Majority of Scots will take COVID-19 vaccines in the future

A report published yesterday by Healthcare Improvement Scotland finds that the majority of Scots will take COVID-19 vaccines in the future, based on their experiences with COVID-19.

The survey, commissioned by the Scottish Government, asked questions about people’s motivations around vaccination as we move away from the pandemic.

Uptake of the COVID-19 vaccine has been high and the survey asked people if they would take up new offers of COVID-19 vaccination, or, if not, to understand their reasons why.

The Citizens’ Panel survey, which ran between November 2022 and February 2023, found that of the 667 people who responded to the survey, the majority of respondents (72%) said they would take up the offer of the COVID-19 vaccine in the future. The survey also found that of those who will take up the offer of the COVID-19 vaccine in future, their main reasons were to protect themselves (88%) and to protect others (82%).

One respondent said: “If I can do this to help myself and others, and know the vigorous testing the vaccines have gone through, then why wouldn’t I accept the vaccine?”

Some 12% said they would decline the offer and 17% were not sure. Where respondents did not want it, the most common reason given was concern over possible long-term side effects of the vaccine.

In addition, all respondents were asked if their decision about getting the COVID-19 vaccine has changed over time. The majority said that their decision has not changed (82%). Some 16% said they wanted it at first, but now they don’t, and just 2% said that they didn’t want it at first but now they do.

The survey asks if people are more or less likely to take up the offer of other vaccines, such as flu or childhood vaccines, based on their COVID-19 vaccine experiences, with 36% saying  more likely, 56% saying it’s made no difference, and just 7% saying they are less likely.

Simon Watson, Medical Director at Healthcare Improvement Scotland, said: “Vaccination is an absolutely essential element of our response to COVID-19 including future variants. It is vital to protect individuals, their families and the wider population of Scotland.”

Clare Morrison, Director of Community Engagement at Healthcare Improvement Scotland, said: “The findings around vaccination motivations highlight the positive public attitudes towards vaccination, as well as potential areas for improvement, mainly around the need to develop clear and accessible information about vaccine side effects and the benefits of vaccination including their effectiveness against serious illness.”

The report recommends the Scottish Government should continue to consider how to ensure positive and accessible vaccination experiences for all.

It also notes the Government should consider exploring people’s concerns further and their experiences around side effects. Developing further clear and accessible messaging around side effects, and the benefits and effectiveness of vaccination against serious illness may help address this.

Visit our Community Engagement website to access the full report.

Tech partnership boosts health innovation

Linking business and clinical expertise

Innovative companies will be able to trial new health products in clinical settings across the country following a link-up between the Scottish Government’s £42 million Techscaler programme and the NHS.

Participants in the programme, which provides world class expertise and support to young businesses with high growth potential, are being offered access to NHS Regional Test Beds. These enable entrepreneurs to work alongside clinicians and have access to patients and anonymised data to test ideas, products and services.

And in a reciprocal agreement, firms already using the NHS Test Beds will automatically become part of the Techscaler network.

Wellbeing Economy Secretary Neil Gray announced the move during a visit to Bioliberty in Edinburgh, which uses robotics to provide rehabilitation and assistance for stroke survivors.

The company will be one of 14 firms in sectors including healthtech and life sciences to join a Scottish Government-funded visit to New York to showcase their work.

Mr Gray said: “Scotland’s life sciences sector has an annual turnover of more than £8 billion and is one of our key sectors for transformative economic growth. This partnership will be able to leverage our world-leading universities, life sciences hubs and excellent healthcare systems to support the growth of the sector and development of entrepreneurs.

“Testing products in a real world environment and accelerating development is vital, and will enable a broader reach of the Tech Scaler programme. This in turn will benefit patients and medical staff as they develop cutting-edge technology for use across the NHS, from stroke and rehabilitation through to reducing drug-related deaths.

“It is a further example of the steps we are taking as we develop a sustainable, high-skill economy that works for everyone.”

Chief Scientist (Health) Anna Dominiczak said: “I welcome this collaboration, which will result in transformative innovations for the NHS and help to ensure that Scotland is the best location for life sciences companies.”

Scotland’s Chief Entrepreneur Mark Logan said: “By making this connection between health testing and business support, we create an environment for innovation which enables Scottish companies to compete effectively, whilst bringing much-needed treatment solutions to the NHS.”

Hospitalisations for COVID-19 and flu increasing

Winter vaccines reminder for eligible groups

Those eligible for the free COVID-19 and flu vaccinations are being urged to get their jabs as winter sets in and hospitalisations increase.

The reminder comes as Public Health Scotland (PHS) data shows in the week ending 11 December 2022, there were on average 735 patients in hospital with COVID-19, an 18.2% increase from the previous week.

Admissions for flu are also on this rise with the highest hospital admission rate noted in patients aged less than one year old (18.5 per 100,000). Parents and carers are encouraged to get their children vaccinated as soon as possible if they haven’t done so already. The flu vaccine for children is a painless nasal spray which will help protect them and reduce the risk of them spreading the virus to more vulnerable people.

The vaccines are safe, effective and offer the best protection to those most at risk of serious illness from COVID-19 and flu while also helping to protect the NHS at this, the busiest time of year.

Adults over 50 are entitled to get both free vaccines and further information on eligibility for each jab is available on the NHS Inform website.

Health Secretary Humza Yousaf said: “Uptake for the winter vaccine programme is very encouraging with Scotland delivering more jabs per head of the population among over 50’s than any other UK nation. However, the number of hospitalisations from both COVID-19 and flu are on the rise.

“The vaccines help to prevent serious illness and the need for hospital treatment freeing up capacity as we move into what could be the most challenging winter in the history of our health and care service.

“We are concerned that flu-related hospital admissions have been rising, with admission rates highest among very young children, and we urge parents and carers to get their children vaccinated with the painless nasal spray offered to this group.

“As well as protecting the child, the vaccine helps to reduce the risk of children spreading flu to family and friends who are more vulnerable, which is especially important at this time of year when families are getting together more.”

Winter vaccines | NHS inform

Health Secretary launches NHS Scotland’s winter campaign

People across Scotland are being encouraged to include health as part of their festive preparations so that seasonal illnesses can be managed well at home. It is hoped that by following the tips and advice in the ‘Healthy Know How’ campaign the public will enjoy the festivities without having to seek health advice unless it is urgent or an emergency.

Humza Yousaf, the Cabinet Secretary for Health and Social Care launched the ‘Healthy Know How’ winter campaign at NHS 24’s newest contact centre in Hillington, Glasgow.

Meeting staff at NHS 24, Mr Yousaf said healthy know how can help us stay well this winter: “Nobody wants to be unwell, especially over the festive holidays, and these few simple steps can help everyone manage common illnesses and avoid the need to interrupt the festivities with a trip to the pharmacy or GP.

“This is going to be the most challenging winter for our health service, and a lot of the ailments for which people access out-of-hours care can be easily managed at home. NHS 24’s 111 service is always busy over the holiday period, but roughly a third of calls to 111 result in safe, self-care advice at home.

“If this campaign can encourage people to care for common seasonal conditions at home, that will leave our frontline services free to help those with more serious conditions.

“By taking a few simple steps we can all do our bit to help support our health services this winter.”

Healthy know how tips to keep well this winter include:

Details on the Healthy Know How campaign and the full range of winter health advice can be found here – www.nhsinform.scot/winter

Cabinet Secretary for Health launches NHS Scotland’s winter campaign People across Scotland are being encouraged to include health as part of their festive preparations so that seasonal illnesses can be managed well at home. It is hoped that by following the tips and advice in the ‘Healthy Know How’ campaign the public will enjoy the festivities without having to seek health advice unless it is urgent or an emergency. Humza Yousaf, the Cabinet Secretary for Health and Social Care launched the ‘Healthy Know How’ winter campaign at NHS 24’s newest contact centre in Hillington, Glasgow. L/R Pic Peter Devlin

Joint working to reduce violence against workers under the National Assault Pledge

Emergency services, prosecutors and health colleagues are among those supporting a National Assault Pledge underlining a joint commitment to reduce violence and abuse against workers.

The National Assault Pledge builds upon Chief Constable Sir Iain Livingstone’s Assault Pledge, developed in response to a concerning increase in violence and abuse against Police Scotland officers and staff. The Chief Constable’s Assault Pledge was published in August 2020 with the support of the then Lord Advocate and Cabinet Secretary for Justice.

Since then, local pledges have been developed by services in Ayrshire and Dumfries and Galloway.

The national partnership group includes British Transport Police, NHS Scotland, Scottish Prison Service, Scottish Ambulance Service and others. The group will share best practice, develop preventative measures and use consistent messaging in their workplace to support and encourage staff to report incidents.

The National Assault Pledge was agreed by signatories at an event at Police Scotland Headquarters, Tulliallan, on Tuesday, 15 November.

Deputy Chief Constable Fiona Taylor QPM has been leading Police Scotland’s drive to reduce the impact violence and abuse has on officers and staff and introduce measures to improve their safety.

DCC Taylor said: “Being the victim of an assault can have a long lasting impact both physically and mentally. It’s not simply part of the job.

“Working in partnership with a number of key organisations highlights our collective approach and united pledge to reduce assaults at work.

“I want our officers and staff to feel supported and this partnership adds to work already ongoing in this area.”

Lord Advocate Dorothy Bain KC said: “Assaults on front line workers will not be tolerated and Scotland’s prosecutors will help protect their safety through robust action.

“The Crown Office and Procurator Fiscal Service work closely with police to ensure the effective investigation and prosecution of crime.

“Any criminal behaviour that threatens public safety and the safety of front line workers will be taken very seriously.”

In 2021/22, there were 7,858 common assaults against emergency workers – an increase of 12 per cent compared to the previous year. Over 7,000 of these were against police officers and staff.

Improved operational safety training, a Taser uplift programme and partnership with the Crown Office and Procurator Fiscal Service to introduce impact statements are some of the work that has been driven within Police Scotland to support officer and staff safety.

Video consultation scheme for patients rolled out to community hubs

Up to 40,000 consultations taking place every month

The Near Me video consultation scheme is being extended so patients can use it in community settings such as libraries, community and health and care facilities as well as their own home.

The platform is already being used for around 40,000 consultations a month, helping to ease pressure on the health service, and saving people time and money travelling to appointments.

Near Me consultations include hospital outpatient appointments, GPs, and a wide range of other services including care homes, dietetics and mental health support. Patients should be offered the option of a Near Me appointment, if appropriate, by the hospital, GP practice or other service, along with details of a website address for its video clinic.

Now patients will be able to visit 55 hubs across Scotland which have set up areas for private video consultations thanks to funding from the Scottish Government.

The new hubs provide private confidential space, good connectivity, and help for those with low digital confidence or no access to a suitable device. 

Health Secretary Humza Yousaf praised the innovative use of technology to benefit patients and ease the pressure of the NHS.

Mr Yousaf said: “Face to face appointments will always be there for people who need them, but Near Me has many benefits to patients, including saving time and money. It is valuable in giving them options on accessing healthcare in a way that is easy and comfortable for them.

“It allows multiple family members to join consultations and saves patients having to take time off work or organise childcare.

“The platform has also reduced the need for travel, saving an estimated 57 million miles of travel since January 2020. That is so important at this time when we are looking at fuel costs and the impact on the environment.”

Andrina Robb, Near Me Support Manager for NHS Highland, said:  “The Near Me system is safe and secure, and very straightforward to use. There is no app to download or registration required. Your details remain private, just like any other appointment.

“All you need is a device for making video calls, like a smartphone, tablet, or laptop, and an internet connection. If you don’t have these things, Near Me rooms are now available in some GP surgeries and other locations such as libraries. You can even invite along a friend or family member for support, and they can join the call even if they live far away.”

A feedback survey of nearly 25,000 users reported an average saving of 36 miles per visit – around 1.4 million miles a month. They survey also revealed 92% said the system was easy to use and 97% would use it again.

Video Appointments (nearme.scot)

‘It’s OK to Ask’ campaign

‘It’s OK to Ask’ – supporting patients in Scotland to ask the right questions about their healthcare

Through the ‘It’s OK to Ask’ campaign, people in Scotland are being encouraged to ask their healthcare providers more questions about their treatment and be more involved in decisions around their care.

The campaign aims to break down communication barriers and create open, positive conversations to ensure patients have full information on the options available for their care and treatment.

Patients are being asked to consider four key questions when they next attend an appointment, or discuss their care with a healthcare professional:

  • What are the benefits of my treatment?
  • What are the risks of my treatment?
  • Any alternative treatments I can try?
  • What if I do nothing?

John McAnaw, Associate Clinical Director at NHS 24 said: ‘The ‘It’s OK to Ask’ campaign was designed to help people feel empowered to ask for more information about their care during discussions with health professionals.

‘We understand it can sometimes feel intimidating or even scary to ask for more information when you are in a healthcare setting, but our healthcare colleagues throughout the NHS will be delighted to help with any questions you may have.

‘By feeling supported and encouraged to freely ask questions and get more advice on the available options, we hope that more patients feel involved in decisions about their care and treatment, and they make more educated, informed choices about what is right for them.’

The campaign is being promoted through digital advertising and is supported by NHS Scotland. More information, including a free-to-download patient leaflet and translations into other languages, can be found on 

NHS inform:  – nhsinform.scot/campaigns/its-ok-to-ask

NHS Lothian: Winter Vaccinations

If you are aged 50 to 64 with no additional risk factors, please wait to be contacted about your winter vaccination appointment. The flu and COVID-19 vaccines are being given to those most at risk first.

For more information visit http://nhsinform.scot/wintervaccines

JCVI advises use of additional bivalent vaccine for autumn booster campaign

Following on from the previous advice on which vaccines should be used in this year’s autumn booster programme, the Joint Committee on Vaccination and Immunisation (JCVI) has updated its published advice to include an additional bivalent vaccine now approved by the Medicines and Healthcare products Regulatory Agency (MHRA).

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

‘Bivalent’ vaccines have been developed by global manufacturers since the emergence and dominance of the Omicron variant. These vaccines are targeted against antigens (substances that induce an immune response) from 2 different COVID-19 strains, or variants.

All of the available booster vaccines offer very good protection against severe illness from COVID-19. As more vaccines continue to be developed, the committee will consider their use in the autumn programme.

Professor Wei Shen Lim, Chair of COVID-19 immunisation on the JCVI, said: “It is very encouraging that more vaccines continue to become available and we now have another option to add to the vaccines already advised for the autumn booster campaign.

“Winter is typically the time of greatest threat from respiratory infections. We strongly encourage everyone who is eligible to have their booster vaccine this autumn when it is offered. This is our best defence against becoming severely ill from COVID-19.”

Pfizer/BioNTech bivalent COVID-19 booster approved by UK medicines regulator

A second, “bivalent” vaccine was yesterday approved as a booster by the Medicines and Healthcare products Regulatory Agency (MHRA) after it was found to meet the UK regulator’s standards of safety, quality and effectiveness.

The updated booster vaccine made by Pfizer/BioNTech, targeting two coronavirus variants, has been approved for use in individuals aged 12 years and above. This decision has been endorsed by the Commission on Human Medicines, after a careful review of the evidence.

In each dose of the booster vaccine, ‘Comirnaty bivalent Original/Omicron’, half of the vaccine (15 micrograms) targets the original virus strain and the other half (15 micrograms) targets Omicron (BA.1).

The MHRA’s decision is based on data from a clinical trial which showed that a booster dose with the bivalent Pfizer/BioNTech vaccine triggers a strong immune response against both Omicron and the original strain. Safety monitoring showed that the side effects observed were the same as those seen for the original Pfizer/BioNTech booster dose and were typically mild and self-resolving, and no new serious safety concerns were identified.

Dr June Raine, MHRA Chief Executive said: I am pleased to announce that we now have a second approved vaccine for the UK Autumn booster programme. The clinical trial of the Pfizer/BioNTech bivalent vaccine showed a strong immune response against the Omicron BA.1 variant as well as the original strain.

“Bivalent vaccines are helping us to meet the challenge of an ever-evolving virus, to help protect people against COVID-19 variants.

“We have in place a comprehensive safety surveillance strategy for all UK-approved COVID-19 vaccines, and this will include the updated booster we approved today.”

Professor Sir Munir Pirmohamed, Chair of the Commission on Human Medicines said: “Following an independent review of the safety, quality and effectiveness of the vaccine, the Commission on Human Medicines and its COVID-19 Vaccines Expert Working Group supports the MHRA’s decision.

“As with any medicinal product, including vaccines, it is important to continually monitor effectiveness and safety when it is deployed, and we have the relevant processes and expertise in this country to do that.

“The Joint Committee on Vaccination and Immunisation (JCVI) will advise on how this vaccine should be offered as part of the deployment programme.”