NHS asks people to share their coronavirus symptoms to help others

A new Coronavirus Status Checker that will help the NHS coordinate its response and build up additional data on the COVID-19 outbreak has been launched today by Health and Social Care Secretary Matt Hancock.

People with potential coronavirus symptoms are now being asked to complete the status checker and answer a short series of questions which will tell the NHS about their experience.

It is open to anyone in the UK to use on the NHS website and in its initial phase the NHS is particularly keen for anyone who thinks they may be displaying potential coronavirus symptoms, no matter how mild, to complete it.

Status Checker users are clearly told at the beginning and the end of the survey that it is not a triage or clinical advice tool, and that they should visit 111 online for medical advice about their symptoms.

The information gathered will help the NHS to plan its response to the outbreak, indicating when and where more resources like oxygen, ventilators and additional staff might be needed and will provide valuable insight into the development and progression of the virus across the country.

Health and Social Care Secretary Matt Hancock said: “Technology and data is playing a vital role in battling coronavirus and supporting our heroic NHS frontline workers to save lives, protect the vulnerable, and relive pressure on the NHS.

“We must learn as much as possible about this virus, and we are asking the whole nation to join this effort.

“If anyone has experienced symptoms of COVID-19 I would urge you to use our new status checker app to help us to collect essential information on the virus and allow us to better allocate NHS resources where they are needed most.”

The service is hosted on the NHS website and is available to access openly, with links directly from the NHS 111 online coronavirus service and NHS coronavirus pages.

The initiative is a collaboration between NHS England, NHSX, NHS Digital and Public Health England at the request of the Health and Social Care Secretary.

The creators of a number of independent apps and websites which have already launched to collect similar data have agreed to work openly with the NHS and align their products and data as part of this central, national effort.

Information collected by the NHS Coronavirus Status Checker will form part of a core national COVID-19 dataset held by NHS England.

The tool is live now and people can complete the survey either for themselves or on behalf of someone else with their permission.

It asks them:

  • why they are staying at home
  • to choose from a series of options to describe how they are feeling
  • whether they have any other health problems
  • their date of birth
  • their postcode
  • how many people are living in their home.

The Coronavirus Status Checker, which is the latest example of the NHS harnessing the power of technology and data to help it tackle the epidemic, is part of the NHS coronavirus service. It complements the NHS 111 online coronavirus tool launched earlier this month, which gives the public digital access to health advice, isolation notes and a daily text messaging service for those self-isolating with symptoms.

The Status Checker will not identify users from the information they provide, although it will cross-reference data from other sources to ensure it avoids counting people twice.

The answers given by the public will only be used by the NHS and trusted organisations working directly with the NHS in response to coronavirus. The information will not be retained any longer than is strictly necessary post COVID-19.

Prof Keith Willett, Strategic Incident Director NHS England, said: “We know large volumes of people are visiting NHS 111 online each day, reporting potential coronavirus symptoms and being advised to self-isolate, and it will be hugely valuable for the NHS if we can learn more about these people and their experiences.

“By taking a few moments to answer these questions, you can play your part in helping the NHS put its resources in the right places, at the right time, to save lives.”

The survey can be accessed on the NHS website at www.nhs.uk/coronavirus-status-checker

Health workers do-it-themselves to tackle ventilator shortages

The First Minister has thanked clinical physics teams across Scotland in Parliament for their efforts on increasing ventilator capacity by repurposing equipment.

NHS staff have helped boost the stock of ventilators, crucial for the care of those suffering from coronavirus (COVID-19), by repurposing more than 200 anaesthetic machines.

These machines, normally used in operating theatres outwith intensive care units (ICU), will supplement the stock of specialised ICU ventilators.

NHS boards will deploy them as an interim measure with staff currently being retrained to use them in this way.

The use of repurposed machines increases ICU bed availability to more than 500. More ventilators for the NHS in Scotland have been ordered from a range of manufacturers and these will arrive in the coming weeks.

First Minister Nicola Sturgeon said: “Expert NHS clinicians, medical physicists and technicians have worked tirelessly, particularly over the last few days, to increase the ventilation capacity in our NHS by repurposing anaesthetic machines in response to COVID-19.

“Their remarkable work means our NHS has not just doubled ICU capacity, but has tripled it, ahead of the arrival of the additional ventilators we have ordered.

“We are now working to quadruple ICU capacity for COVID-19 patients to beyond 700 ICU beds, as soon as that can be achieved.

“These measures are part of our concerted and sustained response to an unprecedented health emergency. I am deeply grateful to our NHS staff for their ongoing commitment, expertise and bravery during this outbreak.”

Consultant Intensive Care Anaesthetist and Scottish Critical Care Clinical Lead Dr Rory Mackenzie said: “Over the last month ICU clinicians across Scotland have been fully committed to delivering detailed plans to increase the number of ventilator beds to meet the anticipated demand due to COVID-19.

“These plans include expanding into new spaces not normally used for critical care and repurposing anaesthetic machine ventilators, normally used in the operating theatre environment, to supplement specialised ICU ventilators.

“Most importantly, staff with previous ICU experience and others released from elective care programmes have gone through additional training.

“This is to ensure they can provide essential support and assistance to core critical care staff in the delivery of invasive ventilation, within these significantly enlarged units, to the sickest patients for whom this treatment provides a realistic prospect of survival.”

Scottish Government Senior Medical Advisor and Consultant Intensive Care Anaesthetist Dr John Colvin said: “From working collaboratively with clinical and technical staff across NHS Scotland, we are now confident that we are able to provide more than three times the normal number of ICU beds, and are on course to quadruple Intensive Care Capacity.

“A key advantage is that the extra medical and nursing staff from anaesthetics who will be contributing to the ICU escalation care will be familiar and confident with this equipment. ”

NHS Greater Glasgow and Clyde’s clinical physics team have converted 100 anaesthetic machines to ventilators. 

The First Minister thanked clinical physics teams across Scotland in Parliament today for their efforts on increasing ventilator capacity by repurposing equipment.

This is part of the board’s overall mobilisation plan to quadruple critical care capacity to cope with COVID-19, as requested by the Scottish Government.

Patients with coronavirus often have difficulty breathing and ventilators are used in hospital to help with this.

A team of 12 technicians in the past few days converted the medical equipment at Glasgow Royal Infirmary, Queen Elizabeth University Hospital and Royal Alexandra Hospital.

They were able to do this by changing the machines’ inner tubing to use air instead of oxygen to operate the ventilator. The machines were then tested, calibrated and are now approved for use to treat patients with coronavirus.

The clinical physics team at NHS Greater Glasgow and Clyde maintain the medical equipment in our hospitals.

This is part of NHS Greater Glasgow’s overall response to COVID-19 as the board aims to protect its patients, staff and wider public.

Ted Mullen, Head of Medical Equipment Management, part of the wider Clinical Physics Team, NHS Greater Glasgow and Clyde (above), said: Our team of experts did an incredible job this past weekend to convert our anaesthetic machines to much-needed ventilators.

“I want to thank them for their tireless work on this. These ventilators will help our frontline staff treat patients with coronavirus.”

Letters: Our NHS

Our NHS is under extraordinary pressure and strain and I implore our government and people to help support our front line staff. 
The front line workers are the only people who have to treat people infected with this virus on a personal level. The rest of us just have to stay two metres apart or at home.
We know that our front line staff do not have the protective facilities they need. It is wrong that they have to work in danger and compromise their health and safety while serving the public.
Therefore, I am pleading to the government to ensure our front line staff whether nurses, doctors, police or care workers, have protective masks, clothing and have access to testing kits.
We have seen in Italy and Spain the difficulties that staff have faced and many have lost their lives. This must not happen here, so please protect our front line staff and make sure they have the facilities they need to survive and do the invaluable work they are doing for the public.
#protectthefrontlinestaff
#coronavirus
Foysol Choudhury MBE
Chairman: Edinburgh & Lothians Regional Equality Council | Chairman: Bangladesh Samity Edinburgh. | Founder / Director: Edinburgh Mela. | President: The Guild of Bangladeshi Restaurateurs, Scotland. | General Secretary: Council of Bangladeshis in Scotland. 

 

US, TAE! – Scots want to help, too

Thousands of Scots stand ready to help an NHS volunteering scheme, and the SNP government should waste no time in setting one up, the Scottish Conservatives have said.

Yesterday, UK health secretary Matt Hancock announced an initiative which allows members of the public to help out hospitals and patients with a range of tasks.

However, the plan which will ease pressure on the NHS amid the coronavirus pandemic is only on offer in England.

Holyrood’s shadow health secretary Miles Briggs has called on the Scottish Government to create a similar scheme north of the border.

The project means ordinary people – so long as they’re showing no signs of Covid-19 – can help with tasks like transporting medicine and equipment, and helping with deliveries for those who are self-isolating.

More than 250,000 people have signed up in a single day to volunteer with the NHS after the ecruitment drive was launched.

Scottish Conservative shadow health secretary Miles Briggs said: “So far, both the Scottish and UK governments have worked really well together as we face this unprecedented crisis.

“Now this volunteering scheme has been set up for England, this would be another good way for both to collaborate.

“Thousands of Scots would have seen this announcement and immediately looked into it, only to find it was just those living south of the border who could get involved.

“Hopefully now the Scottish Government will follow suit and harness the amazing goodwill that is out there.

“Ordinary people are desperate to help out our amazing NHS at this crucial time.

“Scots help out fellow Scots when they are facing tough times. That’s just how Scotland works and that’s exactly what we are all going to have to do.”

Another update from Sainbury’s

A further update from Sainsbury’s Chief Executive Mike Coupe:

We are continuing to work around the clock to feed the nation in these challenging times.

Many of you have written to me in the past 24 hours to tell me that you like the idea of priority shopping for NHS workers and for elderly and disabled customers, but that these should be at different times.

We have therefore decided to allow NHS and social care workers to shop in our supermarkets for half an hour before they open each day. So anyone with NHS ID will be able to shop from 07.30-08.00 every day from Monday to Saturday.

We’re delighted to be able to offer priority shopping to all the hard-working NHS staff across the country who are working so hard to keep us all safe and well.

In addition to this, every Monday, Wednesday and Friday, all our supermarkets will dedicate 08.00-09.00 to serving elderly customers, disabled customers and carers.

Many of you have also asked me about priority online delivery slots for elderly, disabled and vulnerable customers.

We have been able to identify a number of customers as elderly and vulnerable based on the information they have given us previously. These details would include date of birth and if you have ever used our vulnerable customer helpline. For all of these customers, we will email you today (Sunday) with information on when slots will become available.

If you do not receive an email and you consider yourself to be vulnerable, please visit our Groceries Online website on Monday for information on how to contact us.

We are also working as quickly as possible on an option for people to register themselves as disabled and vulnerable on their online shopping accounts.

Thank you to everyone who has taken the time to get in touch with me and share your feedback – it’s because of you that we are making these changes and we will continue to listen, learn and adapt during this uncertain time.

Best wishes

Mike

What is Social Distancing?

This guidance is for everyone. It advises on social distancing measures we should all be taking to reduce social interaction between people in order to reduce the transmission of coronavirus (COVID-19).

It is intended for use in situations where people are living in their own homes, with or without additional support from friends, family and carers. If you live in a residential care setting guidance is available.

We are advising those who are at increased risk of severe illness from coronavirus (COVID-19) to be particularly stringent in following social distancing measures.

This group includes those who are:

Note: there are some clinical conditions which put people at even higher risk of severe illness from COVID-19. If you are in this category, next week the NHS in England will directly contact you with advice the more stringent measures you should take in order to keep yourself and others safe. For now, you should rigorously follow the social distancing advice in full, outlined below.

People falling into this group are those who may be at particular risk due to complex health problems such as:

  • people who have received an organ transplant and remain on ongoing immunosuppression medication
  • people with cancer who are undergoing active chemotherapy or radiotherapy
  • people with cancers of the blood or bone marrow such as leukaemia who are at any stage of treatment
  • people with severe chest conditions such as cystic fibrosis or severe asthma (requiring hospital admissions or courses of steroid tablets)
  • people with severe diseases of body systems, such as severe kidney disease (dialysis)

What is social distancing?

Social distancing measures are steps you can take to reduce the social interaction between people. This will help reduce the transmission of coronavirus (COVID-19).

They are:

  1. Avoid contact with someone who is displaying symptoms of coronavirus (COVID-19). These symptoms include high temperature and/or new and continuous cough
  2. Avoid non-essential use of public transport, varying your travel times to avoid rush hour, when possible
  3. Work from home, where possible. Your employer should support you to do this. Please refer to employer guidance for more information
  4. Avoid large gatherings, and gatherings in smaller public spaces such as pubs, cinemas, restaurants, theatres, bars, clubs
  5. Avoid gatherings with friends and family. Keep in touch using remote technology such as phone, internet, and social media
  6. Use telephone or online services to contact your GP or other essential services

Everyone should be trying to follow these measures as much as is pragmatic.

We strongly advise you to follow the above measures as much as you can and to significantly limit your face-to-face interaction with friends and family if possible, particularly if you:

  • are over 70
  • have an underlying health condition
  • are pregnant

This advice is likely to be in place for some weeks.

Handwashing and respiratory hygiene

There are general principles you can follow to help prevent the spread of respiratory viruses, including:

  • washing your hands more often – with soap and water for at least 20 seconds or use a hand sanitiser when you get home or into work, when you blow your nose, sneeze or cough, eat or handle food
  • avoid touching your eyes, nose, and mouth with unwashed hands
  • avoid close contact with people who have symptoms
  • cover your cough or sneeze with a tissue, then throw the tissue in a bin and wash your hands
  • clean and disinfect frequently touched objects and surfaces in the home

What should you do if you develop symptoms of coronavirus (COVID-19)

The same guidance applies to the general population and those at increased risk of severe illness form coronavirus (COVID-19). If you develop symptoms of COVID-19 (high temperature and/or new and continuous cough), self-isolate at home for 7 days. You can find the full guidance at stay at home.

How can I get assistance with foods and medicines if I am reducing my social contacts?

Ask family, friends and neighbours to support you and use online services. If this is not possible, then the public sector, business, charities, and the general public are gearing up to help those advised to stay at home. It is important to speak to others and ask them to help you to make arrangements for the delivery of food, medicines and essential services and supplies, and look after your physical and mental health and wellbeing.

If you receive support from health and social care organisations, for example, if you have care provided for you through the local authority or health care system, this will continue as normal. Your health or social care provider will be asked to take additional precautions to make sure that you are protected. The advice for formal carers is included in the Home care provision.

What should you do if you have hospital and GP appointments during this period?

We advise everyone to access medical assistance remotely, wherever possible. However, if you have a scheduled hospital or other medical appointment during this period, talk to your GP or clinician to ensure you continue to receive the care you need and consider whether appointments can be postponed.

What is the advice for visitors including those who are providing care for you?

You should contact your regular social visitors such as friends and family to let them know that you are reducing social contacts and that they should not visit you during this time unless they are providing essential care for you. Essential care includes things like help with washing, dressing, or preparing meals.

If you receive regular health or social care from an organisation, either through your local authority or paid for by yourself, inform your care providers that you are reducing social contacts and agree on a plan for continuing your care.

If you receive essential care from friends or family members, speak to your carers about extra precautions they can take to keep you safe. You may find this guidance on Home care provision useful.

It is also a good idea to speak to your carers about what happens if one of them becomes unwell. If you need help with care but you’re not sure who to contact, or if you do not have family or friends who can help you, you can contact your local council who should be able to help you.

What is the advice if I live with a vulnerable person?

If you live in a house with a vulnerable person refer to our household guidance.

How do you look after your mental wellbeing?

Understandably, you may find that social distancing can be boring or frustrating. You may find your mood and feelings are affected and you may feel low, worried or have problems sleeping and you might miss being outside with other people.

At times like these, it can be easy to fall into unhealthy patterns of behaviour which in turn can make you feel worse. There are simple things you can do that may help, to stay mentally and physically active during this time such as:

  • look for ideas of exercises you can do at home on the NHS website
  • spend time doing things you enjoy – this might include reading, cooking, other indoor hobbies or listening to the radio or watching TV programmes
  • try to eat healthy, well-balanced meals, drink enough water, exercise regularly, and try to avoid smoking, alcohol and drugs
  • keep your windows open to let in fresh air, get some natural sunlight if you can, or get outside into the garden

You can also go for a walk outdoors if you stay more than 2 metres from others.

Further information on looking after your mental health during this time is available.

What steps can you take to stay connected with family and friends during this time?

Draw on support you might have through your friends, family and other networks during this time. Try to stay in touch with those around you over the phone, by post, or online. Let people know how you would like to stay in touch and build that into your routine. This is also important in looking after your mental wellbeing and you may find it helpful to talk to them about how you are feeling.

Remember it is OK to share your concerns with others you trust and in doing so you may end up providing support to them too. Or you can use a NHS recommended helpline.

Advice for informal carers

If you are caring for someone who is vulnerable, there are some simple steps that you can take to protect them and to reduce their risk at the current time.

Ensure you follow advice on good hygiene such as:

  • wash your hands on arrival and often, using soap and water for at least 20 seconds or use hand sanitiser
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately and wash your hands afterwards
  • do not visit if you are unwell and make alternative arrangements for their care
  • provide information on who they should call if they feel unwell, how to use NHS 111 online coronavirus service and leave the number for NHS 111 prominently displayed
  • find out about different sources of support that could be used and access further advice on creating a contingency plan is available from Carers UK
  • look after your own well-being and physical health during this time. Further information on this is available here

Summary of advice

Summary of advice on social distancing broken down into action to be taken and group of people it relates to.

* if one member of your family or household has a new continuous cough or high temperature
** if you live alone and you have a new continuous cough or high temperature
*** for example cinema, theatre, pubs, bars, restaurants, clubs
**** for example via telephone or internet
1 such as anyone instructed to get a flu jab each year

NHS to receive a further £32 million to reduce waiting times

The NHS will receive a further £32 million to help reduce waiting times.

The investment is in addition to £70 million funding announced by the Health Secretary in April and brings the amount being spent on the Waiting Times Improvement Plan for 2019-20 to £102 million. The £102 million is part of the £850 million set aside to support the delivery of the plan over a three-year period.  Continue reading NHS to receive a further £32 million to reduce waiting times

GMB welcomes withdrawal of ‘pay-cut proposals’ for ambulance and NHS staff

GMB Scotland has welcomed the withdrawal of planned reforms which would have resulted in cuts to terms and conditions of Scottish Ambulance Service and NHS staff.  Continue reading GMB welcomes withdrawal of ‘pay-cut proposals’ for ambulance and NHS staff

Transforming patient care? UK Government to launch NHS Long Term Plan

The UK Government today launches a long term plan to ‘transform’ the NHS. The plan, to be backed by government investment of £20.5 billion a year in real terms by 2023/24, will ‘transform patient care and make sure every penny of taxpayers’ money is spent wisely’.

Now in its 70th year, the NHS has unprecedented certainty to plan for the next decade, ensuring that patients will be supported with world-class care at every stage of their life.

From birth, through the challenges that life brings and into old age, the government says the plan will ensure that the NHS is:

  • Providing the best maternity care in the world – We will ensure every baby gets the best start in life by continuing to improve maternity safety, and providing greater mental health support to new parents.
  • Supporting ageing and increasing independence – We will support people to age well by bringing different health and care teams together to make sure older people are getting the support they need to remain independent, avoiding unnecessary hospital admissions. We will make sure people have more say and control over the healthcare and support they are receiving, including by expanding the use of personal health budgets.
  • Improving outcomes for all major conditions – Through better prevention, detection, treatment and recovery from serious diseases, we will improve health outcomes so people live longer and healthier. For mental health services, greater support will be provided to almost 350,000 more children and young people, and at least an extra 380,000 adults over the next five years.
  • Increasing the NHS workforce – We are improving access to mental health, primary care and community services, with tens of thousands more doctors, nurses and other health professionals – a full workforce plan is expected later this year.
  • Bringing the NHS into digital age – We are rolling out new digital technologies to deliver improved access to NHS services. This will mean everyone in the country will have digital access to their GP, including being able to make appointments, manage prescriptions and view their health records online.
  • Cutting waste across the NHS – We will continue to make sure we are using taxpayers’ money efficiently, including through introducing new digital techniques and making back office savings of more than £700 million across the NHS.

With NHS spending in England increasing, extra money will also go to Scotland, Wales and Northern Ireland under the Barnett formula, which ensures every part of the UK gets a fair share of public spending. The devolved administrations will be able to use this money to improve their own services and develop their own long-term plans.

Prime Minister Theresa May said: “The NHS has always been the country’s most beloved public service – there to provide outstanding care to us all whenever it is needed.

“The launch of the NHS Long Term Plan marks an historic step to secure its future and offers a vision for the service for the next ten years, with a focus on ensuring that every pound is spent in a way that will most benefit patients. This will help relieve pressure on the NHS while providing the basis to transform care with world-class treatments.

“Backed by our record investment of £20.5 billion a year in real terms by 2023/24, this shows what we can achieve with a strong economy and a focus on people’s priorities.”