NHS Lothian’s Community Vaccination Team has administered an incredible 5,200 HPV vaccinations in schools across Edinburgh and the Lothians this past month, even with a break over the Easter holidays.
Cervical cancer is the most common cancer in women under 35 and HPV is the main cause. A 2018 Scottish study showed that the vaccine has reduced pre-cancerous cervical disease in 20-year-old women by up to 71%.
The prevalence of certain HPV types in 16- to 18-year-old women in England, who were offered vaccination at 12 to 13, was found to have reduced from 15% before the vaccination programme to less than 2% in 2018.
The vaccination also provides vital protection against genital warts and anogenital cancers in both boys and girls. Consent forms were provided to schools earlier this year. Consent is provided for the vaccination course and, once given, covers your child for both doses.
The team began vaccinating at the beginning of April and this year’s programme runs until the end of June. If your child’s form was misplaced or lost, you can contact the school’s office to get another.
If your child has any questions or concerns, they are encouraged to speak to our vaccinators.
Scottish health boards have recruited more than 1,000 additional healthcare support staff and almost 200 registered nurses from overseas to help address the unprecedented challenges facing the NHS.
The support staff recruitment drive, backed by £15 million, was launched by Health Secretary Humza Yousaf last October. The new employees will be working in a variety of roles, both in acute hospitals and in community health teams.
Under a separate £4.5 million initiative, offers of employment have been signed with 191 nurses from countries including India and the Philippines, with some already arrived and in posts in hospitals across the country, while agreements are in place with recruitment agencies for a further 203. The figure is likely to increase significantly over the coming months as boards take advantage of new infrastructure for employing qualified international staff.
All international recruitment is in line with the Scottish Code of Practice for health and social care personnel, which demonstrates Scotland’s commitment to ethical recruitment to protect the healthcare systems of developing countries.
Health and Social Care Secretary Humza Yousaf said: “The pandemic has been the biggest shock our NHS has faced in its 73 year existence. To help deal with Winter pressures and pressure brought on by the current Covid wave we are expanding and investing in our NHS workforce.
“Our hardworking and compassionate health and social care staff have been on the frontline of patient care throughout the pandemic and I am incredibly grateful to them all.
“In October, we set ambitious targets to boost the number of health care support staff and step up international nurse recruitment. I am delighted with the success of the recruitment campaigns and seeing the new staff already providing frontline patient care.
“Scotland has the best paid NHS staff in the UK and record workforce levels, with more than 155,000 whole time equivalent (WTE) staff now working in the service. We are determined to continue this progress as we recover from the pandemic.
“Our National Workforce Strategy for Health and Social Care commits to understanding how we can achieve a more sustainable, skilled workforce which makes careers in health and social care – at all levels – more attractive.”
Scotland sends £2.9 million of urgently needed items
Scotland is sending critical medical supplies and equipment to help Ukraine following the illegal invasion by Russia.
Over 500,000 emergency items valued at about £2.9 million, including hypodermic needles and oxygen masks are being donated by NHS Scotland.
An initial donation will be flown from Stansted Airport in Essex to Poland tomorrow (Thursday) for onward transport to Ukraine and includes wound dressings and bandages. These supplies are urgently needed by the Ukrainian Government.
The medical aid is in addition to £4 million of humanitarian assistance for Ukraine announced by the Scottish Government on Monday, which will help provide basic support such as shelter, water and sanitation.
First Minister Nicola Sturgeon visited the NHS equipment storage facility in Motherwell to see the supplies being loaded. She said: “Scotland stands in solidarity with the people of Ukraine and we are ready to provide whatever support we can in their hour of need.
“The Ukrainian Government has requested critical medical assistance and I am proud of our NHS and all those who have worked tirelessly in recent days to make this initial consignment possible. We will deliver the rest of the supplies as quickly as we can.
“Scotland has strong links with Ukraine – Edinburgh is twinned with Kyiv and many Ukrainians have chosen our country as their home – and we will continue to provide practical help as it faces Russia’s unprovoked and illegal aggression.”
NHS National Services Scotland Chief Executive Mary Morgan said: “We are all very saddened by what is happening in Ukraine and our thoughts are with all those affected.
“Colleagues across NHS National Services Scotland, quickly mobilised to compile this shipment of necessary medical equipment which will go towards supporting the people of Ukraine, and we as an organisation will do whatever we can to support this period of uncertainty.
“Time is of the essence in this these situations, and thanks goes to the NHS teams for a fantastic effort in the coordination of this effort to support the humanitarian effort of Ukraine.”
The Scottish Government must focus on transforming health and social care services to address the growing cost of the NHS and its recovery from Covid-19.
Improving the NHS will be very difficult against the competing demands of the pandemic and an increasing number of other policy initiatives, including plans for a National Care Service.
The health service in Scotland is on an emergency footing and remains under severe pressure. There is a growing backlog of patients waiting much longer for treatment because of the response needed to Covid-19. That has made workforce planning and delivering on ambitious recruitment plans all the more important. But the Scottish Government has historically struggled to recruit enough people with the right skills.
The NHS’s ability to plan remains hindered by a lack of robust and reliable data, including workforce, primary care, community, social care, and health inequalities data.
Meanwhile the pandemic has increased the fiscal pressures on the NHS, which remains financially unsustainable. This is despite the Scottish Government allocating £2.9 billion for pandemic-related costs in 2020/21 and committing more funding in 2021/22 and beyond.
Stephen Boyle, Auditor General for Scotland, said: “Reforming the NHS is key to the Scottish Government’s pandemic recovery plan and needs to remain a priority. Putting Covid costs to one side, health spending is rising every year, meaning less money for other public services.
“There’s now a clear opportunity to do things differently by building on the innovation and collaboration we’ve seen across the NHS in the last few years.
“For that to happen, our leaders must take the public with them and involve them in the shift from care being delivered in hospitals to much closer to people’s homes. But better-informed policy decisions and services won’t be possible without better collection and use of data.”
The latest weekly update of Emergency Department performance figures for Scotland show:
There were 21,163 attendances at A&E services in NHS Scotland.
67.4% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours.
2,079 patients spent more than 8 hours in an A&E department.
690 patients spent more than 12 hours in an A&E department.
This data shows the worst weekly four-hour performance since records began. The highest number of (weekly) eight hour waits since records began, and the highest number of (weekly) 12-hour waits since records began.
More than one in eight patients were delayed in an Emergency Department by eight hours or more.
Responding to this data, Dr John Thomson, Vice President of the Royal College Emergency Medicine, Scotland, said: “This data is deeply concerning and distressing. More than one in eight patients have been delayed by eight hours or more; this is shocking.
The health service is in the middle of a serious crisis. Staff are working exceptionally hard but are burnt out and overwhelmed and face moral injury on every shift.
Patient safety is frequently compromised. We know long waiting times increase the risk of death and patient harm. The exit block that exists in our Emergency Departments which prevents patients moving in a safe, timely manner to an appropriate ward is worsening, causing even more harm to our patients.
“It is a critical time for the health service, and we must see a vision for the future. The government must acknowledge the shortfall in staff and beds as the root of this crisis, and this must lead to a commitment to publish a long-term workforce plan that includes measures to retain existing staff who may be thinking of leaving our NHS following this exceptionally challenging period.
“The government must also commit to opening 1,000 more acute beds across Boards in Scotland, which will promote timely patient flow through the hospital. Lastly, a key cause of exit block are the patients who remain in hospital when they no longer require ongoing Hospital care.
“The ongoing crisis in social care means patients are unable to be discharged home following the completion of their treatment. It is vital social care is resourced and adequately staffed to support the most vulnerable patients in their return to the community.”
Measures covering indoor events and hospitality to be reviewed in one week
Large outdoor events can resume without physical distancing or capacity limits from 00:01 on Monday 17 January, following a review of all measures in place to limit the spread of coronavirus (COVID-19).
To support the lifting of capacity limits on outdoor events, COVID certification will remain for these where more than 4,000 standing or 10,000 seated are in attendance, and all other events and venues previously covered. Organisers of all events with more than 1,000 attendees will be expected to check a minimum of 50% of attendees for certification of vaccination, exemption, or negative test.
From Monday, a person will need to show they have had a booster to be considered ‘fully vaccinated’ if their last vaccine dose was more than four months ago. The NHS Scotland COVID Status app will be updated from this Thursday and will include booster jags on the QR code for domestic settings. Updated paper and PDF certificates are already available on request from the NHS Inform website or helpline.
Cabinet will next review the state of the epidemic on Tuesday 18 January and consider whether it may be possible to lift capacity caps on indoor live events, including theatre performances and concerts, from 24 January, by which time the impact of the return to schools and workplaces following the festive period should start to show. Cabinet will also consider whether COVID certification should be required in a broader range of settings.
Local authorities will receive up to £5 million of additional support to ensure ventilation in schools and early years settings meets the latest COVID-19 safety guidance.
The funding is to improve air flow, such as adjustments to windows and doors, use of fan systems and use of air cleaning devices in line with existing safety guidance. This is in addition to Scottish Government funding of £10 million provided local authorities for ventilation and CO2 monitoring last year.
First Minister Nicola Sturgeon said: “We remain in a highly challenging phase of the pandemic. Case numbers are high, and the impacts of that are severe, and the future trajectory does remain uncertain at this stage.
“But, because of the efforts we have all made, we are in a better position than I feared would be the case when additional measures were announced in December, and I do hope we are now seeing signs of improvement.
“That is allowing us to start the process from Monday of lifting the additional restrictions – and I hope that next week I will be able to confirm the further steps in that process.
“In the meantime, we can all continue to act in a way that keeps things moving in the right direction. Get fully vaccinated as soon as you can – if you haven’t done so already, please do that and do it this week. Try to limit your contacts for a further period, and prioritise the contacts that matter most to you.
“If you are meeting other people socially, test before you go, every time, as close as possible to the time you will be seeing other people and remember to record the result whether that is positive or negative, and take all the other precautions that make a difference.
“‘Living with the virus’, a phrase that we hear more and more right now, is what we all desperately want to do. Unfortunately it doesn’t mean waking up one morning soon and find that COVID has disappeared or that we no longer need to think at all about mitigating the harm it can do.
“Hopefully, we are on a path from COVID being an epidemic to it becoming endemic – in other words, existing at more manageable and consistent levels.
“These are important issues for not just government, but for all of us – so as we prepare the revised strategic framework in weeks to come, we will consult with Parliament, business organisations and other partners across society.
“Our aim is to publish the revised strategic framework within the next few weeks.”
Scottish Rugby responded:
It’s disappointing news for the arts, however:
IMPORTANT CUSTOMER UPDATE from EDINBURGH PLAYHOUSE
Following the Scottish Government announcement on Tuesday 11 January, in which it was confirmed that indoor seated events continue to be limited to 200, we regret to announce that the following performances scheduled to play at the Edinburgh Playhouse have been postponed:
Waitress: 18th January – 22nd January
If you have tickets to these performances, you do not need to do anything at this time. You will be contacted from your point of purchase in the next few days with next steps.
Performances from 25th January onwards are still scheduled to go ahead as planned and any changes to this will be communicated as soon as possible if restrictions should be extended by the Scottish Government.
We thank you for your continued patience and understanding during this difficult time.
Scottish Fans Ask for a 3 Day Shift
“3 days will Make a Huge Difference”
The Scottish Football Supporters Association thank the First Minister and welcome the news that the cabinet have green lighted a return of fans above the short term limit of 500 imposed on 26th December.
Next week’s Scottish Premier League card can now take place in front of full houses starting with Celtic vs Hibs on Monday 17th and it means the early winter breakdown decision by our top 12 clubs has been commercially justified.
But as it stands the clubs below the Premier League and their fans face another weekend with restricted crowds.
The SFSA are aware that there is no strict science stipulating the 17th as the key restart date and ask that the First Minister, the Sports Minister and Cabinet revisit the decision urgently on behalf of all Scotland’s smaller clubs and their fans.
We ask that the date is brought forward to 14th of January instead of the 17th.
This will allow Ayr United, Dunfermline Athletic, Caledonian Thistle, Raith Rovers, Airdrie, Dumbarton and many other smaller clubs to allow their full fan communities back on Saturday. It will also allow for the top of the table clash in the Championship between Partick Thistle and Kilmarnock to have fans in attendance.
This simple change will bring financial benefits to clubs and communities and is we have been advised low risk.
Andy Smith, Chairman of the SFSA said: “A reprieve will make a huge financial difference to many of our smaller clubs and allow all their fans back and a normal Saturday in many communities.
“Too often Scottish Football overlooks the smaller clubs and their supporters when making big decisions. This is a chance to make a statement that football in Scotland is more than just the Premier League”.
Online portal extended and changes to flu delivery
A range of measures are being introduced to speed up the COVID-19 booster programme, and give protection against the spreading Omicron variant.
The online booking portal will be open to everyone aged 18-29 from 10am this morning, allowing this age group to book booster appointments through the NHS Inform website.
Appointments are being added to the online portal daily and COVID-19 vaccination capacity is being increased over the festive period.
In order to increase the number of appointments, there will also be a prioritisation of booster vaccines over the remainder of the flu programme. This means anyone who is under the age of 65, or not in one of the high risk groups, will receive their COVID-19 booster only. This group will instead be able to get their flu vaccine in the New Year.
In line with advice from the four UK Chief Medical Officers, and in order to improve the flow of people through vaccination centres, people will no longer have to wait 15 minutes after receiving an MRNA vaccine. Instead, in Scotland the programme clinical governance group has recommended there is an observation period of five minutes, reflecting guidance from the Resuscitation Council.
Also, all NHS board areas are working to increase the availability of drop-in clinics – with a particular focus on the over 40s – and to identify larger sites that can be brought online in the coming weeks.
Health Secretary Humza Yousaf said: “The most important thing we can all do to protect ourselves and others from COVID-19 is to get our vaccinations and boosters when eligible. The vaccines we have are highly effective and safe and I urge anyone who is eligible and not yet vaccinated to book an appointment.
“There is a massive national effort underway to ensure that all adults will be able to book a booster appointment before the end of the year. The steps announced by the First Minister today – which are proportionate and based on clinical advice – will help us towards that goal.
“Scotland already has the highest vaccination rate of all UK nations for first, second and third doses and we continue to follow clinical advice from the JCVI on offering booster jags through age cohorts in descending order to ensure maximum benefit.
“Demand for boosters may mean you may have to wait in a queue at drop-in centres but we urge everyone to be patient. We have plenty of supplies and are working with Health Boards to maximise vaccination capacity as quickly and safely as we possibly can.
“The emergence of the Omicron variant means it is also particularly important that we continue to take all precautions to prevent transmission. So test regularly for the virus, particularly before socialising and meeting up with others from outside your household, wear face marks where required and open windows to improve ventilation.”
To use the online portal, individuals will need their unique vaccination username which can be found on any previous appointment letter.
Scotland’s National Clinical Director Jason Leitch is becoming a vaccinator and is encouraging more people to enrol to help accelerate the national booster jab programme.
Since 19 November, the equivalent of 300 full-time additional staff (more than 1000 individuals) have joined the national vaccination effort and health boards are actively recruiting to create extra capacity.
Following the most recent advice from the Joint Committee on Vaccination and Immunisation (JCVI) everyone aged 18 and over who is eligible will be offered a slot for the booster jab by the end of January. Currently those aged 40-49 are invited to make an appointment through the online portal or the national helpline, from 12 weeks after their second dose. The national programme is also delivering second doses to 16 and 17 years olds.
Professor Leitch said: “I am pleased to join the fantastic team at NHS Greater Glasgow and Clyde and look forward to helping administer booster jabs to adults and second doses to 16 and 17 years olds as we continue to protect Scotland’s population as quickly as possible.
“To be a small part of this national mission is a real privilege. It also gives me the opportunity to thank the clinical teams and volunteers who have got us this far.
“This has been the biggest immunisation programme in the history of the NHS and the hard work and commitment shown by health boards and vaccination teams across Scotland means we have the highest vaccination rate for people aged 12 and over of all UK nations for first, second and boosters/third doses and the winter vaccination programme has already delivered more than 2 million booster and third doses to the most vulnerable groups, covering 45% of the adult population (aged 18+).
However, we would warmly welcome any former NHS employees and of course, they will receive full training before giving any vaccines. I’ll be helping when I can alongside my main role.
“Even a shift a week will help, so if you’re a dentist, a nurse, an optometrist or a doctor and you can help us then please contact your local health board. Every vaccine dose given is another step out of the pandemic. If you don’t have a clinical background, it’s not a problem, you can still assist the programme in another capacity through the British Red Cross.
“We have accepted the JCVI’s updated recommendations and aim to offer the booster vaccine to everyone aged 18 or older who is eligible by the end of January, and we would love some more vaccinators to join our incredibly national programme to assist us through this particularly busy period.”
Vaccination Programme Director at NHS Greater Glasgow and Clyde Anne Harkness said: “In the last year, our vaccination team at NHSGGC have administered more than 2.1 million jags, working with the public to protect our communities.
“We are continuing to build our pool of vaccinators and we are delighted to welcome Jason to the vaccination team and wish him – and all the new recruits – well.”
People who wish to apply to become a vaccinator can find more information at NHS Scotland
Volunteers who are not currently involved in COVID response, or other critical work, who would be interested in assisting the COVID response generally and the vaccine programme in particular, can find out more by emailing:
http://ow.ly/t3VW50Iy0bu
