Jeane Freeman – Page 2 – The NEN

Jeane Freeman: ‘We are getting a bit closer to the day when we can relax some more of these restrictions’

Statement given by the Health Secretary Jeane Freeman at a media briefing in St Andrew’s House yesterday (Sunday 17 May).

Good afternoon. Thank you for joining us for today’s briefing. I want to start – as I always do – by updating you on some of the key statistics in relation to COVID-19 in Scotland.

As at 9 o’clock this morning, there have been 14,537 positive cases confirmed – an increase of 90 from yesterday.

A total of 1,308 patients are in hospital with the virus – 1,007 who have been confirmed as having Covid, and 301 who are suspected of having Covid. That represents a total decline of 108 from yesterday, including a decrease of 4 in the number of confirmed cases.

A total of 59 people last night were in intensive care with confirmed or suspected COVID-19. That is the same number as reported yesterday.

I am also able to confirm today that since 5 March, a total of 3,354 patients who had tested positive for the virus have been able to leave hospital. I wish all of them well.

Regrettably, I also have to report that in the last 24 hours, 9 deaths have been registered of patients who have been confirmed through a test as having COVID-19 – that takes the total number of deaths in Scotland, under that measurement, to 2,103.

It is worth bearing in mind that fewer deaths tend to be registered at the weekend than on other days of the week – that is almost certainly part of the reason why today’s figure is significantly lower than yesterday’s.

As always, I want to stress that these numbers are much more than statistics. They represent individuals whose loss is a source of grief to many. I want to send my deepest condolences to everyone who has lost a loved one to this virus.

As Health Secretary, I also want to once again thank those working in our health and care sector. That thanks is due to every single person – doctors and nurses; paramedics; care home staff; healthcare assistants; porters, cooks, and cleaners and many, many more.

Everything you do is essential to the health and well being of our country. And all of us owe you a great debt of gratitude.

I have three areas which I want to update you on today.

The first relates to care homes. All care workers demonstrate everyday commitment and compassion in their work and in incredibly difficult circumstances. We will continue to do everything we can to support you, while you provide care and support for those who most need it.

On Friday we published detailed clinical and practice guidance for care homes. Today we have published details of arrangements that take effect from tomorrow to ensure enhanced professional clinical and care oversight.

The publication today sets out a very clear role for the NHS, in partnership with the relevant Local Authority and Local Health & Social Care Partnership to actively and proactively ensure that every care home has the additional support and if necessary intervention, to make sure that clinical care, infection prevention and control, PPE and testing arrangements are what we need them to be.

Accountability for this sits at the most senior levels of our Health Boards and of course through them, to me as Health Secretary.

These additional arrangements build on current support and ensure that care homes benefit from the vital contribution of Nurse Directors, Chief Social Work Officers and Chief Officers of Health and Social Care Partnerships.

The Scottish Government has also added new measures to the Coronavirus Bill, which will receive Stage 2 consideration in Parliament next week.

These make it clear that – if a provider is unable to continue to deliver care, or if there is a significant risk to residents – Scottish Ministers can ensure continuity of care and support.

These powers would only be exercised as a last resort. There is a range of guidance available for care providers on how to manage the current situation, which we expect to be followed.

Of course there are many positive examples across Scotland of highly effective management of care homes.

But there have also been instances where care standards during this pandemic have fallen short. We are already taking action to address these, with the support of the Care Inspectorate.

If passed, the new measures we are proposing will provide additional assurance – to staff; to people who live in care homes, to their residents and to their families – that further action will be taken to address any failings that arise and will be taken quickly.

The Coronavirus Bill provisions – together with the guidance we have published – reinforce our determination to ensure that care in every residential setting is as safe as possible.

The second issue I want to talk about is a further development of our growing capacity to test, trace, isolate and support.

That process – which involves identifying cases of COVID-19, finding the people they have been in close contact with, and then asking those close-contacts to self-isolate for 14 days is crucial as we start to emerge from the lock down. It will help us to quickly break the chains of transmission, and therefore stop any new outbreaks of Covid from growing.

Currently Health Boards across Scotland do some contact tracing, based on risk assessments. And as part of our build-up of contact-tracing staff, an open recruitment process is underway to supplement the increase in contract tracing teams Boards are currently working on. We now have 600 additional staff across our NHS boards who are ready to start and more are being trained as contact tracers.

From tomorrow, NHS Fife, NHS Lanarkshire and NHS Highland will test the contact tracing technology that health boards will use. This builds on existing tried and tested technology, and is designed to support staff to collect and record information, and to trace more contacts more quickly.

Together with the growing number of contact tracers the technology allows us to carry out contact tracing on the much larger scale that will be needed.

The software which is being tested next week, will be used in all health boards by the end of May and will continue to be refined and improved during June. It will play a valuable role in improving the speed and effectiveness of our work to test, trace, isolate and support.

The final issue I want to talk to you about is the appointment of an additional deputy Chief Medical Officer. The First Minister has appointed Professor Marion Bain to that role on an interim basis.

Professor Bain is the Scottish Government’s former Senior Medical Advisor for Public Health Reform. Most recently, she has been working as the Director of Infection Prevention and Control in NHS Greater Glasgow and Clyde. She is also an Honorary Professor at the University of Edinburgh, and has a particular research expertise in the use of routine health information for public health and clinical research.

Professor Bain will work alongside our other interim Deputy CMO, Dr Nicola Steedman. And she will support our Chief Medical Officer, Dr Gregor Smith,

Her appointment will provide additional capacity in that key role and further ensure that we benefit from the very best public health expertise available.

I’m now going to pass you on to Fiona McQueen, our Chief Nursing Officer but before I do, however, I’d like to emphasise once again our key public health guidance.

Please stay at home except for essential purposes- such as daily exercise, or to buy essential items.

You can now exercise more than once a day – but when you do leave the house, stay local, stay more than 2 metres apart from other people. And do not meet up with people from households other than your own.

You should wear a face covering if you are in a shop or on public transport and physical distancing is difficult to achieve. And wash your hands thoroughly and regularly.

Finally, if you or someone else in your household has symptoms of COVID-19, then you should stay at home completely.

I do know how difficult these restrictions are. And I also know they get harder as time passes. But they are necessary – and they are making a difference.

By staying at home, we, you, are slowing the spread of the virus, protecting the NHS and saving lives.

And we are getting a bit closer to the day, when we can relax some more of these restrictions.

So thank you once again to all of you, for doing the right thing, and sticking to the guidance.

More mental health support after forty days of lockdown

Key mental health services to support families, young people and autistic people are to receive more than £1 million additional funding.

Health Secretary Jeane Freeman made the announcement yesterday after 40 days of lockdown when many people have felt an effect on their mental health.

The allocation of funding comprises:

• £768,000 for a relationships helpline to be delivered by The Spark counselling service
• £105,000 to support Young Scot to develop enhanced digital content and resources on mental health
• £205,000 to support 47,000 autistic people across Scotland, including funding to increase capacity at the Scottish Autism Helpline and help for the National Autistic Society to keep people in touch online during lockdown

Ms Freeman said: “While everyone is experiencing different challenges at this time, the mental health of children, young people and families can be put under great strain.

“We appreciate that spending a lot of time together in isolation and home-working, home-schooling and juggling childcare can be really tough.

“This crisis means many people are dealing with anxiety, fear, uncertainty, anger or sadness. They may feel overwhelmed and relationships can be placed under a lot of pressure.

“We want to ensure that the right help and support is in place for the mental wellbeing of our children, young people and families. This package of measures focuses on prevention and recovery, and on maintaining healthy relationships throughout the current restrictions. It follows the launch of our national campaign, Clear Your Head, last week.”

The Clear Your Head campaign highlights practical ways to look after mental health and wellbeing while continuing to stay at home – and signposts sources of help and advice.

The Spark is a third sector organisation which delivers counselling services to families across Scotland, including relationship and couples counselling and counselling for children and young people.

They currently operate a Relationship Helpline on a small scale for nine hours a week. The number of the Relationship Helpline is 0808 802 2088 and this additional funding will enable the helpline to operate Monday-Thursday 9am to 9pm and Friday 9am to 4pm.

Scotland has launched a digital resource called Mind Yer Time specifically to help children and young people learn about the healthy use of screens and social media.

It supports mental and physical health online and was developed by the Scottish Youth Parliament and Children’s Parliament. In the first ten days since its launch the guide had almost 13,000 views.

The additional funding will allow the Scottish Autism Helpline to open 8am-8pm, seven days a week on 01259 222022.

“Some Promising Signs”: Jeane Freeman updates Holyrood

Statement given by the Cabinet Secretary for Health and Sport Jeane Freeman to Scotland’s Parliament yesterday:

Thank you very much Presiding Officer, and thank you for the opportunity to update the chamber on several key areas around our response to COVID-19, and to say something about our future planning.

Today is International Workers’ Memorial Day, and across Scotland many people observed a minute’s silence to particularly honour health and social care staff who have tragically died during this pandemic. A number of our own colleagues in Scotland have lost their life to COVID-19 and my thoughts, and I know those of members across the chamber, are with their families and loved ones.

In the last 24 hours, 70 deaths have been registered of patients who have been confirmed as having COVID-19 – and that takes the total number of deaths in Scotland, under that measurement, to 1,332.

As always, it is so important to remember that behind each one of those numbers is the loss of someone loved and now much missed and I offer my sincere condolences to their families and friends.

Presiding Officer, notwithstanding all of that, we are starting to see some promising signs that the efforts and the sacrifices that the overwhelming majority of people across Scotland have made are having an impact.

The number of patients in hospital with confirmed or suspected COVID-19 has been broadly stable in recent days, and the number of people in ICU with COVID-19 has shown signs of decline.

We should not read too much into all of this yet – these are early days – but these trends are both welcome and cautiously hopeful.

As of today, 50% of adult care homes have reported an outbreak of suspected COVID-19. Last week I set out a series of additional steps to support those who live and work in our care homes.

These steps increase the clinical support focussed on preventing COVID-19 infection and transmission in care homes. Our NHS Directors of Public Health are now providing enhanced clinical leadership and have contacted every care home in Scotland. They are assessing how each home is managing infection control, staffing, training, physical distancing and testing.

We have provided a direct delivery of PPE to care homes and have worked with local partners to significantly improve the operation of local PPE hubs. Whilst the supply of PPE is primarily the responsibility of care home providers in both the private and the public sector, we will continue to provide both top up and emergency provision to ensure staff have what they need and they and the residents have that protection.

Work is also underway to ensure that all COVID-19 patients being discharged from hospital should provide two negative tests before discharge, and that all new admissions to care homes, and all residents who are symptomatic should be tested and those new admissions should be isolated for 14 days.

Social Care and care home staff continue to be priority key workers for testing and I have written to all care homes reminding them of this and asking them to make sure that as employers they follow through where this testing is required.

As members know we also have over 21,000 returning health and social care staff alongside student nurses, student midwives, AHPs and newly graduated doctors, all willing to apply their skills and experience to the collective effort. Many of them are able to work in both the care and the primary care setting. And, as of today, 185 applicants have been matched into roles in care homes and care at home services, and a further 218 are ready and available. I expect the number of matches to increase rapidly in the coming weeks.

As well as those working in care homes to protect our most vulnerable people, I know there are many carers – both paid and unpaid – who are supporting people to stay in their own homes and they, too, must be protected. So we have extended the provision of PPE to Personal Assistants and unpaid carers.

From the start of this week, the local PPE Hubs for the registered social care sector are receiving enhanced supplies and support so that they can distribute to the whole of the social care sector where normal supply routes have failed.

We have published advice for unpaid carers on the appropriate use of PPE and how to access it, and will be publishing equivalent guidance for Personal Assistants shortly.

I have asked the National Carer Organisations and local carers’ centres to discuss with carers their needs, and help us with directing them to their local Hub where they need PPE.

We will ensure Hub locations are clearly signposted on the Scottish Government website and Health and Social Care Partnerships are working with local carers’ centres to make clear how individuals can get the necessary Personal Protective Equipment.

Throughout this difficult time, it is critical that social care support is maintained to ensure the safety, dignity and human rights of people who already receive that support.

In addition to the funding directed towards social care from the 2020-21 budget, I reached agreement some weeks ago with COSLA that we would meet additional costs incurred because of the impact of the pandemic.

That agreement was specifically reached to ensure that both existing and new demand and need could be met. Alongside this, those additional returning staff I mentioned a moment ago are also available for deployment to these services to ensure staffing resilience.

So it is not acceptable to me that care packages are cut – in some instances by 100%.

I expect the steps I have already taken to be used and if there is more that needs to be done to ensure existing packages are not cut and new demand is met, then I hope that colleagues in the sector know that my door is always open and I expect them to come to me with those additional requirements.

I want to turn now to testing. By 22 April, 17,800 health and social care staff, or symptomatic household members, had been tested. 21 per cent of those tested were social care staff.

By the end of April, all 14 Health Boards should have local testing capacity. In terms of testing capacity, we are on track to reach at least 3,500 tests available per day by the end of this month, making steady progress from the start of this pandemic, where capacity was 350 tests per day, from two labs.

We also continue to work with the UK Government on its testing programme, which is expanding both capacity and access in Scotland.

Four UK Government drive-through testing facilities are already operational, with a fifth due to open in Perth this Thursday.

Five mobile testing units manned by army personnel are going live in Scotland this week, and it is anticipated that a further eight units will be live in Scotland within the next week or two.

This increased capacity in our own NHS labs and through that participation in the four nation testing exercise has ensured that we are able to expand the areas and the groups whoa re being tested. So we have increased availability to key workers beyond the Health and Social Care sector using the categories that we have outlined before, and have today also increased testing to all 70-year-old and over admissions to a hospital setting.

In terms of access to the UK four nation exercise, this is controlled through the queueing system managed by the UK Government and through their digital portal.

I want to touch on now on two other issues before I conclude: research and ongoing changes to healthcare delivery.

The pandemic has required fundamental change to how health and care is accessed and delivered. This has involved a significant reorientation of resources, and the incredible support and efforts of local leaders, planners, clinicians – in fact the entire workforce. The work has included:

preparing to quadruple ICU beds and ensuring there is sufficient hospital bed capacity
significant increases in digital access for health services – with around 60% of GPs now using “Near Me”, and weekly digital consultations increasing from around 300 to over 9,000
the reshaping of primary care to support COVID-19 hubs with 24/7 access
shielding almost 150,000 clinically vulnerable people and focusing multi-disciplinary teams working on anticipatory care planning with them
and expanding mental health support by moving towards a 24/7 NHS24 mental health hub and digital therapies

What is clear is that, in line with our framework for decision making that was published last week, we need to achieve a careful balance in managing our healthcare capacity going forward including our commitment to continue to treat emergency, urgent and maternity cases.

So we will continue to work closely with Health Boards and their partners to ensure there are robust plans in place to safeguard local resilience and responsiveness, whilst we also consider how and when we can increase the business as usual work of our NHS.

The incredible levels of compliance with social restrictions that we’ve seen show a clear willingness on the part of the people of Scotland to think beyond individual health to population health. As we move to introduce the test, trace and isolate measures required, we will need that focus on population health to continue.

Finally, I want to update you on research proposals for COVID-19 that we launched on 25 March.

139 proposals were received from across Scotland’s Universities and Research Institutes.

Following an independent expert review process, 55 projects have been selected for funding.

This has resulted in a Pan-Scotland portfolio of research, with 15 different institutions leading on projects.

In summary, the outcome of the call is a programme of projects meeting the aim of establishing a broad Scottish programme of high quality research on COVID-19 that will be delivered rapidly and inform policy and clinical practice in responding to the pandemic.

Presiding Officer, I continue to be grateful for the tremendous resilience of our health and social care staff, our key workers, and most importantly people all across Scotland.

Together, we are making progress, we are suppressing the virus, we are saving lives and we are showing that we can continue to rise to the challenges of this pandemic.

Thank you.

Coronavirus (COVID-19) update Scotland: Sunday 26th April

Statement given by the Health Secretary Jeane Freeman at a media briefing in St Andrew’s House, Edinburgh, on Sunday 26 April:

Good afternoon. Thanks once again to all of you for taking part in this media conference.

I want to start with an update on some of the key statistics in relation to COVID-19 in Scotland.

As at 9 o’clock this morning, there have been 10,324 positive cases confirmed – an increase of 273 from yesterday’s figures.

As always, let me be clear that these numbers will be an underestimate.

A total of 1,735 patients are in hospital with COVID-19 – this is a decrease of 13 from yesterday.

And a total of 133 people were last night in intensive care with confirmed or suspected cases of COVID-19. This is a decrease of seven since yesterday.

It is with sadness that I report that 18 further deaths have been registered, of people who had tested positive for COVID-19. That takes the total number of deaths in Scotland, under that measure, to 1,249.

As I have said previously at these Sunday briefings, these figures should be treated with some caution. Although deaths can be registered at weekends, registration numbers are usually relatively low. This should be taken into account when looking at today’s figures.

And of course, the number of deaths that is reported every day is so much more than a statistic. Each death represents an individual whose loss will be a source of grief and sorrow to many, and I want to extend my deepest condolences to all of those who have lost loved ones.

As Health Secretary, I also want to thank once again those who are working in our health and care sector, for the incredible work that you are doing.

Those thanks are due to everyone – the doctors and the nurses, the paramedics, the care home staff, the porters, the cooks, the healthcare assistants, the cleaners and many, many more.

Your work is crucial to the health and wellbeing of our country. You will have the same worries and anxieties as the rest of us but you go to work each day, putting that aside to care for others. All of us are truly grateful to you for everything that you are doing

I have two issues I want to update you on today. The first is about people volunteering to join or re-join the NHS and care workforce.

It is now almost four weeks since – as part of our ‘Scotland Cares’ campaign – we established a web portal for students, and former NHS and care workers, to apply to work in the NHS or the care sector, as they respond to the COVID-19 outbreak.

In total, more than 22,000 people have now volunteered.

The volunteers include experienced former staff, doctors, nurses, social care professionals and nursing, medicine, midwifery, and Allied Health professional students who are either now graduated or coming towards the completion of their training.

We are working with NHS Education for Scotland, our health boards and the Scottish Social Services Council to ensure that volunteers can start work as quickly as possible – while still following the correct induction and training processes.

A number of volunteers have been placed with NHS boards, and more than 3,000 are completing their pre-employment checks – which are being fast-tracked – just prior to being deployed.

The Scottish Social Services Council has placed almost 150 people into work in the care sector, and a further 200 are ready and available for deployment.

Not everyone who has applied to help us will be needed immediately.

But please bear with us – your volunteering and your offer to bring your skills and your talents really does matter, and we will need you, as we go through this pandemic.

Having such a large number of volunteers really matters – it provides us with important flexibility, as we look at staffing needs through the different stages of this pandemic.

I am immensely grateful to everyone who has offered to support our NHS and care services in this way.

The second point I want to update you on is support for those who are shielding. That term, as you know, refers to approximately 160,000 people in Scotland, who are at the highest clinical risk from COVID-19, and who are therefore being asked to isolate themselves completely.

A text message service has been in place for almost a month now, so that people who are shielding can ask for support and receive information.

So far, more than 78,000 people have registered for the text service. I would encourage everyone who is shielding to register.

Even if you don’t need additional help at the moment, as many people don’t, registering will be useful if you ever do need that further help.

You should have received information on how to do that – letters to people who are shielding started to go out on 26th March. But I will also read out the number of our national helpline in a minute or so.

One of the services which you can request by text is free delivery of food packages. More than 80,000 food packages have been delivered so far.

In addition, six supermarkets are offering priority deliveries for people who are shielding.

Over 33,000 people have expressed an interest in these priority slots, and we have passed their information on to the participating supermarkets.

Supermarkets have also identified and contacted existing customers who are eligible for priority slots and many have already received deliveries.

And people who were not existing customers of any of the participating supermarkets, received texts last week with details of how to register.

If you don’t have a mobile phone, you can get access to these services through your local authority. Our national helpline will direct you to the local authority that applies to you.

It is a good way of finding information more generally about the support, which is available. The national helpline number is 0800 111 4000, and the line is open between 9am and 5pm every weekday.

I know for many of the people who are shielding, this is a worrying time, and also a very difficult time. Staying at home all the time is necessary for your own protection – but I know that it is even harder than the restrictions which are in place for everyone else.

We are determined to ensure that support is available for you throughout this time – so please, make use of that support if you need to.

Before I hand over to Fiona McQueen, our Chief Nursing Officer, and to Jason Leitch, the National Clinical Director, I want to emphasise once again the importance of sticking to our public health guidance.

Stay at home – unless it is for essential purposes such as exercising once a day, or buying food or medicine.

When you do go out, stay two metres away from other people, and don’t meet up with people in other households.

And wash your hands thoroughly and regularly.

These restrictions are tough – and I know they get tougher as the weeks go by, and especially when the weather stays warm. But they continue to be essential. They are the way in which all of us can slow the spread of the virus, protect our NHS, and save lives.

So thank you once again to everyone who is doing the right thing and staying at home. You are making a difference, and you are saving lives, and I thank you very much indeed.

Briggs: Health Secretary ‘misled Scottish Parliament’

On Tuesday this week, Miles Briggs MSP asked Jeane Freeman MSP what her response was to concerns raised by the former chair of NHS Lothian regarding the new Royal Hospital for Children and Young People.

http://www.parliament.scot/parliamentarybusiness/report.aspx?r=12568&i=113612

The Cabinet Secretary for Health stated: “I stress that, on 4 July, I took the decision to halt the move. Mr Houston next met me on 18 July. At no point in the intervening period did he – the chair of a major NHS board – feel that it was incumbent upon him to contact me, as the cabinet secretary, to discuss what might have gone wrong or what should be done next and where the board should be involved.”

It has since transpired that the Cabinet Secretary for Health was contacted by Mr Houston by email on 12 July, despite Parliament being repeatedly told otherwise.

The Scottish Government have refuted that Parliament had been misled on the grounds that the email by Mr Houston did not refer to specific issues.

The correspondence from Mr Houston referred to the “RHCYP/DCN situation” as well as assurances that himself and the board were handling the situation and an offer to meet for a 1 to 1 chat prior to the meeting on the 18^th July.

Scottish Conservative Health Spokesperson, Miles Briggs, said: “It truly beggars belief that while Jeane Freeman was answering allegations of lying, she misleads the Scottish Parliament.

“The Health Secretary’s transparent attempts to smear Mr Houston have been exposed for what they are.

“The truth is that Jeane Freeman simply refuses to take responsibility for the mess at the Sick Kids hospital and continues to blame everyone but herself.

“It is clear that Mr Houston did attempt to contact the Cabinet Secretary for Health prior to the 18^th July, but was ignored by her, as he has been since Ms Freeman took up the post.”

Jeane Freeman announces inquiry into hospital sites

A public inquiry will be held to examine issues at the new Royal Hospital for Children and Young People (RHCYP) and the Queen Elizabeth University Hospital (QEUH) sites following recent concerns from affected parents over safety and wellbeing.

The inquiry will determine how vital issues relating to ventilation and other key building systems occurred, and what steps can be taken to prevent this being repeated in future projects.

Health Secretary Jeane Freeman said: “The safety and well-being of all patients and their families is my top priority and should be the primary consideration in all NHS construction projects.

“I want to make sure this is the case for all future projects, which is why, following calls from affected parents, I am announcing a public inquiry to examine the new Royal Hospital for Children and Young People and the Queen Elizabeth University Hospital sites.

“The recent KPMG and NSS reports into the new Edinburgh Children’s Hospital will provide a significant amount of the underpinning evidence for the inquiry alongside the ongoing independent review into the delivery and maintenance of the QEUH.

“The current situation is not one anyone would choose – but it is one I am determined to resolve.”

Scotland ‘working hard’ to improve breastfeeding support, says report

Breastfeeding support in Scotland has been rated highly by an expert group looking at provision across the country.

The report from the Becoming Breastfeeding Friendly (BBF) Scottish committee assessed the effectiveness, affordability and feasibility of current support, marking it overall as ‘strong’. Continue reading Scotland ‘working hard’ to improve breastfeeding support, says report

Positive feedback for maternity services

More than 90% of women rated their care during labour and birth as ‘excellent’ or ‘good’, according to the latest Scottish Maternity Care Survey. The 2018 survey, which includes the experiences of 2,000 women, shows that 90% rated their antenatal care positively, while 91% had positive experiences during labour and birth. Continue reading Positive feedback for maternity services

Jeane Freeman to speak at LIFT event

Scotland’s new social security sytem: what does it mean to you?

Scotland’s Minister for Social Security Jeane Freeman MSP and Judith Robertson, Chair of the Scottish Human Rights Commission, are to address an event in Muirhouse Millennium Community Centre on 15th May. Continue reading Jeane Freeman to speak at LIFT event