PANDEMIC: NHS Lothian releases film tribute to the exceptional response of staff to COVID-19

A special film which captures experiences of staff across NHS Lothian is being launched today (28 April 2022) to show the public and future generations what it was like to work during the pandemic. 

Premiering online, the film reveals how NHS Lothian staff mounted an extraordinary response to the unprecedented challenge of Covid-19.  

The health board was the first to receive and care for a COVID-19 patient in Scotland. It then went on to set up one of the first drive-through testing facilities and played a significant role in ground-breaking research, testing and vaccination. 

The one-hour documentary is told through a series of interviews, videos and photographs of staff, providing reflections of working during the pandemic over the last two years.  

Calum Campbell, Chief Executive of NHS Lothian said: “While this film cannot do justice to the work of every team or service, it offers a flavour of the outstanding commitment of all our staff.  We are extremely proud of how they responded to the pandemic and how hard our teams continue to work.  

“We recognise the journey is far from over. COVID is still with us, pressures on staffing are severe and the effects of the pandemic will be felt for a long time to come.  But we have learned a great deal and will put that to good use as we plan for the future.

“We want to thank all our staff for their continued exceptional service and our patients and the wider public of Edinburgh and the Lothians for the support they show our staff.” 

The film is part of NHS Lothian’s wider commemorative plans, which are supported by its official charity partner, the Edinburgh and Lothian Health Foundation. 

Also featuring in the film is a special commemorative song written and performed by Scottish singer and songwriter, Marina Rolink, especially to thank all NHS Lothian staff.   

Commenting on her involvement in the film, Staff Nurse Viv Conway, who was a student nurse during the first wave of COVID in 2020, said: “It’s still raw, and it’s still relevant in how we practice on our ward. It’s impacted our ward and it’s impacted the culture that we work in, the need to focus on our colleagues and our team. 

“I think the film really brings back a lot of emotions as a true representation of what it was like on the front line and the sacrifices that we made and how we came together at a very difficult time.” 

The film will premiere on NHS Lothian’s YouTube channel at 6pm tonight and will remain available for people to watch in the future.  

A trailer can be viewed now at: https://youtu.be/g5UOAedPv6Y 

Further talks on fiscal reform

Clarity needed on Barnett consequentials

During yesterday’s session of the Joint Executive Committee (JEC) with the Chief Secretary to the Treasury Simon Clarke, Finance Secretary Kate Forbes outlined some of the challenges needing to be addressed as part of the forthcoming joint review of the Scottish Fiscal Framework.

Chairing the meeting in London, Ms Forbes highlighted the need for further collaboration on fiscal flexibility, including consideration of further financial powers as part of the forthcoming Fiscal Framework review.

The meeting follows the UK Government’s Council Tax Energy Rebate announcement and the consequential funding for the Scottish Government.

The Spring Budget Revision has also been published showing that the Scottish Government has spent almost £15 billion on measures to respond to COVID-19 since the beginning of the pandemic. It represents the final decisions made in the Scottish Government budget allocations for this financial year despite the challenges due to late notification of consequentials.  

 

Speaking following the JEC, Ms Forbes said: “I have had a constructive conversation with the Chief Secretary to the Treasury this afternoon, where there was a frank exchange of views on what is quickly required from the Fiscal Framework Review and the need for further fiscal flexibility for Scotland.

“Our experiences of dealing with both the health and economic impacts of the pandemic and supporting those struggling with the cost of living crisis clearly demonstrate how difficult it is to take actions we deem vital without sufficient fiscal powers and often with late notice or lack of engagement when further funding is coming.

“This has been proven once again today. Whilst I will always welcome funding, the net change to our budget isn’t clear yet  – we are awaiting urgent clarity on this from the Treasury and how it will impact our final settlement for the current year.

“As the First Minister has said, we will pass on the full consequential funding to support people struggling with the current costs of living. Council Tax is already lower in Scotland and our current support such as the single Council Tax Reduction Scheme protects 470,000 lower income households.”

And the UK Government’s take on yesterday’s meeting:

Chief Secretary to the Treasury Simon Clarke held talks with the Scottish Government’s Cabinet Secretary for Finance and the Economy Kate Forbes yesterday to discuss the upcoming review of the Scottish Government’s Fiscal Framework.

The ministers agreed they were close to finalising arrangements for an independent report on the Scottish Government’s Block Grant Adjustment arrangements which will inform the review.

They shared the ambition to get this first stage launched as soon as possible.

The Chief Secretary and Cabinet Secretary also agreed that the Fiscal Framework review should be guided by principles set out in the Smith Commission agreement. They discussed the importance of several principles, including fairness and consistency, as well as the need to have a framework that is implementable, sustainable and operates effectively in practice.

Both ministers expressed a desire to avoid unnecessary delays to starting the Fiscal Framework review, and agreed to continue a dialogue and joint preparations for the review while the independent report is underway.

Ministers also discussed financial impacts relating to the income tax personal allowance.

Chief Secretary to the Treasury Simon Clarke said: “Today was an enjoyable and productive meeting. We are working closely with the Scottish Government and engaging in regular discussions on the Fiscal Framework review, making good progress on our approach to the Scottish Government’s future finances.”

Omicron: Self-isolation rules change from today in England

From today (Monday 17 January), people with COVID-19 in England can end their self-isolation after 5 full days, as long as they test negative on day 5 and day 6.

  • People self-isolating with COVID-19 will have the option to reduce their isolation period after 5 full days if they test negative on both day 5 and day 6 and do not have a temperature, from Monday, 17 January
  • Individuals who are still positive on their rapid lateral flow tests must stay in isolation until they have had 2 consecutive negative tests taken on separate days
  • This will support essential public services and keep supply chains running over the winter

From Monday 17 January, people with COVID-19 in England can end their self-isolation after 5 full days, as long as they test negative on day 5 and day 6.

The decision has been made after careful consideration of modelling from the UK Health Security Agency and to support essential public services and workforces over the winter.

It is crucial that people isolating with COVID-19 wait until they have received 2 negative rapid lateral flow tests on 2 consecutive days to reduce the chance of still being infectious.

The first test must be taken no earlier than day 5 of the self-isolation period, and the second must be taken the following day. If an individual is positive on day 5, then a negative test is required on day 6 and day 7 to release from isolation.

It is essential that 2 negative rapid lateral flow tests are taken on consecutive days and reported before individuals return to their job or education, if leaving self-isolation earlier than the full 10-day period.

For instance, if an individual is positive on day 5, then a negative test is required on both day 6 and day 7 to release from self-isolation, or positive on day 6, then a negative test is required on days 7 and 8, and so on until the end of day 10.

Those who leave self-isolation on or after day 6 are strongly advised to wear face coverings and limit close contact with other people in crowded or poorly ventilated spaces, work from home if they can do so and minimise contact with anyone who is at higher risk of severe illness if infected with COVID-19.

The default self-isolation period continues to be 10 days, and you may only leave self-isolation early if you have taken 2 rapid lateral flow tests and do not have a temperature in line with guidance.

Health and Social Care Secretary Sajid Javid said: “After reviewing all of the evidence, we’ve made the decision to reduce the minimum self-isolation period to 5 full days in England.

“These 2 tests are critical to these balanced and proportionate plans and I’d urge everyone to take advantage of the capacity we’ve built up in tests so we can restore more freedom to this country, whilst we are keeping everyone safe.”

Existing public health measures remain in place, including:

  • staying at home if you feel unwell
  • getting a test if you experience any COVID-19 symptoms
  • wearing a face covering in crowded, enclosed spaces
  • working from home if possible
  • maintaining social distancing and regular hand washing
  • taking up the offer of the free COVID-19 vaccine

Self-isolation may continue in certain circumstances, such as for those who work with vulnerable people. A full list will be published in guidance in due course.

Vaccinations remain our best defence against COVID-19, offering substantial protection against infection and hospitalisation – and the government continues to urge the public to get boosted as soon as you’re eligible.

In line with this announcement, the government will also consider the guidance for close contacts of people with COVID-19, including around the advice for fully vaccinated contacts to take daily rapid lateral flow tests for 7 days.

NHS England has also announced that the first 16 and 17-year-olds will be able to book their booster jabs or attend a walk-in vaccination centre from today.

Plea to get booster in last week of the year as COVID cases soar

Figures for festive period are the highest daily totals recorded in Scotland since the start of the pandemic 

With just four days left to get ‘boosted by the bells’ all remaining over-18s are being urged to come along for their COVID-19 booster.

Latest published figures show 73.5% of eligible adults aged 18 and above in Scotland have now received their booster or third dose, giving them the best possible protection against coronavirus.

Health Secretary Humza Yousaf visited the vaccination centre at the Dewars Centre in Perth yesterday to thank staff for their ongoing efforts over the Christmas period, and encourage people to keep coming forward.

Mr Yousaf said: “Since the emergence of the Omicron variant there has been a monumental effort by everyone on Scotland’s vaccination programme to make sure we can deliver booster vaccines as quickly as possible. That’s because it is the single best way to protect people’s health, and the NHS.

“This week we are calling on everyone in the country to rally round and do their bit by coming forward for their booster dose.

“I know that many people will have some well-deserved time off at this time of year. And if you haven’t yet had your covid booster, there is bound to be a vaccination clinic or drop-in centre near to you. Please have a look on the online portal to book an appointment, or check your local NHS board’s social media channels to find out where the vaccine is being offered, so you can join the thousands of others who have been boosted by the bells.   

“If you’ve yet to have your first or second dose, it still isn’t too late for that either. Our vaccination teams are waiting for you, so please come along. The sooner you have your first dose, the sooner you can then get your second, and then your booster, for the extra protection that gives.”

Provisional data released yesterday indicates an increasing number of COVID-19 cases. Figures for 25, 26 and 27 December are the highest daily totals recorded in Scotland since the start of the pandemic. 

While the figures for each day covers tests reported in the preceding 24 hour period, the lag in reporting means that the majority of these cases will relate to tests done before the Christmas break. With the longer turnaround time for test results at the moment, the actual number of positive COVID-19 cases may be higher.

The figures are:

25 December 2021: 8,252 cases

26 December 2021: 11,030 cases

27 December 2021: 10,562 cases

First Minister Nicola Sturgeon said: “While these figures are provisional, the steep increase in cases we have been expecting is now materialising, and this reflects the significantly increased transmissibility of Omicron.

“We would expect to see case numbers rise further in the days ahead – though it is worth bearing in mind that they are likely to have been even higher but for the compliance of the public with the guidance issued in the run up to Christmas. 

These figures underline how important it is that we don’t underestimate the impact of Omicron – even if the rate of hospitalisation associated with it is much lower than past strains of the virus, case numbers this high will still put an inevitable further strain on NHS.

“This level of infection will also cause a significant and severely disruptive level of sickness absence across the economy and critical services. 

“So even though we are all thoroughly fed up with the impact of Covid on our lives, it is really important that over the new year period we follow guidance to help slow the spread of the virus while we complete the accelerated booster programmes. 

“In addition to observing good hand hygiene and wearing face coverings, I am asking everyone to limit contacts as much as possible, to keep any essential indoor gatherings to a maximum of three households, and to get boosted by the bells. 

“I know sticking to all of these measures is really hard – especially at this time of year – but there’s no doubt whatsoever it will help keep us safer.”

Early winter shutdown for SPFL

The Scottish Professional Football League (SPFL) has announced that the 29 December and 2/3 January cinch Premiership fixture rounds have been postponed to 17/18 January and 1/2 February respectively.

The Boxing Day cinch Premiership fixtures will go ahead as planned, including St Johnstone v Celtic, which is being broadcast live on Sky Sports.

cinch Championship, League 1 and League 2 clubs were consulted as to whether they wished to postpone fixtures in their divisions, but they did not wish to do so.

Neil Doncaster, SPFL Chief Executive, said: “We have had intense and positive discussions with all cinch SPFL clubs over the past 24 hours, since the announcement by the Scottish Government of a three-week period of restrictions on fans attending matches. We have advised our clubs that any postponements increase the risk of further disruption to an already highly congested fixture calendar.

“There are mixed views amongst cinch Premiership clubs about what to do for the best. However, a majority favour the postponement of fixtures to give a chance for games scheduled to be played over the festive period to be played in front of fans, once the three-week period of restrictions comes to an end. The SPFL Board has agreed to postpone the 29 December and New Year cinch Premiership fixture cards.

“cinch Championship, League 1 and League 2 clubs voted to continue playing through the Government restrictions and we look forward to their festive fixtures over the next fortnight.

“We would like to place on record our sincere thanks to Sky Sports and Police Scotland for their flexibility in accommodating these changes and to all cinch SPFL clubs for their clear, positive and constructive feedback as we work together to get through the challenges posed by Covid-19.

The cinch Premiership fixtures scheduled for 29 December will move as follows:

Monday 17 January
Celtic v Hibernian (7.45pm)

Tuesday 18 January
Aberdeen v Rangers (Sky Sports, 7.45pm)
Dundee United v St Mirren (7.45pm)
Heart of Midlothian v St Johnstone (7.45pm)
Livingston v Dundee (7.45pm)
Ross County v Motherwell (7.45pm)

The cinch Premiership fixtures scheduled for 2/3 January will move as follows:

Tuesday 1 February
Dundee v Dundee United (7.45pm)
Hibernian v Heart of Midlothian (Sky Sports, 7.45pm)
Livingston v St Johnstone (7.45pm)
Ross County v Aberdeen (7.45pm)
St Mirren v Motherwell (7.45pm)

Wednesday 2 February
Celtic v Rangers (Sky Sports, 7.45pm)

Note
The Celtic v Hibernian match has been scheduled for Monday 17 January due to the Hibernian v Cove Rangers Scottish Cup tie on Thursday 20 January.

Public Health Scotland publishes First Annual Report

Public Health Scotland (PHS) has published its first Annual Report and Accounts.

Since opening on the 1st April 2020, PHS has played a significant part in the country’s response to the COVID-19 pandemic, working in collaboration with NHS Boards, the Scottish Government, Local Authorities and many others to tackle the virus, improve and protect health, and reduce health inequalities.

Public Health Scotland, Chief Executive, Angela Leitch, said: “The publication of this, our first, Annual Report, records what has been a year of great challenge and significant achievement.

“I would like to thank all PHS staff for their professionalism and commitment during this extraordinary year. In addition to our contribution to managing the response to the pandemic we have continued to produce a wealth of data, intelligence and evidence that is supporting decision making to address the public health priorities we have in Scotland.

“Our work relies on strong partnerships with many organisations across Scotland, the UK and beyond and I look forward to building on the strong foundation that has been established in our first year.

“I’m very conscious of the impact of the pandemic on the lives of so many of our communities and we remain committed to doing our part in keeping Scotland as safe as possible.

“I commend this report to you and as we move forward into the future we remain committed to our key aims of helping to create a fairer and more equitable Scotland for all of our citizens.”

GMB encourages everyone to get booster – but workers need pay boost too

Governments yet again ask key frontline workers for huge national effort, but they are still not paying them properly, says GMB 

GMB Union encourages everyone to get their booster – but says frontline workers need a pay boost too. 

Rehana Azam, GMB National Secretary, said: “There has been no respite for our frontline workers throughout the covid pandemic. 

“They’ve put themselves in harm’s way to serve the public – particularly when governments and employers failed to ensure the provision of proper PPE and testing to keep them safe at work.  

“GMB members know the importance of keeping safe and well, that’s why we’re encouraging everyone across the four nations to get their booster. 

“But as governments, yet again, ask our NHS, social care and key frontline workers to undertake another huge national effort, they are still not paying these workers properly. 

“Against the backdrop of covid, there is a cost-of-living crisis, key services face an understaffing crisis and the people delivering them are enduring a wage crisis. 

“That’s not good enough and it’s got to be confronted.  

“Our key workers must be paid properly – it’s the least they deserve for everything they are doing for all of us.” 

COVID-19 cases caught early by Lateral Flow Device tests

Thousands of COVID-19 cases have been detected by the Asymptomatic Testing Programme, a Scottish Government evaluation has found.

More than 6.6 million LFD results reported by Scots were considered in the Asymptomatic Testing Programme Evaluation which looked at nine testing pathways including community testing, early learning and childcare settings and the Health and Social Care workforce.

The number of positive cases identified by LFD testing, then confirmed by PCR, was 7,271, according to the study which looked at the period between November last year and June 2021.

The data shows widespread uptake of testing among the general population through the pathways, including the universal offer.

https://youtu.be/Q92_ZJRWqiI

Health Secretary Humza Yousaf said: “Scotland’s Testing Strategy  is a key part of our approach to controlling the Covid-19 pandemic and minimising transmission.

“This report shows the importance of regular asymptomatic testing in capturing cases of the Covid-19 often before symptoms emerge. These would otherwise go undetected or be found much later in the virus progression, once symptoms had developed.

“As we go into this holiday period, frequent testing with lateral flow devices is essential and I would urge people to make sure they report the results – whether positive, negative or void – which only takes a few minutes.

“Everyone should do a lateral flow test before mixing with people from other households. That means before going to a pub, to a restaurant, visiting someone’s house, or even going shopping.”

Scotland launches recruitment drive for new blood donors

We need to welcome 3,300 donors per week to ensure blood supplies remain at safe levels

Scottish hospitals are currently supplied by the smallest pool of blood donors this century, the Scottish National Blood Transfusion Service (SNBTS) has revealed. This festive season, SNBTS are asking people to register as a blood donor, or to return and donate if they have not given for a while.

During the Pandemic (from 2019 to 2020), active blood donors in Scotland fell from over 105,000 to fewer than 92,000. This is a real-time reduction of nearly 13% meaning 13,000 fewer people gave blood in a single year.

Although the donor base has started to rebuild in 2021 and Scotland now has 96,000 active blood donors, SNBTS are asking new donors to come forward over the festive period, or those who have got out of the habit to return and donate.

Dr Sylvia Armstrong-Fisher, SNBTS says, ‘During the pandemic, NHS Scotland relied on commitment from existing donors who gave very regularly. We’d like to thank all of these people who supported us at such an important time.

“However, alongside the natural lifecycle of blood donors retiring every day, this led to the community of active donors shrinking to its lowest level since records began.

“We need to welcome 3,300 donors per week to ensure blood supplies remain at safe levels and, with fewer people donating regularly, we want to welcome 50 new or returning blood donors every single day over the festive and Winter period.

‘During the pandemic we have made many positive changes to blood collection, to make giving blood as easy as possible for donors. We are now offering more weekend sessions in our donor centres, and have opened our flagship donor centre in Livingston, which is now welcoming over 800 donors a month. To book your appointment to donate, you can use our online portal.

‘Maintaining a safe and regular supply of blood to hospitals is our top priority. Thank you to everyone who has supported patients in Scotland over the past two years. We look forward to welcoming you soon. Please join this amazing club today and book an appointment to support Scotland’s patients over the Festive period and into the new year.’

Inverness

Helping publicise the campaign are 29yr old Kate McRae, husband Mike (35), and little daughters Abigail (4 months) and Hollie (2) from Ardersier, near Inverness. Kate, an accounts assistant for Arnold Clark, suffered a massive postpartum haemorrhage after giving birth to Abigail earlier this year.

Her life was saved by 12 transfusions given by 12 different people across Scotland. Mike, who has Colitis, also received a lifesaving transfusion when he was just 18. Without blood donors, there would be no MacRae family.

Kate says, ‘We just want to say thank you to everyone who gives blood, in particular the people who gave blood for Mike, and the twelve people who gave blood and blood products for me. I lost nearly all the blood in my body, there’s no doubt that without those people my children wouldn’t have a mother, and my husband wouldn’t have a wife.

‘It’s the best thing you could give this Christmas’

Mike says, ‘It’s scary to think that if people didn’t take half an hour, 45 minutes out their day to give blood, we could be having a very different conversation.’

Aberdeen

In addition to the MacRaes, Dr Musa Watila (47) is joining the call to arms.

A specialty doctor in Neurology at Aberdeen Royal Infirmary, Dr Watila lives with sickle cell disease and needs transfusions every eight weeks. He loves being a doctor and helping those in need, because as Dr Watila says, ‘I understand very well what it means to be on the other side of the table as a patient.’

Dundee

Dundonian chip shop owner Martine Curran (40) is supporting the drive, showing her gratitude to the blood donors who saved her life four years ago when her organs neared failure after giving birth to daughter Mara.

Martine says, ‘I would just like to say to everybody thank you, thank you so much for taking the time out your day to come and give blood. You can’t imagine how it feels – I’m just so grateful, every day I’m grateful to you all for giving blood and giving me the chance to be here, and be spending time with the ones I love.

‘You think you’re just going in to have a baby, you’ll go in, go out, it’s all happy experience. I didn’t get to take my baby home, but I eventually got home to her, so thank you. If it wasn’t for you going to give blood I wouldn’t have had that chance.’

Glasgow

Giffnock mum Louise Pennington’s seven year old daughter Freya was diagnosed with Acute Lymphoblastic Leukaemia last November. She spent a month in hospital, needing ten transfusions over this time, before finally being able to go home just before Christmas.

Louise remembers one transfusion in particular. ‘One day Freya really wasn’t well from the side effects of treatment. She was lethargic, very sick, she had lots of mouth ulcers and sores. The doctor could tell, just by looking at her, she would need a blood transfusion that day.

‘Watching her it hit me, the enormity, that someone had given their blood and Freya would feel a bit better afterwards. I had an overwhelming sense of gratitude that someone had donated this for Freya to feel better. It wasn’t a tablet created in a lab, but a real person who had made her better. I just wanted to say thank you to anyone who had given up their time to donate.’

  • There are eight different blood groups. SNBTS aim to retain 5-7 days supply of all eight blood groups at all times. At this time, people with the blood groups A and O are particularly asked to come forward. You can see Scotland’s daily blood stock levels on scotblood.co.uk
  • Book an appointment to give blood by creating your online donor account at scotblood.co.ukcontacting us online, or phoning 0345 90 90 999 (Monday to Friday, 9am-5pm).

UK coronavirus alert level increased from Level 3 to Level 4

Following advice from the UK Health Security Agency and in the light of the rapid increase in Omicron cases, the UK Chief Medical Officers and NHS England National Medical Director have recommended to ministers that the UK COVID-19 alert level should increase from Level 3 to Level 4.

Transmission of COVID-19 is already high in the community, mainly still driven by Delta, but the emergence of Omicron adds additional and rapidly increasing risk to the public and healthcare services.

Early evidence shows that Omicron is spreading much faster than Delta and that vaccine protection against symptomatic disease from Omicron is reduced. Data on severity will become clearer over the coming weeks but hospitalisations from Omicron are already occurring and these are likely to increase rapidly.

When vaccine protection is reduced in the way that is happening with Omicron it is essential to top up that protection with a booster. Both booster vaccines (Pfizer and Moderna) increase the immune response substantially and show good effectiveness although with some reduction compared to Delta.

The NHS is currently under pressure mainly driven by non-COVID-19 pressures. With a variant spreading with increased transmissibility and reduced vaccine effectiveness, we are likely to see this pressure rise soon.

It is extremely important that if you are eligible, you get your COVID-19 vaccination now – whether this be your first, second or booster dose.

People should continue take sensible precautions including ventilating rooms, using face coverings, testing regularly and isolating when symptomatic.

Chief Medical Officer for England, Professor Chris Whitty

Chief Medical Officer for Northern Ireland, Professor Sir Michael McBride

Chief Medical Officer for Scotland, Professor Gregor Smith

Chief Medical Officer for Wales, Dr Frank Atherton

NHS England National Medical Director, Professor Stephen Powis