UK Covid-19 Inquiry comes to Edinburgh

The UK Covid-19 Inquiry’s Module 2A hearings begin in Scotland today (Tuesday 16 January 2024). The hearings are an important stage in the Inquiry’s investigation into decision making and governance in each nation of the UK.

Members of the public are welcome to attend the hearings in Edinburgh or watch them online through the Inquiry website.

Module 2A, ‘Core UK decision-making and political governance – Scotland’, will look into core political and administrative governance and decision-making. It will include the initial response, devolved government decision making, political and civil service performance as well as the effectiveness of relationships with the UK government and local and voluntary sectors.

The Inquiry is also encouraging people in Scotland to share their pandemic experience so we can truly understand the human impact and learn lessons from it.

Find out more about the hearings, the benefits of sharing your story with the Inquiry and how to do so in our video recorded this week at the Royal College of Surgeons in Edinburgh:

Standing next to Scotland’s memorial dedicated to NHS staff who worked through the pandemic – the award-winning ‘Your Next Breath’ – Inquiry Secretary, Ben Connah, said he was excited that the Inquiry’s hearings are soon to begin in the Scottish capital:

“It’s the start of the UK Covid-19 Inquiry’s public hearings here in Scotland. We will be holding three weeks of hearings at the International Conference Centre in Edinburgh. People in Scotland will have the opportunity to hear from politicians, advisers and scientists who were crucial to the decision-making.

“This is a UK-wide public inquiry and it’s really important that we visit the places where decisions were taken and where the impact of the pandemic was felt in different ways in different parts of the country.”

Ben also highlighted how the Scottish public can already participate via Every Story Matters, which will support the UK Covid-19 Inquiry’s investigations and help the Chair of the Inquiry make recommendations for the future.

Every Story Matters will provide evidence about the human impact of the pandemic on the UK population. It provides an opportunity for those affected by the pandemic to share their experiences online without the formality of giving evidence or attending a public hearing, as Ben explained.

“The Scottish public can already play their part in the inquiry by logging on to everystorymatters.co.uk and sharing their experience of the pandemic.

“I am really keen that we hear stories from people right across Scotland, from Stranraer to Stornoway, to help us to build a picture of the impact the pandemic had on this beautiful country.”

Joining the Inquiry Secretary in Edinburgh this week is Hussein Patwa, an Aberdeen resident who is visually impaired and registered blind. He described lockdown as “quite tough”.

“Even to this day the pandemic has affected my independence, my ability to get out and about even in my local area. I have also found it has affected my confidence, especially in larger social situations.”

Hussein is also an enthusiastic advocate of Every Story Matters, as he explained: “Telling my story to Every Story Matters has been a cathartic experience for me.

“It has allowed me to reflect on aspects of my experience I hadn’t even thought about, and that in itself was a healing process. I would encourage everyone to share their story on the Every Story Matters website.”

Every Story Matters

Every Story Matters is your opportunity to help the UK Covid-19 Inquiry understand your experience of the pandemic.

Share your story

Increased support offered to Scottish families in relationship crisis across the country

Latest figures from Relationships Scotland show continued fallout from pandemic and cost of living crisis are having a negative impact on family life

Support for Scottish families seeking help to deal with relationship difficulties and family breakdown has increased by almost 40% in the last year, according to Relationships Scotland.

Relationships Scotland, the largest provider of relationship support in the country, has published its Annual Review highlighting the increase in support being offered to couples with relationship problems.

The figures for 2022/23 show that across the charity’s network of 21 member services, 86,000 hours of direct support were delivered, increasing from 62,000 the previous year. The figures also show the network provided support to over 14,400 people across the country, up from 13,850 in 2021/22.

Stuart Valentine, Chief Executive of Relationships Scotland said: “There is no doubt the pandemic and the cost of living crisis have put a strain on families and relationships, and these figures are a stark reminder of how acute this strain is.

“This is a significant increase in hours of support across the whole country, and while it paints a worrying picture of the pressures being felt across the nation, we are encouraged that people feel they have somewhere to turn, and are seeking help to deal with these issues.”

The Relationships Scotland network has a strong focus on early intervention and prevention, working with families as early as possible to support them to look at the issues they are facing and helping them avoid problems spiralling. The work of the 21 member services across the country is supported by around 900 people, including over 400 volunteers.

Stuart Valentine added: “The importance of positive and resilient relationships can not be underestimated, with the damage caused by relationship breakdown estimated to cost the Scottish economy around £3.5b each year.”

Scottish COVID-19 Inquiry: Let’s Be Heard sessions in Leith

YMCA Edinburgh, in partnership with Bethany Christian Trust and Harbour, are organising two opportunities to share your experiences of the Covid-19 pandemic is part of the Lets Be Heard programme.

We are trying to reach as many people in Leith as possible so the voices and stories of Leiths pandemic experiences are heard.

Our sessions will be on the 24th of October at 1 p.m and 6p.m at the Harbour offices.

The events are open to anyone over 16 who live, work or volunteer in Leith and were here during lockdown.

To register to take part, email louisa@ymcaedinburgh.com or call 0793 541 9067.

Ban and tagging for directors who abused Bounce Back Loan scheme

Three businessmen each claimed the maximum £50k Bounce Back Loan and one dissolved his company to avoid repayment

Ivan Hristov Fratev, 57 and Bradley Malone, 57, both from London, and Ryan William Moir, 34, from East Sussex, have been banned from running businesses for a total of 26 years, after each separately claimed £50,000 for their companies in breach of the loan scheme’s rules.

Fratev was also given a 2-year suspended sentence with 4 months’ electronically tagged curfew, at Snaresbrook Crown Court on 23 June 2023, in addition to a 6-year ban, for dissolving his business after taking out the loan. The judge also included 15 days rehabilitation activity requirement (RAR) as part of his suspended sentence.

Fratev was the sole director of Chingford-based BI&F Ltd, which traded as a construction, security and extermination business from premises in Alpha Road. In May 2020 he applied for the maximum £50,000 Bounce Back Loan, designed to help businesses keep afloat through the pandemic.

But within two weeks of the money arriving in the company bank account, Fratev applied to dissolve BI&F Ltd, without informing the bank that had loaned him the money. Failure to notify creditors of plans to strike off a company is a criminal offence.

He was caught through powers granted to the Insolvency Service in December 2021, which allow it to investigate directors of dissolved companies who are suspected of closing their business to avoid repaying Covid-19 support loans.

Peter Fulham, Chief Investigator of the Criminal Investigation Team at the Insolvency Service said: “Covid-19 financial support schemes were funded from the public purse to support genuine businesses during the pandemic. Directors who abused the scheme have exploited taxpayers.

“This two-year suspended prison sentence, along with a curfew order and a 6-year disqualification, reflects the thoroughly dishonest conduct of Ivan Fratev and should serve as a warning to others who engaged in such behaviour.

“The Insolvency Service will act to remove directors who abused Bounce Back Loans from the business arena.”

In another case in London, Bradley Malone, the sole director of ONENETPRINT Ltd, a print business trading from Palmers Road in East London, applied for the maximum £50,000 Bounce Back Loan in June 2020, stating that his company’s previous year’s turnover was £200,000.

The Bounce Back Loan scheme allowed a business to borrow between £2,000 and up to 25% of the company turnover in calendar year 2019, with a maximum loan of £50,000.

The company went into liquidation in February 2022 owing the full amount of the loan, which triggered an investigation by the Insolvency Service.

Malone told investigators that, during the application process, he had merely clicked ‘next’ on his phone, and the money arrived within the hour. But investigators discovered that Malone had in fact overstated the company’s turnover for 2019 in the application, to claim the maximum £50,000 loan.

They found that the company’s actual turnover for that year had been around £90,200, meaning ONENETPRINT Ltd had received around £27,400 more than it was entitled to, under the rules of the scheme.

In a third case, Ryan Moir, sole director of East Sussex-based Croxton Group Ltd, which traded as a builder from Green Street industrial estate in Eastbourne, applied for the maximum £50,000 Bounce Back Loan on behalf of his company in May 2020. He stated on the application that Croxton Group Ltd’s turnover the previous year had been £250,000.

When the company went into liquidation in May 2022, it owed around £184,500, including more than £49,400 towards the Bounce Back Loan. An investigation by the Insolvency Service showed that the company’s 2019 turnover had in fact been less than £21,000, meaning that Croxton Group Ltd had received almost 10 times more than it had been entitled to under the rules of the scheme.

The company’s liquidators are taking action to recover the money.

Malone and Moir were both banned from being company directors for 10 years, after the Secretary of State for Business and Trade accepted disqualification undertakings from each director. Malone’s ban began on 17 July 2023, and Moir’s began on 19 July 2023. Fratev’s court-ordered 6-year disqualification started on 23 June 2023.

The bans prevent the former directors from becoming involved in the promotion, formation or management of a company, without the permission of the court. In addition to his ban and two-year suspended sentence, Fratev is also subject to 4 months’ electronically monitored curfew between 7pm and 7am, and was ordered to pay court costs of £500.

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.

NHS Lothian releases results of research into transmission of COVID-19 from hospitals into care homes

Scientists in NHS Lothian have helped to develop national infection controls after studying COVID-19 transmission between hospitals and care homes.

The teams found that 99 per cent of patients discharged from hospital into care homes during the first wave of the pandemic did not introduce COVID-19 into care homes.

The study, conducted with the University of Edinburgh, focused on patients in Lothian discharged from hospital into 130 care homes from 1st March 2020 to 31st May 2020. 

Of the 787 discharges in this time, the researchers found that the majority – a total of 776 – did not introduce COVID-19 into care homes as a result of their hospital stay.

Forty-one of the discharged patients had a positive COVID-19 test within two weeks of leaving hospital and genome sequencing was used to identify if these cases could be linked.

The study found that 30 patients likely contracted this in the care home or from the community.

The results of 10 patients were inconclusive and one patient was confirmed to have contracted COVID-19 during their stay in hospital.

Very sadly, this patient later passed away and a number of residents in their care home subsequently contracted COVID-19.

Dona Milne, Director of Public Health and Health Policy, NHS Lothian, said: “This study has shown that 99 per cent of hospital discharges didn’t introduce COVID-19 cases into Lothian care homes during the first wave of the pandemic.

“However, we’re able to say with certainty that one care home outbreak in this time originated from us. We are deeply saddened by this, and our heartfelt apologies and condolences are with the families and loved ones of those affected.

“We began testing symptomatic care home residents very early in the pandemic, so it’s been really important for us to use this information to find out what we can learn about how the virus was contracted and spread and how this linked to our hospitals.”

Before the nation went into its first lockdown when testing wasn’t widely available, NHS Lothian built capacity into its labs specifically to PCR test those who were symptomatic in hospitals and care homes.

Because of this early testing of symptomatic patients, in-depth data was available to the research team to enable them to genome sequence the transmission of the virus as part of the study.

Dr Kate Templeton, Head of Molecular Diagnostics for NHS Lothian who led the study, said: “Testing was a priority for us from the beginning and we were the first health board in Scotland to build capacity in our labs specifically for care home residents.

“This early testing has enabled us to genome sequence the virus and track where this was acquired and how this spread, leading to the creation of an outbreak methodology which has informed best practice at both Scotland and UK-level.

“This methodology not only has applications to COVID-19 but other viruses too and has been vital in learning lessons around infection control. It also clearly shows that the protection of the most vulnerable in society needs to involve not just health authorities but the community too.”

You can read the study in full here.

Holyrood report: Employers should invest in mental wellbeing services and flexible working policies

Mental health and chronic pain are having the most significant impact on economic inactivity rates in Scotland, according to a new report from the Scottish Parliament’s COVID-19 Recovery Committee.

The report considers the impact of the COVID-19 pandemic on Scotland’s labour market, looking specifically at long-term illness and early retirement as drivers of economic inactivity.

The Committee found that although the pandemic has not significantly impacted economic inactivity in Scotland, it has clearly highlighted the extent to which a healthy working-age population is required to sustain a healthy economy.

The Committee heard that implementing remote and/or flexible working practices may improve employees’ wellbeing, bring more people into the labour market, including disabled people and people with chronic or mental illness, and support older workers to remain in the labour market for longer.

However, evidence from employers highlighted that many employers, particularly small and medium-sized enterprises, require additional support to implement flexible working and improve reasonable adjustment policies.

The report expresses disappointment that due to budgetary pressures, the Scottish Government’s plans for a ‘Centre for Workplace Transformation’, which would seek to embed some of the learning gained from the pandemic, was not delivered on target in 2022.

Additionally, the Committee noted that best practice from wrap-around employability services, like the Fair Start Scotland programme, which provides tailored support to get working-aged people who are disengaged from the labour market back into employment, should be shared across all of Scotland’s local authorities.

Convener of the Scottish Parliament’s COVID-19 Recovery Committee, Siobhian Brown MSP, said: “Whilst our report found the pandemic has not had a significant impact on economic inactivity levels, issues such as poor mental health and chronic illnesses, are part of the complex challenges to Scotland’s economic and social recovery from COVID-19.

“Increased partnership working between the Scottish Government and employers to support investment in employees’ wellbeing and embedding post-pandemic opportunities for flexible working is crucial to supporting more people into the labour market.

“Remote and flexible working practices could also support more disabled people and those living with chronic health or mental health conditions into the workforce, whilst also enabling older people to stay in the labour market for longer.

“It’s important that as a priority, the Scottish Government sets out what additional support it is providing for employers to develop practical resources to support the adoption of flexible working policies and share best practice, which are vital to improving Scotland’s economic activity levels.”

New national targets to tackle long waits for planned care in Scotland

Ambitious new targets have been set out for NHS Scotland to address the impact of the pandemic on long waiting times for planned care.

Health Secretary Humza Yousaf announced NHS Scotland will aim to eradicate waits of more than two years, and then one year in most specialities by September 2024.

Mr Yousaf has asked health boards to take a focussed approach to tackle the waiting lists now that activity in the NHS is beginning to recover from the pandemic.

The targets are to treat those patients waiting longer than:

  • two year waits for outpatients in most specialities by the end of August 2022
  • eighteen months for outpatients in most specialities by the end of December 2022
  • one year for outpatients in most specialities by the end of March 2023
  • two years for inpatient / daycases in most specialties by the end of September 2022
  • eighteen months for inpatient / daycases in most specialities by the end of September 2023
  • one year for inpatient / daycases in most specialities by the end of September 2024

Mr Yousaf, who made the announcement while visiting Perth Royal Infirmary said: “We know that waiting times have grown as a result of the pandemic, which is why we now need to focus on treating these people that are waiting too long for treatment. That’s why I am announcing some of the most ambitious targets in the UK.

“From speaking to patients and clinicians across the country, I know there is a physical and mental consequence in having to wait a long period to be treated, that is why addressing long waits is a key focus of our plans for NHS recovery.”

Mr Alastair Murray, Chair of Scottish Committee for Orthopaedics and Trauma said: “Scottish orthopaedics very much welcomes the introduction of targets to address the growing number of people waiting for essential treatment. It is hoped that the targets set out will drive ongoing efforts to reduce waiting times for orthopaedic surgery in Scotland.”

The NHS will work together to reduce backlogs of care, specifically longest waiting patients, and that will mean some patients will be offered appointments outwith their local health board area to provide treatment more quickly – for example, the Golden Jubilee University National Hospital or at National Treatment Centres as they become operational over the next year.  

The approach will also build on the success of the Centre for Sustainable Delivery, which was established to drive innovation and introduce new ways of delivering care that will create additional capacity for inpatient, daycase and outpatients. 

The National Clinical Prioritisation Framework will be revised to ensure any patient waiting more than two years is prioritised and treated, as well as those who require urgent clinical care.

Funding for the new drive will come from the £1 billion allocated for the NHS Recovery Plan.

LOTHIAN LABOUR MSP: “Our NHS is in a state of year-round crisis”

Lothians list MSP Foysul Choudhury said: “The latest figures show that waiting times in NHS Lothian A&E departments are at historic highs. The last eighteen months have seen a significant drop in compliance with the Scottish Government’s target of 95% of A&E patients to be seen within four hours.

“The figures for NHS Lothian currently sit at 65% of A&E patients being seen within four hours, with the Royal Infirmary currently around 50%, one of the worst figures in the country.

“I welcome the new appointments system for the Minor Injuries Unit, but this will only have an impact on overall waiting times if the whole system – including NHS 111 – is properly staffed, resourced and able to cope with the current and future levels of demand.

“Speaking to staff from NHS Lothian, they too often feel the stress of the pressures on the NHS. They are increasingly being abused at work by patients frustrated at long waiting times, and staff absences are being kept high by repeated waves of COVID. The Scottish Government must better support NHS staff to defuse the building crisis of morale among our healthcare workers.

Our NHS is now in a state of year-round crisis. The Scottish Government promised the Scottish people only last year that they would focus on pandemic recovery, and these latest figures only make it more disappointing that they are instead being distracted by their obsession with the constitutional question.”

“SHAMEFUL”: £4 billion of unusable PPE bought in first year of pandemic will be burnt “to generate power”

The Department for Health & Social Care (DHSC) lost 75% of the £12 billion it spent on personal protective equipment (PPE) in the first year of the pandemic to inflated prices and kit that did not meet requirements – including fully £4 billion of PPE that will not be used in the NHS and needs to be disposed of.

There is no clear disposal strategy for this excess but the Department says it plans to burn significant volumes of it to generate power – though there are concerns about the cost-effectiveness and environmental impact of this “strategy”.

In a report today the Public Accounts Committee says that as a result of DHSC’s “haphazard purchasing strategy” 24% of the PPE contracts awarded are now in dispute – including contracts for products that were not fit for purpose and one contract for 3.5 billion gloves where there are allegations of modern slavery against the manufacturer.

The Committee says this only exacerbates DHSC’s “track record of failing to comply with the requirements of Managing Public Money even before the further exceptional challenges of the pandemic response”. It also raises concerns about “inappropriate unauthorised payoffs made to staff by health bodies”, with the planned large-scale NHS restructuring “increasing the risk of this happening again.”

Dame Meg Hillier MP, Chair of the Public Accounts Committee, said: “The story of PPE purchasing is perhaps the most shameful episode the UK government response to the pandemic.

“At the start of the pandemic health service and social care staff were left to risk their own and their families’ lives due to the lack of basic PPE. In a desperate bid to catch up the government splurged huge amounts of money, paying obscenely inflated prices and payments to middlemen in a chaotic rush during which they chucked out even the most cursory due diligence.

“This has left us with massive public contracts now under investigation by the National Crime Agency or in dispute because of allegations of modern slavery in the supply chain.

“Add to that a series of inappropriate, unauthorised severance payoffs made by clinical commissioning groups in the first year of the pandemic and the impression given falls even further from what we expect.

DHSC singularly failed to manage this crisis, despite years of clear and known risk of a pandemic, and the challenges facing it now are vast, from getting the NHS back on its feet to preparing for the next major crisis. There are frankly too few signs that it is putting its house in order or knows how to.”

Further information:

Wright Violins hit all the right notes

A business that specialises in matching players to the right musical instrument has increased sales by 400% after receiving support from DigitalBoost, Scotland’s national digital upskilling programme, delivered by Business Gateway.

Founded by Tim and Helen Wright, former professional musicians, in December 2015, Tim Wright Fine Violins is an independent violin dealership based in Edinburgh, selling violins, violas, cellos and their bows.

Helen approached Business Gateway for advice during the pandemic when she and Tim decided to adapt the business. Lockdown had presented challenges for customers who were unable to trial their instruments in person, a fundamental process when it came to purchasing their products.

Working closely with Business Gateway, Helen conducted a strategic review of the business and accessed specialist digital support through DigitalBoost. This helped her to develop their website into an online shop, enabling clients to ‘get to know’ the instruments before playing them for a trial period.

The business also accessed regular 1:1 support from a dedicated business adviser, as part of Business Gateway’s Growth Service, as well as advice on marketing practises.

This has resulted in significant growth for the business, and business enquiries have increased by 700%. They have also expanded their overall market reach to new clients across Scotland, beyond the Edinburgh market, with customers coming from the USA, Japan, Africa, and across Europe.

Tim Wright, Founder, Tim Wright Fine Violins said: “We were already thinking about ways to grow the business. When the pandemic hit, this became more important, so we approached Business Gateway for advice as about how we could find ways to raise the profile of our service and share our expertise and knowledge of our products virtually.

“Thanks to the support from our DigitalBoost consultant, our website has grown into a digital shop-front, which has not only seen us through the pandemic but also allowed us to grow and reach the global marketplace for fine string instruments.

“Working with Business Gateway has helped us to develop processes for making action plans and sticking to them. Our business was based around our love of violins as opposed to any more formal business planning, we needed support to learn how to make decisions for business growth. We had reached a point where success felt intimidating, we now feel as though we have a secure, manageable plan for our growth.”

Al Bryce, adviser, Business Gateway said: “Tim and Helen have a unique business and, with the support of Business Gateway specialists, they adapted their services to work for an online platform. In doing so, they reached a much wider market, achieving significant growth and success throughout the pandemic and beyond.

“Tim Wright Violins is a fantastic example the success that can be achieved by adapting your service and getting your business online. We would encourage all businesses to make use of the free DigitalBoost service if there are areas where support is needed.”