits of exercise without exposing themselves to undue risk.
We urge the Scottish authorities to share openly relevant evidence and the cited clinical advice but above all to work with our sector to understand the approaches to risk mitigation which we have successfully implemented in other countries and which stand ready to benefit the people of Scotland.
Our gyms at PureGym are, on average, the size of five or six doubles tennis courts and are exceptionally well ventilated, enabling people to work and exercise safely and securely.
Through our existing electronic entry system, we know the names and details of every single member in our facilities at any moment so can exercise tight control over attendance. As well as being staffed at all opening times we also monitor behaviour inside the gyms on CCTV so we are well prepared to oversee and enforce social distancing.
We have developed detailed, industry-agreed guidance and are confident gyms are safe places to work and safe places to workout. The protocols which have been developed with the input of recognised medical experts – cover all aspects of hygiene, disinfection, access control, physical separation, number limitations per venue, monitoring and oversight, education and training.
In summary, we urgently call on the First Minister to re-examine the current, factual evidence, engage with us and our industry bodies, and allow the Scottish people back into gyms as soon as possible so that we can support them in living happier and healthier lives.
Greta Auld (73), from Pencaitland near Edinburgh, was diagnosed with MND in March 2019. Now she’s sharing her experience of MND and life in lockdown to help raise awareness of the terminal illness.
The retired police secretary, and grandmother of five, has always been a constant pillar of the community. A widow with two children at the age of just 29 years-old, Greta was forced to be fiercely independent her whole life.
While wanting to keep her independence for as long as possible, family members and local village friends have stepped up to support her when needed. Since her diagnosis of MND, Greta has kept a positive outlook and cannot wait for ‘shielding’ restrictions to lift so she can get back out in the community and live life to the fullest.
Greta said, “Before lockdown I was going out about four times a week. I have a wee electric scooter, but I haven’t been out on it for months! I was still driving my grandkids to their swimming and doing wheelchair bowling at the local women’s club, where I am also the secretary.
“I helped run the Scouts for over 20 years and was involved in a local lunch club for older people – although now the 85-year-olds help me off the bus,” she joked.
“I’ve always been heavily involved in the community and have loads of friends through this. So not being able to get out of the house these past few months has been hard. It’s difficult not getting to see the grandkids as much but they are getting down to visit me now. I just can’t wait to get around the village again and see what’s been going on the past three months.”
Greta added, “Thank goodness for my wee westie Maisie, she has been such great company during the last few years. As I became more disabled and not able to take her on walks, a really good friend now takes her every morning during the week, and a neighbour’s daughters take her at weekends.
“I am so lucky to live in a village and be well supported by everyone. She is such a friendly wee dog; she loves everyone and all my carers spoil her.”
Greta has also found MND Scotland’s Video Support Group particularly helpful, enabling her to stay connected to others affected by MND during the pandemic.
“When they were running, I went to the MND Scotland Support Group in Edinburgh. I loved it. That’s just the kind of person I am. I want to get involved and meet people – that helps me. I know other people don’t want to go to things like that, but I’ve found it very helpful going to meetings. It affects us all differently and yet the same.
“We’ve moved online to a video call every week. They are so good and very informative. Everyone is really upbeat which makes a difference. We’re a happy crowd – we’re not sitting in doom and gloom. All you can do is keep a good attitude and try to stay as positive as you can.”
Diagnosed with MND in 2019, Greta was initially thought to have had a silent stroke, first realising something was wrong in early 2017.
“I noticed the left-hand side of my body was getting really weak. I remember visiting my friend in Canada and was in her swimming pool, but I ended up just swimming in circles because my left leg wouldn’t work! I looked awful silly, but you have to laugh at these things as well.
“I then had a number of trips and falls so decided to go and get checked out. My family were very shocked when we were told it had been a stroke. However, as time went on, my symptoms were getting worse instead of better, so I went back and was referred to a neurologist.
“I wasn’t all that surprised to be honest. My hands had been shaking for a long time so I thought it might be Parkinson’s or something similar, but my family were absolutely gutted when I told them. They had just gotten their heads around it being a stroke and were now being told it was MND, which was an even bigger shock to them.
“I was quite upbeat when I told my children, George and his wife Susan, and Lynda and her husband Derek. It took a while for it all to sink in. I think my daughter in particular found it really tough. She was just devastated. I think it must be difficult for them to see their parent going through this.
“It’s only now that it’s really sinking in for me, as things start becoming more and more difficult. I’m getting slower and weaker but the way I see it you just have to battle on and keep going. I try to be as positive as I can and see the fun in life wherever I can.”
Since the beginning of lockdown Greta has noticed a change in her symptoms, but is continuing to get the support she needs: “Staying indoors definitely hasn’t helped my mobility. I have noticed my symptoms progressing. I used to get massage therapy and physiotherapy until they stopped because of coronavirus.
“I think that’s slowed me up too. I’m just not getting the same amount of exercise. Even going down the steps at my front door was good movement which I can’t myself anymore, so we are trying to get something sorted to help me get down more easily, like a ramp.
“I currently need help to get out of the house, so it would make a big difference to be able to get down the steps by myself. My world would open up again. I’ve been in this house for 50 years and I don’t want to have to move – this is where my family memories are.
“As I’m on the government’s shielding list I’ve been getting good support and am using the online shopping delivery slots which has been a huge help. I’m very lucky. I’m used to being independent so even though friends and family help a lot I don’t want to bother too many people.
“I now have a cleaner and a gardener, and I have carers coming in in the morning, at teatime and in the evening – I can always have a good laugh with my carers as they are from the local village too. The most important thing for me is trying to keep my independence for as long as possible.”
Craig Stockton, MND Scotland’s Chief Executive, “I’d like to thank Greta for bravely sharing her story, especially during these uncertain times.
“For people living with MND, time with loved ones is precious. Social-isolation measures, while essential, have placed huge restrictions on the care and support many rely on every single day. Even basic companionship, like having a friend or loved one pop round to say hello.
“That’s why we launched our new services hub, to help us stay connected to families in Scotland, so no one has to go through MND alone. ‘MND Scotland Connected’ at its core provides one-to-one phone support, video support groups and emergency financial grants.
NHS Pharmacy First Scotland offers expert help in the community.
People will be able to get healthcare advice and support to treat minor illnesses and common conditions in their local community following the launch of a new service.
NHS Pharmacy First Scotland will allow community pharmacies to give people expert help for treating conditions such as sore throats, earache and cold sores, along with common clinical conditions such as Urinary Tract Infections. Pharmacy teams will offer advice, treatment or referral to other healthcare teams if required.
This new service will help people access the right care in the right place, without having to go to their GP practice or local Accident and Emergency Department for non-urgent treatment.
Everyone who is registered with a GP practice in Scotland, or who lives in Scotland, is encouraged to use their local pharmacy when they have a minor illness or common condition. Accident and Emergency Departments remain open for emergency care, with public health measures in place to protect staff and patients.
Health Secretary Jeane Freeman said: “During the first phase of the COVID-19 pandemic people followed public heath guidance closely and used their local pharmacy for medical advice and help.
“The launch of NHS Pharmacy First Scotland will make sure that people across Scotland can continue to do this. It gives access to the right care in the right place, getting medical support that is closer to home and often with no waiting time or appointments needed.
“While the NHS is there for all of us, we don’t all need to go to accident and emergency. For many of us, it is not the right place for the care we need. NHS Pharmacy First Scotland provides a local service, giving local access to healthcare help for many illnesses.
“In an emergency you should always call 999 or go to your nearest accident and emergency department. By continuing to do what we have been doing throughout this pandemic and accessing the right care in the right place, we continue to help our emergency teams and ensure accident and emergency provides the fastest and often lifesaving care for people when they really need it.”
Chair of Community Pharmacy Scotland Martin Green said: “NHS Pharmacy First Scotland is an exciting service development for everyone.
“It recognises the role that the community pharmacy network can play in helping patients and the wider NHS team by ensuring people get the right care in the right place. Pharmacists, supported by their pharmacy teams, will be able to offer consultations for anyone with minor illnesses and provide the appropriate advice and support.
“We look forward to community pharmacy demonstrating its value with the Scottish public through this service and developing it further in years to come in line with the needs of the public and the NHS.”
Postgraduate Pharmacy Dean at NHS Education for Scotland (NES) Anne Watson said: “NES are delighted to be underpinning this important service development by providing educational support for the community pharmacy teams – using online resources, national webinars and facilitating peer discussion forums with experts within the Boards.
“In addition, we have provided a quick reference guide sent to all community pharmacies and education and training to support common clinical conditions will continue to be a focus as the service expands.”
More information on NHS Pharmacy First Scotland will be available online and on NHS Inform later today – 29 July 2020.
New package of measures and “Better Health” campaign announced to help people lose weight.
A picture of health?
Ban on TV and online adverts for food high in fat, sugar and salt before 9pm
End of deals like ‘buy one get one free’ on unhealthy food high in salt, sugar and fat
Calories to be displayed on menus to help people make healthier choices when eating out – while alcoholic drinks could soon have to list hidden ‘liquid calories’
New campaign to help people lose weight, get active and eat better after COVID-19 “wake-up call”
A raft of measures have been revealed as part of the UK Government’s new Obesity Strategy to get the nation fit and healthy, protect themselves against COVID-19 and protect the NHS.
Obesity is one of the biggest health crises the country faces. Almost two thirds (63%) of adults in England are overweight or living with obesity – and 1 in 3 children leave primary school overweight or obese, with obesity-related illnesses costing the NHS £6 billion a year.
The urgency of tackling the obesity time bomb has been brought to the fore by evidence of the link to an increased risk from COVID-19.
Living with excess weight puts people at greater risk of serious illness or death from COVID-19, with risk growing substantially as BMI increases. Nearly 8% of critically ill patients with COVID-19 in intensive care units have been morbidly obese, compared with 2.9% of the general population.
As the government continues to respond to this unprecedented global pandemic, Ministers will today set out a comprehensive package of measures to help people take control of their own future by losing weight, getting active and adopting a healthier lifestyle.
Rather than focusing primarily on childhood obesity, the strategy represents a new focus on empowering adults to lose weight as well.
This plan is being launched alongside an exciting new “Better Health” campaign, led by Public Health England, which will call on people to embrace a healthier lifestyle and to lose weight if they need to, supported by a range of evidence-based tools and apps providing advice on how to reduce the waistline.
The measures in this ‘world-leading’ plan include:
Banning unhealthy food adverts – new laws will ban the advertising of food high in fat, sugar or salt (HFSS) on television and online before 9pm when children are most likely to see them.
Ahead of this, the government will also hold a new short consultation on whether the ban on online adverts for HFSS, should apply at all times of day.
Analysis published by Cancer Research UK from September 2019 shows that almost half (47.6%) of all food adverts shown over the month on ITV1, Channel 4, Channel 5 and Sky1 were for products high in fat, sugar and salt. This rises to almost 60% during the 6.00 to 9.00pm slot – the time slot where children’s viewing peaks.
Evidence shows that exposure to HFSS advertising can affect what and when children eat, both in the short term and the longer term by shaping children’s preferences at a young age. This is supported by the World Health Organization.
Ending BOGOF promotions – new legislation will restrict the promotion of foods high in fat, sugar, such as ‘buy one get one free’ offers. There will also be a ban on these items being placed in prominent locations in stores, such as at checkouts and entrances, and online.
In the UK we spend more buying food products on promotion than any other European country and a survey from 2018 shows that around 43% of all food and drink products located in prominent areas were for sugary foods and drinks, compared to just 1% for healthy items. Shops will be encouraged to promote healthier choices and offer more discounts on food like fruit and vegetables.
Calorie labelling – new laws will require large restaurants, cafes and takeaways with more than 250 employees to add calorie labels to the food they sell. Research shows eating out is becoming more common, particularly among families, with 75% of people visiting a restaurant, fast food eatery or getting a takeaway in the past week, compared to 69% in 2010.
However, there is often a lack of information about the calorie content of these items and research suggests people consume around 200 more calories a day if they eat out compared to food prepared at home. This new measure will help people make healthier, informed choices as part of a balanced diet.
Alcohol calorie labelling – a new consultation will be launched before the end of the year on plans to provide calorie labelling on alcohol. Alcohol consumption has been estimated to account for nearly 10% of the calorie intake of those who drink, with around 3.4 million adults consuming an additional days’ worth of calories each week – totalling an additional two months of food each year.
But research shows the majority of the public (80%) is unaware of the calorie content of common drinks and many typically underestimate the true content. It is hoped alcohol labelling could lead to a reduction in consumption, improving people’s health and reducing their waistline.
Expanding NHS services – weight management services will be expanded so more people get the support they need to lose weight. This will include more self-care apps and online tools for people with obesity-related conditions and accelerating the NHS Diabetes Prevention Programme.
From next year doctors will be offered incentives to ensure people living with obesity is given support for weight loss and primary care staff will also have the opportunity to become ‘healthy weight coaches’ though training delivered by Public Health England. Separately, GPs will also be encouraged to prescribe exercise and more social activities to help people keep fit.
Front of pack nutritional labelling – we will launch a consultation to gather views and evidence on our current ‘traffic light’ labelling system to learn more about how this is being used by consumers and industry, compared to international examples.
Our ‘traffic light’ scheme is popular, with 90% of consumers agreeing it helps them make informed decisions when purchasing food. Research shows that people who look at front of pack nutritional labelling are shown to have healthier shopping baskets, fewer calories, less sugar, fat and salt content and higher fibre content
Prime Minister, Boris Johnson said: “Losing weight is hard but with some small changes we can all feel fitter and healthier.If we all do our bit, we can reduce our health risks and protect ourselves against coronavirus – as well as taking pressure off the NHS“.
Health Secretary, Matt Hancock said: “Everyone knows how hard losing weight can be so we are taking bold action to help everyone who needs it. When you’re shopping for your family or out with friends, it’s only fair that you are given the right information about the food you’re eating to help people to make good decisions.
“To help support people we need to reduce unhelpful influences like promotions and adverts that affect what you buy and what you eat. Taken together, supported by an inspiring campaign and new smart tools, will get the country eating healthily and losing the pounds.
“We know obesity increases the risk of serious illness and death from coronavirus – so it’s vital we take action on obesity to protect the NHS and improve our nation’s health.”
Dr Alison Tedstone, Chief Nutritionist at PHE: “These plans are ambitious and rightly so. Tackling obesity will help prevent serious illness and save lives.
“The main reason we put on weight is because of what we eat and drink, but being more active is important too. Making healthier choices easier and fairer for everyone, and ensuring the right support is there for those who need it, is critical in tackling obesity.
“These bold measures will help us tip the scales on obesity. The argument for action is the clearest it’s ever been.”
Overconsumption of calories is one of the most significant contributing factors in becoming overweight. Figures show many adults are consuming 200-300 extra calories a day above recommended daily guidelines with children who are already overweight are consuming up to 500 calories more than they need every day.
The environment we live in plays a significant role in tackling obesity: the information they are given to make those choices; the choices we are offered; and the influences that shape those choices. This will support individual choice and give families a fairer chance to maintain a healthy diet and lifestyle.
The measures set out today signal a clear commitment from the UK government to support individual efforts and kickstart a national effort to tackle obesity.
WHO evidence showing the impact of advertising food high in fat, sugar and salt on children is available here.
Supporting people to move towards and maintain a healthier weight may reduce the serious effects of COVID-19 on the population, a new Public Health England report finds.
The report summarises findings from evidence published during the pandemic on the effects of excess weight and obesity on COVID-19. UK and international evidence suggests that being severely overweight puts people at greater risk of hospitalisation, Intensive Care Unit (ICU) admission and death from COVID-19, with risk growing substantially as body mass index (BMI) increases.
The current evidence does not suggest that having excess weight increases people’s chances of contracting COVID-19. However, the data does show that obese people are significantly more likely to become seriously ill and be admitted to intensive care with COVID-19 compared to those with a healthy BMI.
One study found that for people with a BMI of 35 to 40, risk of death from COVID-19 increases by 40% and with a BMI over 40 by 90%, compared to those not living with obesity. Other data found that in intensive care units, 7.9% of critically ill patients with COVID-19 had a BMI over 40 compared with 2.9% of the general population.
Almost two-thirds (63%) of adults in England are overweight or obese, with people aged 55 to 74, those living in deprived areas and certain black, Asian and minority ethnic groups more severely affected.
Excess fat can affect the respiratory system and is likely to affect inflammatory and immune function. This can impact people’s response to infection and increase vulnerability to severe symptoms of COVID-19. Obese people may be less likely to access healthcare and support, and it is also thought that COVID-19 affects other diseases associated with obesity.
The report highlights that supporting people to achieve and maintain a healthy weight may reduce the severe effects of COVID-19 on the population, especially among vulnerable groups that are most affected by obesity.
Dr Alison Tedstone, Chief Nutritionist at Public Health England, said: “The current evidence is clear that being overweight or obese puts you at greater risk of serious illness or death from COVID-19, as well as from many other life-threatening diseases.
“It can be hard to lose weight and even harder to sustain it, which is why people cannot easily do it on their own. Losing weight can bring huge benefits for health – and may also help protect against the health risks of COVID-19. The case for action on obesity has never been stronger.”
The report notes some limitations on evidence to date and highlights the need for more evidence, including research to establish the effect that weight management might have for groups at greater risk of the severe effects of COVID-19.
The report also summarises evidence regarding the nation’s eating and exercise habits during the COVID-19 pandemic. While some data suggests that more people have exercised during lockdown, evidence indicates that the nation’s exercise levels have not increased overall since before the pandemic. Meanwhile, snack food and alcohol sales in high street shops have increased.
The UK Government is expected to announce details of a new campaign to tackle obesity tomorrow.
First Minister’s coronavirus update from St Andrew’s House on Thursday 23 July 2020:
Good afternoon everyone, thank you for joining us today as usual. Let me start as I always do with the update on the Covid-19 statistics.
An additional 16 positive cases were confirmed yesterday. That represents 0.4% of people who were newly tested yesterday, and it takes the total number of cases in Scotland to 18,500.
It’s worth highlighting that we have changed the reporting of figures on the Scottish Government’s website from today so that the figures for new cases – including that percentage of positive tests – are now shown more prominently on the main Covid page. That website is updated at 2 o’clock every day.
The health board breakdown of today’s cases will be available at 2 o’clock but the provisional information I have is that 4 of today’s cases are in Lanarkshire.
And, more specifically in relation to the outbreak at the Sitel call centre in Lanarkshire, I can confirm that as of this morning, there are a total of 24 positive cases associated with that outbreak which is an increase of 4 since yesterday.
That includes 17 people employed at the site, which is 2 more than yesterday, and 7 contacts, which is also 2 more than yesterday.
Now, given that the virus can have a long incubation period, intensive work is still ongoing in order to ensure that all possible chains of transmission from this outbreak are being closed down. And I am very grateful to everyone who is working very had as part of that effort.
I can also report today that a total of 287 patients confirmed as having the virus are currently in hospital which is 8 fewer than yesterday.
And as of last night, there were just 2 people with confirmed COVID in intensive care in Scotland, which is 1 fewer than yesterday.
And finally, on the statistics, I am very glad to say that once again, during the past 24 hours, no deaths were registered of patients confirmed through a test as having the virus. The total number of deaths, under this measure, therefore remains 2,491.
This is obviously very welcome news. It means that no deaths have been reported in Scotland under this measurement during the entirety of the past week – and that just one death in Scotland has been reported over the past 15 days.
Now, it is exactly four months today since the country went into lockdown, so there is no doubt that these figures show the incredible progress that has been made in that time.
But that progress has been hard won and it has been a very painful journey over these past four months in particular for those who have lost someone to this virus. The number of deaths is still a reminder of the impact of the virus and therefore I want to extend my condolences again today to everyone who is grieving somebody that they loved.
In addition, I want to thank again our health and care workers for all of the work that you continue to do through this really challenging time for everyone.
FM @NicolaSturgeon has announced changes to the way people who are shielding can meet with friends and family, which will come into effect tomorrow (24 July).
From 1 August people who were advised to shield will no longer have to do so.
Now, I have one very important issue I want to talk about today – which is changes in our advice to people who are shielding.
It’s now almost four months since we asked those considered to be at the greatest risk from this virus, to shield.
At that time, there was a very high risk that you might be exposed to the virus, and therefore shielding was necessary to keep you safe.
Together with local government and the third sector, we have been able to put in place support for you while you have been shielding– for example access to free food deliveries if necessary.
But I know that shielding has been incredibly difficult – it has separated you from your family and loved ones, it has restricted you in virtually every aspect of your normal lives, and there are very obvious and very real potential harms to your mental health from extended isolation.
For all of those reasons, we’ve always been clear that we won’t ask you to shield longer than you have to.
The infection rate now is much lower than it was in March. And just to give some illustration of that, when the shielding advice started, more than 20% of Covid tests were proving positive, and 150 new cases a day were being reported. Less than a week after shielding started, we were reporting more than 300 new cases a day. Tpoday of course I have reported 16 new cases and that is 0.4% of people testing newly positive
So, as these figures today show, we are now in a very different position to the one we that faced back in March. And as a result – and as we have previously indicated – some further key changes to our advice will take effect from tomorrow for people who are shielding.
Now the information I am about to give you I know can perhaps be a bit difficult to follow as I am saying it. All of the changes I am about to mention are listed in our routemap for shielders which you can find on the Scottish government’s website.
From tomorrow (Friday), you will, if you are shielding, be able to meet indoors with up to 8 people from up to 2 other households, as long as physical distancing is in place.
You will also be able to meet outdoors in groups of up to 15 people from a maximum of 4 other households.
You can also use public transport – including taxis – while wearing a face covering.
You can go to outdoor spaces in pubs and restaurants.
You can go to into indoor shops, pharmacies and indoor markets. You can attend hairdressers and barbers and you can visit museums, galleries, libraries and cinemas.
And children who live with someone who is shielding, can attend formal childcare providers.
Now, all of these changes that I have just mentioned, which you can find more detail on on the website, these will take effect from tomorrow. But our clinical advisers, – who have been closely examining all of the evidence – have also advised us that as things stand right now, assuming no significant deterioration in the position, as things stand right now we will be able to pause the shielding advice all together from 1 Aug.
From that day, the advice for people shielding will then be the same as for those who are simply at heightened risk from Covid – older people, people who receive the flu jab because of a health condition, and people who are pregnant.
This means from the end of next week, you will be advised to follow the guidance for the general population, although we will ask you to be especially careful about hand hygiene and physical distancing.
That will also mean that that children who have been shielding will be able to return to school in August.
And if you have been staying away from your workplace because you have been shielding, you will also be able to return.
However your employer must ensure that you can do so safely.
And of course our advice – not simply for shielding people, but for everyone – remains very strongly that you should continue to work from home whenever that is possible.
I know these changes will be welcome to many of you but they will also, for many of you, create a great deal of anxiety because you have been living in such a restricted way for so long and you will worry about going back to normal and that is completely understandable.
So we are not asking you to stop being careful – and we do not want you to feel under pressure to do anything that you think is unsafe. In fact, we want to do everything we can to help you to feel as safe as possible.
Last month, I indicated that we were looking to develop a range of information and tools to help each of you to make informed decisions about how to stay safe.
We are providing a range of advice on returning to employment and schools. The guidance for schools will be published on 30 July.
For those of you in employment, we have developed a risk assessment tool. That will be available from Monday. It will help your employer understand the adjustments they need to make to help you feel safe.
We are also providing information on what activities are safer, or less risky, than others, and how to undertake them safely. We’ve developed advice on risk factors- and practical information on how to stay safe during everyday activities like going to the shops, visiting friends and family, or using public transport.
You also told us in feedback that you would find it helpful to know what the infection rates are at any given time in your local areas. So we are developing a Covid forecasting service for people who have been shielding. That will allow you to sign up to an SMS update that tells you about your risk of being exposed to Covid in your local area.
And although the food box scheme is ending, you will continue to access priority supermarket delivery slots if you need them, and if you have registered for this service by the end of this month. You will also still be able to go to your Local Authority for support for food provision.
And we will be keeping open our Shielding SMS text messaging service, and our national helpline.
Finally, we are continuing our work to keep you safe after 1 August.
We are strengthening the evidence base about who may need to shield again in the future should we see a resurgence of the virus.
We are continuing our surveys and research to understand your experiences and to offer support that has value to you.
And we will set out the kind of steps we might need to take should there be a spike of infections in the future.
We are changing our guidance now because the infection rate is low now.
But we will continue to monitor this, and if things take a significant turn for the worse – whether nationally or in your local area – we will take the steps we need to in order to keep you as safe as possible. In particular we will contact you and we will give you clear advice on what to do if we are asking you to do anything different.
Before I end, I want to thank everyone who has been shielding. You’ve had to remain in your house and largely apart from all other people, even people in your own household, for months now.
That has been incredibly tough, and it is easy for me to say that when the reality is I actually find it hard to fully imagine just how difficult that must have been. But by doing so, you have protected yourselves, you’ve reassured your loved ones, and helped our health and care services. So a sincere and heartfelt thank you from me to each of you for that.
And I also want to say a few words to people who are not shielding.
Many of you have been actively involved in support for people who have been shielding: whether that is as family, friends, carers, volunteers, council workers, delivery drivers, health and social care professionals, supermarkets, wholesalers, and a whole host of other people so my thanks to all of you for that too.
Secondly – if you are an employer or a school – we need you to work closely with people who have been shielding, in order to take the necessary steps to keep them safe but also to assure them you will keep them safe.
Please do that, reach out to people who have been shielding to understand their needs, and provide that help.
And for all of us, we should understand the worries and concerns of people who have been shielding.
Many people who are shielding will still be nervous about returning to work, or returning to shops and restaurants, or socialising a bit more. All of us should understand that and be as supportive as we can be.
To continue to stop the spread of coronavirus and save lives, there are 5 things we all still need to do.
And finally, this is my final point, shielding and shielding people demonstrate again, and perhaps more powerfully than anything does, how all of us are dependent right now on each other’s actions.
The reason that we can pause shielding, hopefully at the end of next week, is because all of us have stuck to the guidance so far. All of us need to continue to do that, in order that we continue collectively to protect those most at risk.
And that basic idea – that all of us, more than ever, are depending on each other, is the note that I will end on.
We can only reopen services, start to reopen the economy again because infection rates are low. We will only be able to keep all these things open if infection rates stay low.
The virus as we know is still out there, it is still highly infectious and it is still highly dangerous.
So all of us have a part to play in keeping it under control. So let me end with the usual advice that I am going to continue to say as often as I need to in order that everybody understands that if we all stick to this we can keep this virus under control.
That is the FACTS message.
Face coverings in shops, public transport or any enclosed spaces where physical distancing is difficult
Avoid crowded places, whether that’s indoors or outdoors
Clean your hands and clean hard surfaces regularly.
Two metre distancing – that remains the important advice
and self isolate, and book a test, if you have any symptoms.
If we all follow this advice rigorously and rigidly then the progress we have made over these past painful four months will be progress that we can continue to see.
So my thanks to all of you for doing that, in particular today, my thanks to all of you who have been shielding.
Funding of £50 million will be ring-fenced for the recruitment of approximately 850 extra teachers and around 200 additional support staff as local authorities plan for the re-opening of schools.
Addressing Parliament, Education Secretary John Swinney also pledged that £20 million will be allocated to help councils with additional costs associated with new health protection measures, school transport, enhanced cleaning and other essential logistical issues.
A further £3 million will be invested in youth work to support education recovery. The funding breakdown is part of a £100 million package of support announced by Mr Swinney in June.
Clear guidance for schools and councils is being developed by the Education Recovery Group (ERG) to help them prepare for the start of the new term in August.
The Scottish Government will announce a final decision on the re-opening of schools on 30 July.
Mr Swinney said: “I want to express my appreciation to parents and carers for their support to young people, to the teaching and wider workforce across Scotland for their efforts to sustain education and to children and young people for their resilience during this difficult period.
“All of the school workforce have a crucial role to play in our education recovery mission, and it is vital that they are supported to do so.
“The ring-fenced £50 million funding to recruit more teachers and support staff will enable schools to intensify support for children and young people as they return to full time face-to-face education and help to mitigate for learning loss. The final numbers will be dependent on the precise mix of staff recruited and the needs of children and young people.
“The £20 million funding recognises the extremely valuable work of our school cleaners, facilities management and school transport staff, who are essential to the successful delivery of education in Scotland and to whom I want to pay tribute today.
“I also mentioned in my statement on the 23 June that we would be seeking the assistance of the youth work sector in supporting those families and communities who need it most.
“The sector will receive £3 million of investment because it has continued to support and engage children and young people throughout the pandemic, including using digital technology and outreach work to mitigate the impact of COVID-19 on children and young people’s mental health, learning and development.
“While this funding should provide local authorities with the assurance they require to progress plans immediately, we will continue to work with COSLA to understand the additional costs associated with the school re-opening guidance that each local authority is facing, and how these can be addressed alongside any loss of learning.
“We are currently developing guidance, with our partners in the ERG, on health mitigations and precautions that will be in place to allow schools to fully re-open in August and a final decision on school re-opening will be announced on 30 July.”
Today Education Secretary @JohnSwinney updated @ScotParl on the progress towards safely reopening schools in Scotland.
A final decision on schools re-opening will be announced on 30 July.
Responding to the Scottish Government’s funding of more teachers, a spokesperson for the Scottish Children’s Services Coalition said: “We welcome the recruitment of new teachers and additional support staff to help cope with the new demands of Coronavirus when children return to school next month.
“For those with additional support needs, the impact of returning to school will prove particularly disruptive but we need to go beyond the recruitment of additional support staff alone, which of course helps greatly. What is required is a tailored transition plan so those with ASN get the smoothest possible return to school.
“This requires every teacher or member of staff looking at the individual child, their circumstances and needs and making sure their return to school is as seamless as possible
“That individualised approach might mean going back to school early, having a little more time to figure out what classroom spaces look like or might be about teaching strategies and thinking about how to engage the children.”
The EIS has welcomed the Scottish Government’s confirmation of ring-fenced funding to support the recruitment of an additional 850 teachers across Scotland – but warned that more will be needed to support young people in education recovery following the COVID-19 shutdown.
EIS General Secretary Larry Flanagan said: “The confirmation of ring-fenced funding to support the recruitment of an additional 850 teachers is a welcome step in the support required for educational recovery in schools across Scotland.
“It is essential that local authorities make use of this funding to recruit more teachers from all those currently available and seeking work – including newly qualified teachers, recently qualified teachers, and teachers on supply and temporary contracts. The EIS would urge the Scottish Government to clarify that this additional funding is open to employ qualified teachers from all of these categories.”
Mr Flanagan added: “The EIS is clear that more will be needed to ensure that all young people receive the support they require to recover from the impact of the school shutdown and, as well as urging the Scottish Government to consider additional funding, we would encourage local authorities to use some of the flexibility open to them around attainment challenge funding and the pre-allocated monies for the now suspended expansion of pre-5 entitlement to further boost school staffing.
“Being away from the school environment for such a prolonged period will have had a detrimental impact on many young people’s education. Supporting recovery from this traumatic experience must be the top priority for all in Scottish education.”
Mr Flanagan concluded: “Clearly, with less than 3 weeks until schools are set to re-open, it is vital that local authorities act quickly to ensure that the promised additional teachers and support staff are recruited prior to the start of term.
“It also remains essential that the process of re-opening schools is managed safely, with updated risk assessments to be carried out and all necessary mitigations – such as enhanced cleaning regimens, adequate ventilation and facilities for regular hand-washing – to be in place in all schools prior to them re-opening.”
Local government umbrella bodyCOSLA’S reaction to the Deputy First Minister’s Statement was one of disappointment, sayingit is a ‘roadblock to progress’.
Councillor Stephen McCabe and Councillor Gail Macgregor said: “Local Government’s number one priority is the safe return to education next month. We have sought to work closely with the Scottish Government, Trade Unions and parental organisations through the COVID-19 Education Recovery Group to agree an approach which meets the needs of all involved in supporting children and young people during the pandemic.
“Even with the welcome additional financial support from the Scottish Government we have received to date, councils are facing a budget gap of over £500m for 2020/21 before the additional costs of a safe return to school are taken into account.
“That is why the Deputy First Minister’s commitment of just £20m to support the return of schools this afternoon is a disappointment.
“We are currently awaiting updated guidance as such it is not clear at this time what the additional costs for classroom cleaning, supporting vulnerable pupils, providing school meals, school transport and PPE are, or if vital resources can be found before schools return. T
“Today’s announcement throws up a considerable roadblock on the progress towards schools re-opening safely, and presents significant additional financial risks for councils.
“Whilst we are pleased we are close to agreement with the Scottish Government on an additional £50m to be invested in teachers and classroom support, priority must also be given to ensuring a safe, clean environment for all staff and pupils to work in.
“However, we remain willing to work with the Scottish Government on this issue to make sure that we protect and support the health and wellbeing of Scotland’s children and young people and our staff when they return to school.”
Fort Kinnaird has gifted bundles of popular children’s books and engaging activity booklets to the Venchie Children & Young People’s Project in Edinburgh to support families in need during the coronavirus pandemic.
300 children’s books have been shared with local families, including Gargantis by Thomas Taylor and Guess How Much I Love You by Sam McBratney, along with free activity booklets filled with fun and educational worksheets based on familiar fictional characters such as Alex Rider, Judy Moody and Maisy Mouse.
Susan Heron from Venchie Children & Young People’s Project said: “It’s been great to watch so many of our local families get excited about the activity booklets and choosing brand new books to take home.
“This has really meant a lot to us and we know just how much of a difference they will make to children in our local area.”
This new initiative is led by Fort Kinnaird’s co-owner, British Land, and the National Literacy Trust. It follows a long-running partnership to help encourage children to enjoy reading outside of the classroom and to provide them with the resources to do so.
Recent research from the National Literacy Trust reveals that children who own their own books are happier. Yet, 1 in 11 children and young people in the UK don’t have a book of their own at home.
With many children not attending school due to Covid-19, this project aims to help tackle the problem and give local families brand-new books and educational materials.
Liam Smith, centre director at Fort Kinnaird, said:“Encouraging children to love to read and giving them access to their own books is so important, especially at this particularly difficult time.
“We’re really pleased to be able to continue to work with the National Literacy Trust to support amazing local organisations such the Venchie Children & Young People’s Project.”
As part of British Land’s partnership with the National Literacy Trust, families in Edinburgh also have free access to virtual storytelling sessions which support children’s listening and creative skills and help to spark a love of stories.
The ‘Young Readers Story Club’ videos feature professional storytellers sharing different stories each week, including award-winning children’s poet Dominic Berry and the storyteller Amanda Edmiston.
St Francis’ RC Primary School, Castleview Primary School and Niddrie Mill Primary School have be given exclusive ‘first look’ access to the videos before they are made available for local families to view on the National Literacy Trust’s Family Zone website.
Jonathan Douglas, Chief Executive of the National Literacy Trust, said:“Books have the power to enrich children’s lives – they fuel imaginations, help children learn new things and support mental wellbeing – yet hundreds of thousands of children across the UK are missing out on these benefits at a time when they need them most, simply because they don’t have a book of their own.
“By bringing the magical world of stories into children’s homes through brand new books, activity booklets and incredible storytelling videos, this initiative will provide much needed inspiration and comfort during a time of uncertainty.”
