Missed appointment? Rebook or attend any drop-in clinic

If you can’t make your COVID-19 vaccination appointment due to self-isolation, you can rebook your appointment at http://invitations.vacs.nhs.scot or attend any of the drop-in locations listed here: http://nhsinform.scot/vaccinedropinclinics….

First dose phase of vaccination programme nears completion

Health Secretary Humza Yousaf has visited a drop-in vaccination clinic in Arbroath as the national programme nears completion of first doses for all adults who attended their scheduled appointments on Sunday.

The clinic in Arbroath is one of many additional walk-in and pop-up facilities operating across the mainland to encourage people to get Jagged in July and Mr Yousaf urged anyone who is yet to take up their offer of a vaccine for whatever reason to come forward now.

No appointment is necessary at drop-in clinics and people can attend whether they are due a first dose or second dose, if eight weeks have passed. Anyone who wishes to book an appointment can do so at NHS Inform.

Mr Yousaf said: “I am pleased to see people making use of the vaccination clinic in Arbroath and urge others to do the same at their local drop-in venues if they haven’t yet come forward to be vaccinated.

“Getting vaccinated has never been easier. Simply head to a drop-in or pop-up clinic – the most up-to-date details of clinics near you can be found on your local NHS board’s social media posts or book an appointment online in a location which suits.

“The vaccination programme is working – evidence shows vaccination is weakening the link between case numbers and severe acute illness. However, case numbers are still high and vaccination continues to be the best way to protect yourself and those around you.

“We are currently working through the final group on the JCVI priority list – those aged between 18 and 29 – and we know that the extra drop-in clinics being operated by mainland health boards until Sunday make it easier for them to fit getting vaccinated into their busy lives. Walk-ins will still be available after this week but now is the time to take advantage of all the additional facilities on offer.

“I want to thank all those involved in setting up these clinics and of course, everyone involved in the national vaccination programme. It has been a huge success and without doubt, represents our best way out of the pandemic.”

NHS Tayside Director of Public Health Dr Emma Fletcher said: “Drop-in vaccination clinics are running at venues right across Tayside to make it as easy as possible for people to get vaccinated. No appointment is necessary and anyone over 18 can drop-in. 

“So far, uptake of vaccinations in Tayside has been very good. We have delivered over 532,500 vaccines in Tayside with 300,000 people, 86% of the adult population, having one dose and around 232,500 people, 66%, having had both doses but we need that uptake to be higher to stop the spread of the virus.  

“We know that getting both doses of the vaccine offers maximum protection against the virus and we are particularly encouraging people aged 18-29 to come forward as early as they can. So if you have not yet had your first jab, or you are longer than eight weeks from your first jab and are due your second jab, come along to your nearest clinic and we will get you vaccinated.” 

More staff to bolster Scotland’s Test and Protect system

Changes are working, insists Health Secretary

Scotland’s Test and Protect contact tracing system will see its workforce bolstered with the deployment of additional staff over the coming week to help address a rising number of coronavirus (COVID-19) cases.

Health Secretary Humza Yousaf  said recent changes to the system are helping its performance and the way it operates will continue to evolve as vaccination levels rise.

Ascensos, one of Test and Protect’s existing commercial partners, has agreed an arrangement with Barrhead Travel to accelerate and augment the capacity they are providing to the contact tracing system by 100 staff. Additional contact tracing bank staff continue to be brought on board and existing bank staff mobilised. 

Recent changes to the system have also been implemented aimed at ensuring a growing number of cases are closed by contact tracers and that high risk cases are prioritised. These include greater use of text messaging to contact lower risk index cases and digital self-tracing forms.

Mr Yousaf said: “Our Test and Protect workforce have played a vital role in the battle against this pandemic. We  owe these contact tracing teams a huge debt of gratitude for all their efforts over the past year.

“The Test and Protect system has continued to operate well as case numbers have increased in recent weeks, contacting unprecedented numbers of people.

“This agreement to bring in additional staff follows our ongoing efforts this year to ensure commercial partners were on board in preparation  for potential increases in demand on the contact tracing system.

“This extra workforce is important, but the  success of the system going forward will not simply be about staffing numbers. 

“Test and Protect will  change as the population becomes more protected by vaccination and it will still play a key role in mitigating clusters and outbreaks in high risk settings, slowing infection spread and protecting populations at risk.

“As we announced last week, we are now using a variety of methods to contact people, including using digital methods like SMS messages for lower risk cases and prioritising calls for higher risk cases. These changes, along with extra staffing, will ensure that people are contact traced, and begin self-isolation, as quickly as possible. I’m confident that the performance of Test and Protect has started to improve in recent days.

“The majority of people comply when asked to self-isolate and we are thankful for the important role they are continue to play in stopping transmission of COVID-19.

“We will have to manage living with COVID-19 for some time to come, even when we are able to move beyond Level 0. While we hope we are in the process of emerging from the pandemic, case rates at the moment underline the fact that this virus is still with us.”

Recently announced measures have been implemented to streamline the contact tracing system to manage pressure on the system and ensure it is more efficient.

These include greater use of text messaging to contact lower risk index cases and digital self-tracing forms.

The new approach ensures that the contact tracing system is using its resource appropriately and proportionate to public health risks: Test and Protect to prioritise high risk cases – gov.scot (www.gov.scot)

Test and Protect is an NHS-led service which works with commercial partners to help augment capacity when required.

Contact tracing capacity in Scotland is split between the National Contact Centre operated by National Services Scotland (NSS) and  the daily contact tracing workforce  provided by territorial Health Boards.

All mainland health boards offer drop-in coronavirus (COVID-19) vaccination clinics: Drop-in vaccine clinics in every mainland health board – gov.scot (www.gov.scot)

Scotland’s Emergency Departments experience worst ever May performance

The latest data released yesterday by the Scottish Government for May 2021 show that attendances at Emergency Departments have risen significantly.

In May 2021 there were 112,563 attendances to major Emergency Departments across Scotland. This is a 12% increase compared to April 2021, a 24% increase when compared to March 2021, and a 45% increase compared to May 2020.

Following this increase, four-hour performance deteriorated, 86% of attendances to major Emergency Departments in Scotland were seen within four hours. 15,706 patients were delayed by four-hours or more in an Emergency Department, this is the highest figure since January 2020, and it is the highest figure ever recorded for the month of May. This means one in seven patients were delayed by four hours or more before being seen.

In May 2021, 393 patients spent 12 hours or more in an Emergency Department, this is double the figure for April 2021. This is the highest number of 12-hour delays for the month of May ever recorded, and it is more than double the previous highest May figure of 189 12-hour delays that was recorded in 2019.

Data also show that 1,680 patients spent eight hours or more in a major Emergency Department, this is an increase of nearly 50% compared to April 2021 and it is the highest figure ever recorded for the month of May.

Dr John Thomson, Vice President of the Royal College of Emergency Medicine, said: “The data is deeply concerning and very much reflects what is happening on the ground. Departments are busier than ever, especially for the summer period with some record-breaking figures for the month of May, and it is becoming increasingly challenging.

“These figures come at a time when reports suggest Scotland has the highest covid infection rate in Europe. We are battling community admissions, elective care patients seeking treatment, as well as increasing covid patients attending our departments, all within the context of reduced bed-stock.

“Departments are filled with patients, some who may have covid, waiting to be seen. While long-stays alone can put patient safety at risk. This risk is increased as some patients could contract the disease in a busy Emergency Department.

“The College’s recent Emergency Medicine workforce census in Scotland revealed an Emergency Medicine workforce that was not adequately staffed to deliver the highest quality patient care in Emergency Departments in Scotland.

We have shortages across the board, but particularly among consultants and senior decision-making clinicians. These shortages are currently exacerbated by the soaring covid infection rate, meaning there are a large number of absent NHS staff due to covid in Scotland.

“We are doing all we can to maintain flow and maximise patient safety, but the pressures are increasingly intense and are faced by the existing but short-staffed workforce that are facing continued burnout and exhaustion.

“The data show the growing demand for urgent and emergency care, Emergency Departments are where people turn to for treatment when there is nowhere else to go, so they must be adequately staffed with trained Emergency Medicine staff, properly funded, and equipped with enough capacity and resources to cope with severe demand.”

“We urgently need the Scottish Government to support the urgent and emergency care system to cope with these pressures.”

Two NHS Grampian hospitals have announced this week that they are at capacity as Covid cases rise.

Scotland was expected to move to level zero on 19 July, with remaining legal restrictions lifted on 9 August, but First Minister Nicola Sturgeon conceded yesterday that th planned dates are not “set in stone”.

She will be holding a media briefing at lunchtime today:

Yousaf: Get Jagged in July

All mainland health boards will offer drop-in coronavirus (COVID-19) vaccination clinics from Monday as the programme nears completion of first doses for all adults in Scotland.

Everyone aged 18 and over can attend for their first dose or – if eight weeks have passed – their second dose. Separate queues will be in operation for those with a scheduled appointment.

From Monday, mobile vaccination units run by the Scottish Ambulance Service will visit local communities and busy city centre spots in Edinburgh and Glasgow for a two week period.  

Anyone who has not yet received an invitation or would like to rearrange an existing appointment can continue to self-register on the NHS Inform site.

Health Secretary Humza Yousaf said: “Our route out of this pandemic is getting as many people vaccinated as quickly as possible, that is why I am urging people to get jagged in July.

“The vaccination programme continues to progress at pace and, as always, I want to thank everyone involved and all those who have taken up the offer of vaccine.

“As we approach the final stages of the first COVID-19 vaccination programme we are increasing the options available for how and when you choose to be inoculated.

“You can attend one of the drop-in clinics being run in all mainland health boards or pop into a mobile unit. You can also rearrange the location of your appointment online if, for example, it is more convenient for you to be vaccinated closer to your work than home.

“You can find out where your nearest drop-in clinics are by visiting NHS Inform which will direct you to the latest information from your local health board.

“All those aged 18 and over can also self-register to receive their appointment by text or email which will be convenient for anyone who has recently moved house or is new to Scotland.

“All of the evidence says that the vaccines are working as we continue to battle the faster-transmitting Delta variant which is now dominant so I urge everyone to take advantage of the vaccination programme which is open to every adult in Scotland.”

Mr Yousaf’s appeal follows the announcement of 4234 new cases in Scotland yesterday – a new record.

Support Service details at your fingertips with NHSinform

As pandemic restrictions begin to ease people in Scotland are encouraged to join over 30,000 others who have already turned to Scotland’s Service Directory in 2021 as a convenient way to find support services for health and wellbeing at their fingertips.

Scotland’s Services Directory has been developed by NHS 24 in association with Macmillan Cancer Support and health and care charity The Alliance.  The online directory offers contact details for local, quality-assured, health and care services across all regions in Scotland. Every Health and Social Care Partnership has a number of services listed.

Scotland’s Service Directory is available on NHSinform.scot providing  easy access on a wide range of health and wellbeing groups and services, including how to stay active, cancer services, dementia support, social activities for mental health, and money advice. NHS services are also listed.

A national campaign promoting the Directory will run over summer.

Help stop the spread in Edinburgh

Covid cases are still rising in #Edinburgh and getting tested helps #stopthespread so we can all look forward to fewer restrictions.

There are lots of places to get a free test : https://edinburgh.gov.uk/coronavirus-4/covid-19-community-testing-people-no-covid-19-symptoms/1…

Latest test centre is @HibernianFC which is open 9.30am – 4.30pm until Sunday.

World Blood Donor Day: Fairer assessment for blood donors

Eligibility for blood donation updated

Changes to the questions people are asked before they are accepted as blood donors come into effect today – meaning all potential donors are treated the same.  

The changes, implemented on World Blood Donor Day, will allow more men who have sex with men, and people whose partners have previously lived in areas such as sub-Saharan Africa, to give blood if they meet the other blood donation criteria.

Questions about recent sexual activity will be the same for all donors, regardless of their sexuality.

The changes follow recommendations by the specialist research group For Assessment of Individualised Risk (FAIR), made up of leading medical and academic experts and LGBTI+ groups. The new questions will mean that people will still be unable to donate where there is evidence of recent sexual activity that could lead to a higher risk of a donor having blood-borne virus infection.

Public Health Minister Maree Todd said: “I welcome the changes being made today and am grateful to everyone who currently gives blood and everyone who wants to give blood in future. Your support is vital to save lives and ensure our NHS has enough blood components to meet the needs of all those who will need a blood transfusion.

“Previous rules meant that automatic time bars were in place for a number of people, including men who have sex with men. It’s clear that such a blanket approach was simply not fair – not least to gay and bisexual men in committed relationships.

“There are also some people who have partners who previously lived in sub-Saharan Africa, but have been in the UK for a long time. These changes to the questions will allow more people in these groups to donate, and continue to ensure the blood supplied to our hospitals is safe.”

Development Manager for the Equality Network Scott Cuthbertson said: “I’ve been campaigning on the issue of blood donation for gay and bisexual men for over 15 years, and I welcome the support of Scottish Ministers in approving this change.

“For me this was never about a right to give, but the fact that there were many gay and bisexual men that could do so safely.

“I’m pleased the evidence, assessed by experts, has concluded that to be true, and that many thousands of gay and bisexual men will be able to donate their blood and help save lives.

“Today, during Pride Month, I’m proud to donate my blood for the first time alongside many other gay and bisexual men across the UK as the rules are changed to be fairer for all.”

Your sight could be lost if you don’t attend eye-screenings, charity warns diabetics

As the covid crisis hopefully eases, concerns are being focused on the impact of lockdown on other health conditions. With health centres forced to postpone routine screenings last year, there are fears some conditions may have worsened in the absence of early diagnosis and treatment.

During Diabetes Week this week [June 14-20th], the national sight loss charity RNIB Scotland is emphasising it is more important than ever that people with diabetes attend their regular check-up appointments, now that these have resumed.

RNIB director James Adams said: “Diabetic retinopathy, a complication of diabetes, can affect the small blood vessels at the back of the eye and is a major cause of sight loss among working-age adults. But damage to vision can be arrested if detected early enough.

“While it’s possible that diabetes won’t cause any changes to your sight, the most effective thing you can do to prevent this is to go to your retinal screening appointments and eye examinations, where safety measures are in place.”

The message is also being emphasised by NHS Scotland. Dr Mike Gavin, clinical lead for the national Scottish Diabetic Eye Screening Programme said: “We are working hard to see patients for screening, after the service was temporarily paused during the first lockdown in 2020. Patients should always attend screening whenever they are invited to prevent avoidable loss of sight.”

Each year, 5,500 patients with diabetes in Scotland need to undergo further imaging or see an NHS eye specialist for the first time due to worsening in their retinopathy.

There are 3.5 million people in the UK who have been diagnosed diabetes, and an estimated 500,000 people living with undiagnosed diabetes. Within 20 years of diagnosis, nearly all people with type 1 diabetes and almost two-thirds of people with type 2 diabetes will have developed some form of diabetic retinopathy. People with diabetes are also at increased risk of glaucoma and cataracts.

People from a South Asian or African-Caribbean background are two to four times more likely to get type 2 diabetes. They tend to develop it at a younger age which means they live with the condition for longer.

The risk of complications increases with the length of time people have the condition. It is not known why this is the case, but it is likely to be a mixture of genetics, lifestyle, and environmental factors.

RNIB Scotland is on the steering committee of a five-year study that is following 1,100 retinopathy patients from across Scotland.

The LENS (Lowering Events in Non-proliferative retinopathy in Scotland) trial is testing whether a cholesterol-lowering medicine, fenofibrate, can slow the progression of retinopathy.

LENS is being co-ordinated by the Universities of Oxford and Glasgow in partnership with Aberdeen, Dundee and Edinburgh, and with NHS Scotland’s Retinal Screening Service. More information about the trial is available at: www.ctsu.ox.ac.uk/lens.

* If you’re worried about your vision, contact RNIB’s Sight Loss Advice Service on 0303 123 9999 or visit www.rnib.org.uk/eyehealth

For more information on the NHS Scotland eye-screening service, visit  https://www.nhsinform.scot/illnesses-and-conditions/diabetes/diabetic-retinopathy.

Fan Zone: Test kits being mailed to fans as Covid numbers rise again

Rapid lateral flow test kits will mailed from today to all visitors to the Glasgow Fan Zone to encourage testing. 17,000 ticket holders due attend the UEFA EURO 2020 Fan Zone at Glasgow Green will be contacted.

The move is part of a series of measures to help reduce the risk of transmission before and after the event.

In addition, a mobile testing bus is also now at Glasgow Green to provide on-site lateral flow testing, while attendees may be asked by COVID marshals on site whether they have taken a test as part of ongoing reporting on the site.

Health Secretary Humza Yousaf confirmed the arrangements yesterday as he was given a tour of the facility alongside Scotland’s National Clinical Director Professor Jason Leitch.

Mr Yousaf said: “I am encouraged to see first-hand all the mitigations in place at the fan zone which have helped to ensure that it is a low risk event. Supporters can gather here safely in a controlled environment – with necessary physical distancing and hygiene measures in place – to enjoy the football.

“I am also pleased that feedback from fans and staff so far on the arrangements in place – and the atmosphere – has been overwhelmingly positive.

“Ticket holders have already been contacted to emphasise the importance of self-testing. It is important to test both before and after the event, so we are now offering test kits to all fans attending to help minimise the risk of transmission. Additionally a mobile testing unit will be on site. Anyone with symptoms of COVID-19 or whose receives a positive test result must stay away, self-isolate and book a PCR test.

“Stewards will closely monitor the site and ask a sample of attendees about uptake of testing prior to arriving, while public health advisors will continue to look at data to ensure the event is being managed as safely as possible.

“The fan zone provides a focal point for celebrations and showcases the city. We want other businesses in Glasgow, including bars and restaurants, to be able to benefit from a boost in trade as a result of the tournament.”

Earlier slots for over-40s to help combat Delta variant

In another development, people over 40 whose second coronavirus (COVID-19) vaccination appointment is scheduled more than eight weeks after their first are now being encouraged to seek an earlier slot.

It follows recent advice from the Joint Committee on Vaccination and Immunisation (JCVI) recommending that the interval for second doses be brought forward from 12 to eight weeks – where supply allows –  particularly in areas where the Delta variant is a major threat.

The national vaccination programme is already scheduling appointments to reflect the latest guidance. However, many people – particularly over 40s – have already received an invitation in line with the previous recommendation of a 12 week interval, and they are now being invited to reschedule an earlier appointment.

Supplies permitting this will also apply to under 40s when their second dose appointments are due.

A new vaccine journey tool on the NHS Inform website allows people to check the status of their second appointment. If it is more than eight weeks from the first, another slot can be booked if there is one available. The national helpline can also be used, and drop-in clinics are being set-up around the country.

Health Secretary Humza Yousaf said: “We are working closely with NHS boards to ensure the number of appointments can be increased in line with national guidance to help combat new variants and provide protection to as many people as possible.

“Boards are boosting their capacity to administer second doses alongside the delivery of first doses to younger cohorts and appointments are now being issued in accordance with the new recommendation of an eight week gap.

“The second dose is vital in providing greater and longer lasting protection against the virus – particularly the new Delta variant. In line with the advice from the JCVI, we encourage those whose appointment was already scheduled – which is mainly over 40s at this time – to use the NHS Inform online tool, drop-in clinics or the national helpline to get their second dose appointment as close to eight weeks after their first as possible.

“In the six months since vaccinations started in Scotland we have delivered first doses to more than three quarters of the adult population and second doses to more than half. We remain on track to offer the vaccine to all adults by the end of July, but the emergence of the new variant shows we cannot be complacent.

“The vaccination programme is one of the main ways – along with restrictions and testing – that we are working to beat this virus and so it is crucial that everyone attends for their appointments.”

LOCKDOWN easing in England is set to be delayed.

So-called ‘Freedom Day’ was scheduled for 21 June, but Prime Minister is likely to announce a four week delay to retrictions when he addresses the nation at a press conference this evening.