First Minister sets out first steps on road to recovery

“Moving back to some normality”

In full, First Minister Nicola Sturgeon’s statement to the Scottish Parliament yesterday:

Presiding Officer,

The Scottish Government has just published a route map to take Scotland through and out of the Covid crisis.

It provides information about how and when we might ease the lockdown restrictions, while continuing to suppress the virus. And it provides us with some indication of what our journey to a new normal might look like.

The route map is, for ease of access, high level. But it will be supplemented in the days ahead with detailed advice and information for the public, as well as guidance covering key sectors of our economy, travel and transport.

In publishing this route map, we confront a fundamental issue. The lockdown restrictions have been absolutely necessary to mitigate the massive harm caused by the Covid-19 virus. However the lockdown is creating harms of its own – loneliness and social isolation, deepening inequalities and serious damage to our economy.

None of us want it to last any longer than it has to.

So today we are setting out the phases in which we will aim to ease lockdown and reduce the impact on all of us – individuals, families, communities and businesses.

The steps we will take are by necessity gradual and incremental – and they must also be matched with rigorous, ongoing monitoring of the virus.

There is no completely risk free way of lifting lockdown. But we must mitigate the risks as much as we can. And we must not at any stage act rashly or recklessly.

For all our progress, this virus has not gone away. It continues to pose a significant threat to health. And if we move too quickly or without proper care, it could run out of control again very quickly.

And the danger of a second wave later in the year is very real indeed.

We mustn’t forget any of that.

At every stage, though, the biggest single factor in controlling the virus, will be how well we all continue to observe public health advice.

Continued high compliance with the restrictions that are in place at any time, together with hand washing, cough hygiene and physical distancing will continue to be essential, as will wearing a face covering where appropriate.

And we must understand and accept what a Test, Trace, Isolate system will require of all of us.

Each of us will have an ongoing responsibility to protect ourselves and to protect each other.

I want to do three things in today’s statement. First, give an update on where we are now in our efforts to control the virus.

Second, set out the initial ways in which lockdown restrictions are likely to be eased, from the end of next week.

And, finally, discuss possible future steps – and the approach we will take in deciding which ones to take, and when.

But let me stress now that the nature of what we are dealing with means these proposals cannot be set in stone.

We will conduct formal reviews at least every three weeks to assess if and to what extent we can move from one phase to the next, but we will be constantly alive to when we can go faster, or indeed whether we have gone too far.

It may be that we can’t do everything in a particular phase at the same time. A single phase may span more than one review period. Some measures may be lifted earlier than planned and some later.

And, of course, our plans will change if the data, evidence or indeed our understanding of the virus changes.  We also welcome views on these plans, including, of course, from other parties.

In addition, I would encourage members of the public to read the route map at www.gov.scot and let us know your views. This crisis affects all of us, and how we emerge from it safely matters deeply to all of us.

In setting out where we are now, I will give an update on the daily statistics, before putting the data we now have into a broader context.

In doing that, I want to thank – as I always do – our health and care workers for the extraordinary work they are doing in incredibly testing circumstances.

As at 9 o’clock this morning, there have been 14, 856 positive cases confirmed – that is an increase of 105 from yesterday.

A total of 1,318 patients are in hospital with Covid-19 – 909 of them who have been confirmed as having the virus, and 409 who are suspected of having Covid. That represents a total decrease of 125 from yesterday, including a decrease of 34 in the number of confirmed cases.

A total of 51 people last night were in intensive care with confirmed or suspected Covid 19. That is a decrease of 2 from yesterday.

And unfortunately I also have to report that in the past 24 hours, 37 deaths have been registered of patients who had been confirmed through a test as having the virus – and that takes the total number of deaths in Scotland, under that measurement, to 2,221.

These numbers – together with yesterday’s figures from National Records of Scotland – spell out very starkly the human cost of this virus.

These are not simply statistics – they all represent individuals whose loss is a source of grief to many. And I want to send my deepest condolences to everyone who has lost a loved one to this virus.

However the numbers also make clear, as I indicated yesterday, that our efforts to curb covid-19 have had an impact. Our mid-range estimate for the number of infectious people in Scotland is now 25,000 – however we expect that number to decrease further.

We are now seeing significant and sustained reductions in the number of confirmed Covid patients in hospital. The number of Covid patients in intensive care is now less than a quarter of what it was at its peak.

And yesterday’s National Records of Scotland data showed that Covid deaths have now fallen for three consecutive weeks – last week’s total was just over half the figure that was reported for the last full week of April.

We are also publishing today a paper which sets out the methods we use for calculating the R number – the rate at which the virus is reproducing. We will now publish our up to date estimate of the R number each Thursday.

Our latest estimate is that the R number remains between 0.7 and 1. In March, it was probably above 4.

And it’s worth saying that although these figures do indicate real progress, we cannot and must not be complacent. Progress remains fragile and it would be too easy for the virus to run out of control again.

The total number of Covid deaths – 351 last week alone – is still far too high. And although we estimate that the R number is below 1, the range has not changed this week, and there is still uncertainty about just how far below 1 it is. It may also still be slightly above other parts of the UK.

However we now have some confidence that the R number has been below 1 for more than 3 weeks, and that there has been a reduction in new cases and in the impact of the virus.

In my judgement, therefore, the time is right to move towards a careful relaxation of lockdown restrictions – but, as I will say in a moment, we must do so on a timescale that aligns with our development of test, trace and isolate.

Today’s route map explains the framework we are using for that relaxation – and sets out future steps people can expect to see, and in what order.

It is based firmly on the criteria set by the World Health Organisation, and it takes account of the experiences of other countries.

A key aspect of our strategy – as recommended by the WHO – is the “test, trace, isolate, support” approach, which will operate in Scotland as “Test and Protect”.

We will test anyone who has symptoms consistent with COVID-19 and ask them to isolate.

We will use contact tracing to identify the close contacts of positive cases.

We will ask those close contacts to self-isolate, so that if they do develop the disease, there is less risk that they will pass it on to others.

And we will make sure that support is available to those who need it.

We will also carry out ongoing surveillance and furnish the public with up to date information about transmission rates and significant clusters.

That system of test and protect run by NHS Scotland is already being used on a case by case basis. From the end of this month it will be available, on an expanded basis, in every health board across the country.

That timescale gives us added confidence that we can take the first, careful steps on our journey out of lockdown from next week.

Test and Protect will be a crucial tool in controlling this virus. However, it will be most effective if we continue to suppress the virus, so that the number of infections reduces further.

And that is why our emergence from lockdown must be gradual and phased.

Today’s route map outlines four phases in emerging from the Covid crisis beyond the current lockdown phase, and it covers nine key aspects of our lives – seeing friends and family; travel and getting around; education and childcare; work, business and the economy; shopping and leisure; sport and culture; public gatherings and special occasions; communities and public services; and health and social care.

We are legally required to review the lockdown restrictions every three weeks. The next review date is next Thursday, 28th May.

Providing that we continue to make progress in tackling Covid over the next week and, in particular, see no regression in our progress so far, I can confirm that the government intends to move from lockdown to phase 1 – and thereby lift some restrictions – from 28th May.

As we enter later phases – as and when the evidence allows – more restrictions will be removed. Details of the relevant criteria to be met and restrictions to be eased in each phase are set out in the document.

I’m sure that everyone watching will want to know what changes will be made as we move to phase 1.

But first, a word of caution – not every phase 1 measure will necessarily be introduced immediately on 28th May.

Some may be introduced a few days after that and, depending on the evidence, it is possible that some may have to be postponed – though I very much hope that won’t be the case.

But next week, when we have completed our formal review, we will make clear  exactly what changes we are making and when, and ensure that detailed information is available for the public.

However let me set out some of the likely changes in phase 1.

More outdoor activity will be permitted.

You will be able to sit or sunbathe in parks and open areas, and you will be able to meet people from one other household, although initially in small numbers, while you are outside. This is a change which we hope will benefit everyone, but particularly those without gardens, and people who live on their own.

It is important to stress that different households should remain two metres apart from each other – that is critical in ensuring that this change doesn’t provide the virus with easy routes of transmission.

And because of the much higher risk of indoor transmission, visiting inside each others’ houses will not be permitted in phase 1.

Some non-contact outdoor leisure activities will be allowed to restart – such as golf, tennis, bowls and fishing – subject of course to appropriate hygiene and physical distancing.

In addition, people will be able to travel – preferably by walking or cycling – to a location near their local community for recreation. Although, we are asking people where possible to stay within or close to their own local area.

Waste and recycling services will resume, as will many outdoor businesses, such as agriculture and forestry.

The construction industry will be able to carefully implement steps 1 and 2 of its 6 step restart plan which it has developed with us. However, let me be clear that there must be genuine partnership with trade unions – this can only be done if it is done safely.

Other industries that are expected to resume in phase 2, will be permitted in the first phase to prepare workplaces for the safe return of workers and customers.

We will no longer discourage take-away and drive-through food outlets from reopening, as long as they apply safe physical distancing. Outdoor retail outlets such as garden centres will be allowed to reopen.

However, non-essential indoor shops, and indoor cafes, restaurants and pubs must remain closed in this first phase.

Some key community support services will resume – for example face to face Children’s Hearings will restart, using physical distancing, and people at risk will have more contact with social work and support services.

We are also planning a phased resumption of aspects of the criminal justice system.

And we will carefully and gradually resume NHS services which were paused as a result of this crisis.  I also want to remind people that as of now, you should contact your GP, NHS 24 or 999 if you need to. That message is really important.

These phase 1 measures – most of which have an outdoor focus – are not in place yet, let me stress that and they are dependent on all of us continuing to suppress the virus. They will also be monitored carefully as they do take effect.

However we view them as a proportionate and suitably cautious set of first steps. And I hope they will bring some improvement to people’s wellbeing and quality of life, start to get our economy moving again, and start to steer us safely towards a new normality.

It’s important to stress, though, that while the permitted reasons to be out of your house will increase, the default message during phase one will remain Stay at Home as much as possible.

As we move into subsequent phases, more restrictions will be removed. Details of these later phases – and the criteria we will need to meet – are set out in the document. We will make decisions on when and to what extent we can move to these phases carefully and on the basis of evidence. And we will carry out formal reviews at least every 3 weeks, though I hope we can move more quickly than that if the evidence allows.

Presiding Officer, I want to take a moment now to talk directly to people who are currently shielding – those we have asked to isolate completely for 12 weeks, because we know they are at the greatest risk from this virus.

We know that the isolation imposed by shielding over a long period of time is in itself very difficult and indeed harmful. And so, although we are not changing our advice on shielding yet, I can confirm that we will issue new guidance before the initial period of shielding ends on 18 June.

This will aim to increase your quality of life and your ability to make informed choices, while continuing to protect you as much as possible from the risks the virus poses. I really understand how hard this is for this for you who are shielding, and I want you to know that you are central to our thinking as we move forward, through and out of this crisis.

Presiding Officer, more generally, the route map sets out what phases 2, 3 and 4 will mean for different areas of activity.

It tries to give as definite sense as possible of when, and on what basis, we might be able to see friends and family, on something like a normal basis.

We also set out what the different phases will mean for transport – and I can confirm that we will publish a much more detailed transport transition plan on Tuesday next week.

We also outline the further stages in which businesses might reopen.  Let me stress that we want to move through these stages as quickly as the evidence allows.

Getting the economy moving again really matters to all of us, and therefore we have sought to focus first on industries where people simply cannot work from home.

However, safety and the confidence of employers, employees and customers is essential. And that is why detailed guidance for key sectors of the economy will follow in the days ahead.

Let me stress that we will continue to require for the foreseeable future home working where that is possible – and we will also encourage flexible working, including consideration of four day weeks for example.

We indicate the phases in which service industries might reopen – that is businesses such as restaurants, bars and hairdressers, the latter being a priority, I know, for almost every woman in the country and some men. For restaurants and bars, I think I’ll not go any further there Presiding Officer, for restaurants and bars, opening of outdoor spaces will come earlier than opening of indoor spaces.

The route map also indicates when places of worship might reopen.

And it makes it clear that while our current guidance on funerals – one of the most distressing and heartbreaking rules of the current lockdown – remains unfortunately unchanged for now, we do hope to relax it as we move from phase 1 to phase 2.

Finally Presiding Officer, I know that a key priority for parents, children and young people is education and early years services.

I can confirm that we are planning to allow Universities and colleges to have a phased return next term, with a combination of remote learning, and some limited on-campus learning.

On schools and early learning and childcare, we have published today the report of the Education Recovery Group, which is chaired by the Deputy First Minister and  includes representatives of councils, parent and teacher organisations and trade unions.

Through this approach, we have reached an agreed position that will help us build confidence amongst pupils, parents and teachers about a safe return to formal schooling.

The report can be read in full on the Scottish Government website. I stress that all of its conclusions are subject to health advice, and to appropriate measures on physical distancing, testing and provision of protective equipment, where required, being in place.

But let me summarise now the key points.

Teachers and other school staff will return during June to prepare classrooms for the new term and a different model of learning.

During June and over the summer, an increased number of children will have access to critical childcare – such as has been provided for the children of key workers during lockdown.

And we will provide, where possible, transition support for children going into primary 1 or children moving from primary 7 to secondary school.

From 11 August, all schools will re-open. However, to allow appropriate physical distancing, children will return to a blended model of part time in-school and part time at-home learning.

Childminders can re-open during phase 1 and over the summer all early years childcare providers will re-open, subject to necessary health measures. Capacity will be prioritized for children of key workers, early learning and childcare entitlement and children in need. And the Care Inspectorate will provide further guidance in due course.

Now these arrangements will not represent a complete return to normality by August. But we judge them to be the most sensible and safe approach we can plan for at this stage.

To reflect the fact that children will still be doing part of their learning at home, we are also going to invest a further £30 million to provide laptops for disadvantaged children and young people to enable them to study online.

Presiding Officer, I want at this stage to take a moment to say a huge thank you to parents, carers and teachers who are doing so much to ensure that children continue to learn during this lockdown period.

And I want to send a special message to children and young people themselves – on the off chance that any of you are watching a parliamentary statement – I know how difficult it has been for you not to be at school and with your friends, but you have been magnificent during this lockdown period – and from the bottom of my heart thank you to every single one of you.

Presiding Officer, to conclude as I have briefly summarized and I know all members will take time to study this document in full, this route map tries to sketch out as much detail as we can provide at this stage, how and in what stages, we might move back to some normality as we continue to live with this virus, as we are going to have to do for quite some time to come.

It does not yet set definite dates for all phases, because it cannot do so, we know that this virus is and will remain unpredictable.

And of course to a great extent, the timing of these changes, the timing of moving from one phase to another will depends on all of us – it will depend on our continued ability to suppress the virus even as we move out of lockdown.

Our emergence from lockdown will be faster or slower, depending on the continued success that we have in suppressing the virus.

It’s also worth saying I think that in the weeks ahead, our messages will inevitably have to become more  nuanced and more complex, as we try to strike a very difficult balance protecting public health and also allowing more personal choice.

Straightforward, strict rules will gradually be replaced by the need for all of us to exercise judgment and responsibility.

However some key advice – for example on isolating if you have symptoms of Covid,  strict physical distancing, washing your hands and face coverings – will remain the same throughout.

We must continue, all of us, to recognise that every decision we take as individuals, has an impact on others and on our collective wellbeing.

That sense of collective responsibility has been so appreciated by me and I know by all of us throughout this lockdown period – indeed, it is only because people across the country have so overwhelmingly observed the lockdown restrictions, that we are now in a position of being able to plan ahead.

It will be absolutely vital for all of us to continue to abide by whatever rules are in place at any particular stage.

And for the moment – until 28 May – I must therefore stress that our key public health guidance, as of now, remains unchanged.

Please stay at home except for essential purposes – which right now include exercise, going to essential work that cannot be done at home, or shopping for essential items like food and medicine.

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

Please wear a face covering if you are in a shop or on public transport. And remember to wash your hands thoroughly and regularly.

Finally, if you or someone else in your household has symptoms of Covid-19, please stay at home completely. Those symptoms as a reminder are a high temperature, a persistent cough, or a change or loss of smell or taste.

I’m very aware that talk of emerging from lockdown, as well as the nice weather we’ve enjoyed in recent days makes these restrictions even harder. But I want to stress by abiding by them is what makes it possible for us to think about relaxing them.

By doing the right thing, and continuing to do the right thing, all of us have helped to slow the spread of this virus, we’ve helped to protect our NHS from being overwhelmed, and despite the grim numbers of people dying, we have helped to save lives.

And as a result of all of that personal sacrifice, on the part of everybody sacrifice for the common good we are now able – gradually, cautiously, and in phases – to plan our move back to some normality.

So I want to end Presiding Officer, by thanking everyone for making this prospect possible.

Contact-tracing app: We trust the NHS!

The UK public want the NHS to be the controlling body in Covid-19 contact-tracing app, says new research.

The public have massive trust in the NHS, who should have control and access to data in the Covid-19 contact-tracing app, according to new research by researchers at the University of Birmingham and in WMG at the University of Warwick.

Carsten Maple, Principal Investigator of the NCSC-EPSRC Academic Centre of Excellence in Cyber Security Research at the University of Warwick, who led the research, said: “With all of the possible design choices for a contact-tracing app, many commentators and experts have argued which approach is in the best interests of the public.

“For example, some have argued that centralised apps create privacy invasions that are unacceptable; others have argued that to be effective the apps should be centralised.

“However, as yet, the opinions of the public have not been gathered and so we have undertaken a significant survey to elicit their thoughts. We have examined how important privacy is to them and how willing they are to engage and share information.”

Dr Rebecca McDonald, lecturer in experimental economics from the University of Birmingham said: “The first encouraging results of our study are that only 9.6% of the public always chose to opt out of using the contact tracing apps we described to them.

“We asked people to express a direct preference between controlling the pandemic or preserving privacy, and we found that over half (57.4%) of participants favoured prioritising controlling the pandemic over privacy contrasting with around a fifth (20.1%) favouring  protecting privacy over controlling the pandemic.”

However the most powerful and important result from the survey was the contrasting degrees to which participants trust different agencies or individuals with their data, even when anonymised.

The group least trusted to be given access to this data was other app users but by far the most trusted group or organisation was the NHS.

Professor Carsten Maple in WMG at the University of Warwick said: “It is clear that the NHS enjoyed overwhelming trust in terms of access to personal data collected by such apps, even when anonymised. 

“Surprisingly, respondents’ choices suggest they would be most concerned about the decentralised approach that protects from Government access to information and instead shares information among other app users.

“The results indicate that users want a centralised approach, like the one currently being adopted by NHSX.”

“Our research clearly shows that the public is broadly supportive of the use of a COVID-19 contact tracing app and would download it in significant numbers, providing the app providers listen to their wishes on who should have access to their data.The NHS is by far the most trusted gatekeeper for that data.”

The table below shows in percentage terms how much more willing people are to use an app when their data is shared with different organisations (as in a centralised approach), compared to when it is shared with other app users (as in a decentralised approach).

NHS 70.5%
Researchers 53.4%
National Government 18.9%
Local Government 13.0%

The research highlights that people have a strong desire to understand the way a contact tracing app would work, and many respondents said they would need control over what data is shared about them, and who it is shared with, before they would be willing to download the app.

Since widespread uptake is needed for the app to be effective, addressing these potential barriers has to be at the heart of any large-scale roll out of the contact tracing app. The appetite is there, but the public need transparency in order to trust, download, and use the app.

The research also found that public would also have concerns about linking proximity data to other data sources. (They were particularly concerned about the linkage of their shopping location from credit/debit cards data).

Some also had concerns about practical things like the impact on their phone’s battery life, or the amount of data the app might need to use.

Scotland’s route map published

A route map setting out a phased approach to easing lockdown restrictions while still suppressing coronavirus (COVID-19) has been published.

The Scottish Government route map gives details of a gradual four phase move out of the current state of lockdown.

COVID-19: Framework for Decision Making – Scotland’s route map through and out of the crisis’ gives practical examples of what people, organisations and businesses can expect to see change over time.

It also highlights some of the things that won’t change for a while, including the continuing need for enhanced public health measures such as physical distancing.

If the evidence shows transmission of COVID-19 is under control and the number of infectious cases is starting to decline, the Scottish Government will consider moving to Phase 1 of the route map following the next end-of-cycle review date on 28 May.

The NHS Scotland test, trace, isolate and support strategy – known as Test and Protect – will be ready for expansion in all 14 health boards from 28 May.

A plan agreed between councils, professional associations and parent representatives to reopen schools on 11 August, subject to scientific advice that it is safe to do so, has also been published today.

First Minister Nicola Sturgeon said: “Today I have set out details of Scotland’s route map through and out of the COVID-19 crisis.

“The current key public health guidance remains to stay at home except for essential purposes, but the route map provides information about how and when we might ease our lockdown restrictions while continuing to suppress the virus.

“The lockdown restrictions have been necessary to reduce and mitigate the massive harm caused by the COVID-19 virus, but the lockdown itself causes harm including loneliness and social isolation, deepening inequalities and damage to the economy. That is why I have set out the gradual and incremental phases by which we will aim to ease lockdown matched with careful monitoring of the virus.

“At every one of these stages, the biggest single factor in controlling the virus will be how well we continue to observe public health advice. Continued hand washing, cough hygiene and physical distancing will continue to be essential as will wearing a face covering where appropriate.

“By doing the right thing, all of us have helped to slow the spread of the virus, to protect the NHS, and to save lives and as a result we are able – gradually, cautiously, and in phases – to plan our move towards a new normality.”

covid-19-framework-decision-making-scotlands-route-map-through-out-crisis

 

Council Leader: ‘serious about tackling homelessness for good’

The support being provided to people facing homelessness in Edinburgh has been commended but we’ll need to work together to bring about long-term change, says Council Leader Adam McVey:

Back in late March, when it was announced that the country would be entering lockdown measures, we set about creating a dedicated team to co-ordinate our support to some of our most vulnerable people – our residents experiencing homelessness.

As part of urgent measures to protect those most at risk, we stepped up an Additional Accommodation Needs Team to co-ordinate the crucial task of increasing the amount of emergency temporary bed spaces we can access as a Council, so that no one need be left without a safe place to stay.

Within weeks, empty hotels were secured. Holiday lets were turned into homes for those who might otherwise end up rough sleeping. And importantly, all families who had been living in B&B style accommodation were safely moved into self-contained homes. We now have over 200 extra bed spaces and counting as a result of this work and we’re continuing to meet the need for our services.

This rapid response is testament to our City’s dedicated volunteers, workers from across the third sector and the Council’s team of homeless support officers. It has highlighted the incredible work this service and those of our partners provides day-in and day-out, working hard to help anyone in need.

Yet, this pandemic has also highlighted the very real challenge we’ve been working towards in Edinburgh when it comes to providing much-needed homes.

We’re a compact City but our population is still growing.

The property market is still one of the most expensive in the UK and losing properties which could be safe and warm homes to those without a place to stay to the short-term lets market is simply not sustainable.

A quarter of all homelessness cases in Edinburgh are linked to the private rented sector and our housing teams support people whose tenancies may be at risk to stay in their homes.

Part of their work to prevent people from becoming homeless has involved bringing forward a rent deposit guarantee scheme, to support people with the often expensive upfront costs of renting. It will be vitally important that we continue to encourage landlords to help people whose finances aren’t secure to keep their tenancies, as and when lockdown measures are eased.

We’re ready to work with the private rented sector in partnership though and to understand the very real financial challenges many tenants will face because of the outbreak in the months which lie ahead.

We’re asking landlords of residential properties previously run as short term lets in particular to lets us use their properties to give a home to our citizens who need them in exchange for a guaranteed rent.

When we’re able to, returning to construction to build new, high quality homes will remain a key priority for us too.

We’re building 20,000 affordable homes as well as investing £2bn in new Council homes over the next decade, but this takes time to deliver. In the meantime, we can help landlords to rent their properties to us through our Private Sector Leasing Scheme with Link Housing, which not only offers a solution for private landlords who are unable to receive rental income during the pandemic, but increases the number of homes available to people experiencing homelessness.

We’ve already increased the number of properties we let from the private sector, bringing in 100 extra homes, and I want this number to rise.

We’re serious about tackling homelessness for good.

We look forward to industry working with us to achieve that aim. Let’s work together on this unique opportunity to rebalance the market for the long-term by returning short-term lets to the purpose they were intended for – as homes.

Letters: Austerity – Never Again!

Dear Editor

When the banks crashed through mismanagement and greed most were bailed out by the government, using public money to do so.

People were told that everyone was ‘in it together’.

But as we know from thise years, the government embarked onn what they called Austerity, in whih wages were frozen for years; prices were rising; major cuts were made in services of all kinds;unemployment and zero hours contracts grew.

The years of tremendous sacrifices made by the people in their lives have now been forgotten by employers and government alike.

In fact there is an indication that both of these are preparing the repeat of austerity, more severe than the last – and that will last much longer.

The people must not allow this to happen again!

The investors and financial institutions are intent to make everyone pay and once again decimate the lives of all people.

Tony Delahoy

 

Care home staff and residents need support to manage their grief during Covid-19

Care home providers need to consider how they can provide support for their staff and residents during the Covid-19 pandemic, as they are likely to be experiencing significant concern and potentially grieving for residents who have died.

Covid-19 is causing thousands of deaths in UK care homes, so the British Psychological Society has launched new guidance to help staff and residents cope with this particularly frightening time.

Professor Nichola Rooney, chair of the BPS’s Covid-19 bereavement task force, said: “We have all seen distressing news reports and figures about the experience of our care homes during the Covid-19 pandemic.

“Staff are doing all that they can to protect and comfort residents at an extremely distressing time, and it’s vital that managers give them the support that they need to provide this and to cope with their own grief and concerns

“I hope that this guidance is useful for care home staff, residents and their friends and family in navigating what is an unprecedented and often harrowing time.”

While staff working in a care home may have experienced residents dying before, the guidance says that this does not make each death any easier to cope with, and that staff often develop close relationships with people that they care for.

It suggests that the contagious nature of Covid-19, requiring staff to wear personal protective equipment when dealing with residents, means that some may feel they are unable to provide the comfort to people that they would want.

Care home managers can help staff by making sure that they are given regular opportunities to talk about how they’re feeling, and accommodate regular and frequent breaks. They can consider ways that staff can collectively remember residents who have died, and celebrate their lives.

Care home residents can often face a range of challenges depending on possible medical conditions, and even those in later stages of dementia will be affected by changes in the care home’s day-to-day life.

Staff need to make sure that they maintain communication with residents, even when it feels like this is always to bring sad news. They should explain why changes, such as staff having to wear PPE, are important.

The guidance should be read alongside ‘Supporting yourself and others: coping with death and grief during the Covid-19 pandemic’. They were both produced by the BPS’s Covid-19 bereavement task force.

 

‘A Better Recovery’: TUC plan to get Britain back on road to a healthy economy

The TUC has set out how the UK can recover from the coronavirus economic crisis, stop the despair of mass unemployment and set working families on a path to prosperity.   

Alongside the report, the TUC publishes analysis showing that the fastest recoveries from economic crises in UK history were based on investment for growth, not cuts to services, deregulation and tax breaks for millionaires and bosses.

75 years on from VE Day, the UK should emulate the post-war recovery  

TUC analysis shows that the decade of investment for growth (1947-57) that followed World WarTwo achieved an average growth rate of 3.3% But the decade of cuts (2009-19) that followed the bankers’ crisis achieved average growth of just 1.9%.

These examples are part of a wider pattern for the UK’s responses to economic crises over the last century. The UK recovers better and faster when the approach is investment for growth, prioritising workers’ wages, strong public services, a decent safety net and building the capacity of both private and public sectors.

Approaches based on cuts to spending only serve to hold back the whole economy. This can be seen not only during 2009-2019, but also during 1921-31, when severe cuts meant growth averaged just1.9%.

In both 1921-1931 and 2009-2019, slow growth led to higher national debt. By contrast, periods of recovery based on investment for growth have reduced national debt, because they are successful at generating broad growth and making the country wealthier.

A plan to get Britain growing out of the crisis – and stop mass unemployment  

The pandemic alone did not cause this economic crisis. It was made worse by a decade of austerity and failure to strengthen the UK’s economy. Choosing the wrong approach to recovery now risks embedding low growth, long-term unemployment and all the social ills that go alongside.

An investment for growth approach means taking action on six key areas: 

  1. Decent work and a new way of doing business: New business models based on fairer employment relationships. A fairer share for workers of the wealth they create, with a higher minimum wage and new collective bargaining rights.
  1. Sustainable industry: Economic stimulus for a just transition to net zero carbon. Rebuilding the UK’s industrial capacity with modern tech and training in new skills.
  1. A real safety net: Reforms to social security to provide help faster and prevent poverty. A job guarantee scheme so everyone can work and long-term unemployment does not take hold.
  1. Rebuilding public services: Bringing our public services back to full strength, with decent pay for those who looked after us in the crisis, and a new focus on good jobs and direct employment in social care.
  1. Equality at work: Specific actions to make sure women, disabled people and BME groups do not suffer disproportionately from the impact of the coronavirus recession.
  1. International solidarity: New international rules must prioritise decent jobs and public services for all.

The evidence from the post-war recovery is that this investment for growth recovery plan can pay for itself. Millions of working families with higher disposable income create the economic demand needed for strong growth and healthy public finances. Stronger public services and an effective safety net will support people to start and grow businesses, and will better protect against a future pandemic.

TUC General Secretary Frances O’Grady said: “The UK’s weak economy and ten years of cuts left our country unprepared for coronavirus. Only the dedication of millions of individual workers kept our country going.  

“Let’s learn the lesson. Together, we can work our way safely out of this recession. Let’s make sure everyone has a decent job, with fair pay and security for their family. Let’s thank our key workers with the pay rise they have earned. And let’s not consign millions of our fellow citizens to the despair of unemployment.

“Today the TUC publishes our plan for recovery. At its heart is good jobs. Jobs in a reborn UK manufacturing sector. Jobs in a social care sector finally getting some respect. Jobs in the green tech of the future. Let’s rebuild our country through hard work, determination and investment in all our futures – not cuts to spending, deregulation and tax breaks for millionaires and bosses.”

She added:  “Seventy-five years ago, Britain was bloodied, battered – and broke. Yet after the war Britain’s economy grew faster than ever before. We did it not by pay freezes and cuts, but making the priority decent jobs for everyone, new homes, infrastructure and a new national health service.   

“So let’s channel the spirit of 1945. Coronavirus doesn’t have to equal mass unemployment and a poorer, meaner country. We can do what the post-war generation did: grow our way out of this crisis and build a better life for everyone.”

TUC Report ‘A Better Recovery’

Wellbeing ‘Hub in a Tub’ for NHS Lothian staff

NHS Lothian and its official charity partner, Edinburgh and Lothians Health Foundation, are working together to prepare and deliver wellbeing boxes to NHS Lothian staff working in the community.

The pilot, which is being called ‘Wellbeing Hub in a Tub’, recognises that not all staff have access to the Wellbeing rooms that are being set up across some of the hospital sites and need alternative ways to access support that will make a positive difference to their health and wellbeing during the Coronavirus pandemic.

The boxes are now being sent out and include sleep packs, handcream, lip balm, energy snacks, refreshments, car chargers, headphones, and many other items which will support the wellbeing of our teams in the community as they carry out their day to day role.

They also contain a wellbeing booklet with advice and guidance on how to look after their own emotional and physical health during these challenging times.

Part of a wider staff wellbeing initiative, these boxes have been made possible thanks to funding from Edinburgh and Lothians Health Foundation through its NHS Lothian Covid-19 Rapid Response Fund, collaboration with NHS Lothian teams, as well as through generous donations from companies including British Airways, Friendly Soap, Doublebase, Cetraben, Hydromol, Diprobase, Epoderm KIND Snacks, RitterSport and BaxterStorey, with Network Rail supporting distribution.

Amanda Langsley, Associate Director of OD and Learning, who has been spearheading the initiative, said: “It was really important for us to acknowledge the important role that all staff are playing during the pandemic and ensure that we were also supporting the wellbeing of our staff in the community.

“We have undertaken a lot of work setting up wellbeing rooms in various hospital sites and we needed to find a way to replicate this as best we could for staff who were unable to easily access these resources. 120 Wellbeing Hub in a Tub boxes will be distributed this week.

“This initiative will then be evaluated to ensure it is having the right impact and to determine the ongoing sustainability of this approach moving forward.”

Director of Edinburgh and Lothians Health Foundation, Jane Ferguson, said: “Improving health and wellbeing is at the core of everything we do. During this time, staff are under increased pressure and often put their own wellbeing second.

“That is why it is so important that while they are helping us, we help them. This is another fantastic example of everyone coming together to support our amazing NHS Lothian colleagues and we are proud to be part of it.”

Wellbeing Hub in a Tub is part of a range of staff wellbeing initiatives that are being funded by Edinburgh and Lothians Health Foundation through their NHS Lothian Covid-19 Rapid Response Fund.

These include: supporting the provision of wellbeing rooms with recliner chairs, TVs and appliances so staff can rest, relax and get some much needed downtime, hot meals and drinks to keep staff nourished and refreshed during long and busy shifts, accommodation costs for staff who are self-isolating from their families, and an increased staff listening service offering support to NHS Lothian staff who are under extreme pressure during these challenging times.

An open letter to Government on young people’s mental health during lockdown

Over thirty charities and youth organisations have written a joint letter to the UK Government to tell them to limit the long-term impact of the pandemic on young people’s mental health:

Dear Prime Minister, 

Covid-19: impact on children and young people’s mental health

We are writing to you to ask that your Government takes urgent steps to reduce the impact of the Covid-19 outbreak on children and young people’s mental health – both now and in the future.

The Covid-19 pandemic is the biggest health crisis for generations, and the measures that the Government has taken to limit the spread of the virus, including restrictions on movement and the closure of schools to most students, are necessary to save lives.

However, the crisis is affecting many young people in ways that will risk long-term consequences for their mental health. One in eight children and young people already have a diagnosable mental health condition, and research suggests that the majority of those believe that the pressures created by the crisis are exacerbating their needs.

Many others – including those who have experienced bereavement, abuse or domestic violence – are also likely to require additional support. The fear of becoming ill or seeing a loved one become ill, the loss of routines, the difficulties of social connection, the impact of loneliness, the disruption to education and the challenges of living in difficult or dangerous situations are creating additional pressure for young people across the country.  Young people who belong to groups that are already marginalised or disadvantaged may be particularly at risk.

While mental health professionals deserve enormous credit for responding to the challenges the pandemic brings, many young people who were receiving some form of mental health treatment before the crisis are now receiving reduced support or no support at all. Other young people who would not previously have met the threshold for mental health support are likely to require it. Without preventative action, their needs are likely to escalate.

With the restrictions on access to schools, universities and primary care, there is often uncertainty or reticence about how and when to access mental health support. In many cases, young people have also lost the coping mechanisms that could help them to manage their mental health.

When it is safe for restrictions to change, there needs to be a clear plan about how to grow and develop services, how to enable social re-integration and how to support groups who are disproportionately affected by the crisis.

Before the pandemic, young people’s mental health was beginning to get the attention and resourcing it needs – but, despite improvements, services were often overstretched and inconsistent across the country. With demand likely to increase, we cannot afford to lose momentum.

We welcome the steps that the Government has already taken to prioritise mental health, including a £5 million fund for organisations providing mental health support, and guidance for parents issued through Public Health England.

However, this falls well short of meeting the scale of need. While many voluntary sector providers have been quick to adapt to the changing landscape – moving support online, and using innovative approaches to safe service delivery – there remain gaps in infrastructure and funding which threaten the long term sustainability of these efforts

That is why your Government must take a clear and coordinated approach to tackling the impact of the pandemic on children and young people, launching a recovery plan that enables the growth and continuity of support as restrictions change.

We are calling on your Government to:

  • Offer immediate emergency funding to increase young people’s and families’ access to mental health support through youth organisations charities and helplines; and ensure that clear routes are available for young people to access NHS mental health services while restrictions are in place.
  • Launch a national campaign to reach 10 million children and young people, and their families, to promote positive approaches for maintaining mental wellbeing, working alongside the voluntary sector to do so.
  • Deliver a wellbeing support package for schools, enabling them to prioritise wellbeing now and over the next academic year, and providing guidance and resources on how to manage transitions when it is safe for students to return to school.
  • Commit to introducing additional support for young people’s mental health as we move out of the pandemic to meet rising demand, including re-committing to the measures outlined in the NHS Long Term Plan in full and funding additional early intervention services.
  • Launch a cross-government strategy for young people’s mental health, taking a ‘young people’s wellbeing in all policies’ approach to future policy-making and addressing inequalities that can contribute towards worse mental health

We recognise the scale of the challenge that the Government is facing. However, by taking bold action now, you can reduce the impact of the pandemic and give hope to millions of children and young people across the country.

Yours sincerely,

Emma Thomas, Chief Executive, YoungMinds

Professor Peter Fonagy, Chief Executive, The Anna Freud Centre

Kate Fallon, General Secretary, Association of Educational Psychologists

Kathy Roberts, CEO, Association of Mental Health Providers

Natalie Bailey, Chair, British Association for Counselling and Psychotherapy

Javed Khan, CEO, Barnardo’s

Dr Ruth Allen, CEO, British Association of Social Workers

Andrew Radford, Chief Executive, BEAT

Sarb Bajwa, Chief Executive, British Psychological Society

Amanda Chetwynd-Cowieson, Chair of the Board of Trustees, British Youth Council

Sarah Hughes, CEO, Centre for Mental Health

Sir Norman Lamb, Chair, Children and Young People’s Mental Health Coalition

Kathy Evans, CEO, Children England

Mark Russell, Chief Executive, The Children’s Society

Angela Salt, CEO, Girlguiding

Advocate Youth Panel, Girlguiding

Katie Ghose, Chief Executive Officer, KIDS

Hamish Elvidge, Chair, The Matthew Elvidge Trust

Mark Rowland, Chief Executive, Mental Health Foundation

Paul Farmer CBE, Chief Executive, Mind

Chris Martin, Chief Executive, The Mix

Anna Feuchtwang, Chief Executive, National Children’s Bureau

Paul Whiteman, General Secretary, NAHT

Caroline Stevens, Chief Executive, The National Autistic Society

Mary Bousted, Joint General Secretary, National Education Union

Leigh Middleton, Chief Executive, National Youth Agency

Catherine Roche, Chief Executive, Place2Be

Professor Russell Viner, President, Royal College of Paediatrics and Child Health

Professor Wendy Burn, President, Royal College of Psychiatrists

Duncan Stephenson, Deputy Chief Executive, Royal Society of Public Health

Ruth Sutherland, CEO, Samaritans

Schools Wellbeing Partnership

Dr Rania Marandos , Chief Executive, Step up to Serve

Ndidi Okezie, CEO, UK Youth

Denise Hatton, CEO, YMCA England & Wales

Barry Williams, Chief Executive, Youth Access

Face coverings can reduce Covid-19 transmission risk, University study says

Wearing a face mask or other covering over the mouth and nose reduces the forward distance travelled by an exhaled breath by more than 90 per cent, Edinburgh University research suggests.

Scientists testing the effectiveness of seven types of face covering – including medical-grade and home-made masks – found that they could all potentially help limit the spread of Covid-19.

However, some of the masks enabled strong jets of air to escape from the back and sides, researchers found.

The findings could aid policymakers producing guidance on the wearing of masks to help combat the virus, which can be spread in small droplets of water in people’s breath, experts said.

A team led by engineers at the University of Edinburgh assessed different face coverings using a technique – called Background Oriented Schlieren imaging – that enables scientists to measure the distance and direction travelled by air expelled when a person breathes or coughs.

Measurements were taken from people wearing different face coverings while standing or lying down, and from a manikin connected to a cough-simulating machine.

Researchers found that all face coverings without an outlet valve reduce the forward distance travelled by a deep breath out by at least 90 per cent.

A type of mask commonly worn by workers exposed to fine dust – called a respirator mask – was shown to provide protection to the wearer. However, the valves on these masks that made breathing easier could potentially allow infectious air to spread considerable distances in front, the study suggested.

Surgical masks and the tested hand-made masks were found to limit the forward flow of a breath out, but also generate far-reaching leakage jets to the side, behind, above and below. Heavy breathing and coughing, in particular, were shown to generate intense backward jets.

Only masks that form a tight seal with the face were found to prevent the escape of virus-laden fluid particles, the team says.

Researchers found that full-face shields worn without masks enabled the release of a strong downward jet.

The team also discovered that a regular medical procedure known as extubation – the removal of a breathing tube used during anaesthesia and when patients are on a ventilator – may increase the risk of spreading Covid-19.

Simulations showed that the coughing that regularly accompanies extubation caused people nearby to be enveloped in the patients’ exhaled air. This puts clinicians and others at high risk of exposure to the virus, the team said.

The research will be published as a preprint paper at 01.00 BST on Thursday 21 May. An advance copy of the paper is available here: https://bit.ly/36fOqbE. It also involves NHS Lothian clinicians and Heriot-Watt University.

Dr Ignazio Maria Viola, of the University of Edinburgh’s School of Engineering, who coordinated the project, said: “I have generally been impressed by the effectiveness of all the face coverings we tested.

“However, we discovered that some face coverings allow the emergence of downward or backward jets that people are not aware of and that could be a major hazard to others around them.”

Dr Felicity Mehendale, a surgeon at the Centre for Global Health at the University of Edinburgh’s Usher Institute, said: “It was reassuring to see the hand-made mask worked just as well as the surgical mask to stop the wearer’s breath flowing directly forwards.

“This suggests that some hand-made masks can help to prevent the wearer from infecting the public. But, the strong backward jets mean you need to think twice before turning your head if you cough while wearing a mask; and be careful if you stand behind or beside someone wearing a mask.”

Scottish Conservative health spokesman Lothian MSP, Miles Briggs, said:  “The use of a face mask to reduce the possible transmission of Covid-19 is apparent and now we have the science to back it up.

“As we move out of lockdown measures such as people using face masks will be vital for keeping the R number down.

“This is a very worthwhile piece of research by the University of Edinburgh on the effectiveness of different face masks.”