The number of days that patients who have been delayed from leaving hospital because of no appropriate place to go to has risen to 7,829 for July 2021, the latest month statistics are available for.
This is an increase of 2,004 from 5,825 delays throughout June and triple the number of bed days occupied from delayed discharge at the start of the Covid-19 pandemic when 2,531 delays occurred.
At the start of the Covid-19 pandemic SNP Ministers made the decision to move hospital patients into care homes, to free up hospital space for dealing with the Covid-19 pandemic. It later emerged that patients being moved from hospitals to care homes where not tested for Covid-19 leading to higher rates of Covid-19 deaths in care homes than anywhere else in Scotland.
The level of delayed discharge in NHS Lothian has now returned to pre- pandemic levels with the number of bed days in hospital for delayed discharge being 11 higher than March 2020, 7,278, when hospital patients where moved to care homes.
Edinburgh and the Lothians were in the process of recovering from a Social Care crisis before the pandemic hit, with the peak of delayed discharge in hospitals being in October 2018, when 11,855 combined days when patients were not able to leave hospital, despite being back to health.
Lothian MSP, Miles Briggs, said: “These figures are very concerning, with the number of patients being stuck in hospital without a suitable destination, returning to pre pandemic levels.
“In Edinburgh and the Lothians there has been a long standing challenge to provide social care, which started to shift towards care in the community.
“We are now seeing increasing numbers of patients not able to leave hospital and the Edinburgh Integrated Joint Board are planning on closing more care homes.
“Patients leaving hospital must have a suitable destination to go once recovered, so that we are not in a position where people are waiting days on end in hospital, when they don’t need to be there.”
Includes £1 billion to help tackle COVID-19 backlogs, delivering routine surgery and treatments for patients
The NHS will receive an extra £5.4 billion over the next six months to support its response to COVID-19 and help tackle waiting lists, the Prime Minister and Health and Social Care Secretary Sajid Javid have announced.
The funding will immediately go towards supporting the NHS to manage the immediate pressures of the pandemic. This includes an extra £1 billion to help tackle the COVID-19 backlog, £2.8 billion to cover related costs such as enhanced infection control measures to keep staff and patients safe from the virus and £478 million to continue the hospital discharge programme, freeing up beds.
The additional £5.4 billion brings the government’s total investment to health services for COVID-19 so far this year to over £34 billion, with £2 billion in total for the NHS to tackle the elective backlog.
Prime Minister Boris Johnson said: “The NHS was there for us during the pandemic – but treating Covid patients has created huge backlogs.
“This funding will go straight to the frontline, to provide more patients with the treatments they need but aren’t getting quickly enough.
“We will continue to make sure our NHS has what it needs to bust the Covid backlogs and help the health service build back better from the worst pandemic in a century.”
Health and Social Care Secretary Sajid Javid said: “The NHS has been phenomenal as it has faced one of the biggest challenges in its history.
“Today’s additional £5.4 billion funding over the next 6 months is critical to ensuring the health service has what it needs to manage the ongoing pandemic and helping to tackle waiting lists.
“We know waiting lists will get worse before they get better as people come forward for help, and I want to reassure you the NHS is open, and we are doing what we can to support the NHS to deliver routine operations and treatment to patients across the country.”
Amanda Pritchard, NHS chief executive, said: “This funding provides welcome certainty for the NHS, which has pulled out all the stops to restore services, while caring for thousands of seriously ill Covid patients requiring hospital treatment during the toughest summer on record.
“This additional investment will enable the NHS to deliver more checks, scans and procedures as well as helping to deal with the ongoing costs and pressures of the pandemic as the NHS heads in to winter.”
The UK Government has been clear that the NHS will ‘get what it needs’ to recover its usual services and deliver quality care to patients.
The waiting list for routine operations and treatments such as hip replacements and eye cataract surgery could potentially increase to as high as 13 million. While today’s extra £1 billion funding will go some way to help reduce this number, waiting lists will rise before they improve as more people who didn’t seek care over the pandemic come forward.
£478 million of this new funding has been dedicated to continue the hospital discharge programme so staff can ensure patients leave hospital as quickly and as safely as possible, with the right community or at-home support.
This will free up thousands of extra beds and staff time to help the NHS recover services. The government has also invested £500 million in capital funding for extra theatre capacity and productivity-boosting technology, to increase the number of surgeries able to take place.
This funding is for England only. The devolved administrations will receive up to £1 billion in Barnett consequentials in 2021-22. The final amount will be confirmed and allocated at Supplementary Estimates 2021-22.
On top of this funding, the NHS recently launched a £160 million initiative to tackle waiting lists. This is looking to accelerate the recovery of routine treatments and operations by trialling new ways of working, including a high-volume cataract service, one stop testing facilities where people can get tests done quickly and efficiently, to speed up the time to treatment, greater access to specialist advice for GPs and pop-up clinics so patients can be seen and discharged closer to home.
The UK government is ‘committed to delivering the greatest hospital building programme in a generation with 40 new hospitals by 2030’, backed by an initial £3.7 billion.
Yesterday’s announcement is in addition to the £3 billion announced at Spending Review 2020 to support the NHS.
First Minister Nicola Sturgeon is expected to announce a further £2.5 billion increase in NHS spending in Scotland when she lays out her Programme for Government later today.
Record investment to ensure Scotland’s NHS is ready to meet changing patient demands and the impact of the Coronavirus (COVID-19) pandemic will be at the heart of the 2021/22 Programme for Government (PFG) this week.
The PfG will confirm plans to introduce an unprecedented increase in frontline health spending of 20% over the current Parliament.
The first rise will be confirmed in the 2022/23 budget being published later this year and will provide additional funding of at least £2.5 billion by 2026/27.
The PfG will be set out by First Minister Nicola Sturgeon in the Scottish Parliament tomorrow (Tuesday 7 September), and will also include measures to drive a green, fair economic recovery, create a land of opportunity for our children and young people, and achieve a just transition to net zero.
It will also confirm plans to introduce legislation in the coming year to establish a new National Care Service in Scotland by the end of the current Parliament, transforming the way health and social care services are provided.
The First Minister said: “We owe our health and social care services, and the extraordinary staff who kept them running in the toughest of years, our immense gratitude.
“As we emerge from the pandemic, we will strengthen and improve our health and social care system so that everyone gets the care they need, while recognising and repaying the efforts of staff given the toll the pandemic has had on them.
“We are already investing record amounts in out NHS, but this 20% increase will help transform the way we deliver services and ensure the system is ready to meet the challenges which still lie ahead.
“Our recent NHS recovery plan set out measures to establish a network of cancer diagnostic centres, refurbish NHS facilities across Scotland and make unprecedented investment in mental health services.
“The creation of a National Care Service will also mark the biggest reform of health and social care since the creation of the NHS and will help ensure every patient’s care journey is focused on the individual.
“Recovery from COVID-19 across all of society is the Scottish Government’s first and most pressing priority and I am determined that this Programme for Government will allow our health service to continue managing COVID-19 and our longer term population health challenges.”
Primary care funding will go up by 25% over the course of this parliament, with half of all frontline health spending invested in community health services.
The PfG will also confirm plans to invest £29 million to provide an additional 78,000 diagnostic procedures, as well as increasing inpatient and day case activity by 10% in 2022/23 and outpatient activity by 10% by 2025/26.
The first £50 million, of the planned £250 million increased investment to tackle the drugs death emergency, will also be provided.
Clean energy and tourism were top of the agenda as UK Government Minister for Scotland Iain Stewart took a fact finding trip to Orkney at the end of August.
The Minister met with Orkney Islands Council leaders and key stakeholders as he toured the archipelago to see first hand how it’s using its Neolithic ruins and world leading renewables expertise to deliver a bright future.
He heard how the UK Government’s £50 million contribution to the Islands Growth Deal will help Orkney stay at the cutting edge of green energy and boost tourism.
The £335 million Islands Growth Deal is a partnership between the UK and Scottish governments and organisations across Orkney, Shetland and the Outer Hebrides.
Among the facilities the Minister visited in Stromness were the Orkney Research and Innovation Campus for renewables research and Aquatera/European Marine Energy Centre (EMEC) who have established the Islands Centre for Net Zero to pool efforts in the race to reach net zero.
The Minister met with Highlands and Islands Airport Ltd at Kirkwall Airport to hear about the development of electric planes and saw a Hydrogen Filling Station in action at Hatston, before meetings with council leaders for a discussion on energy, digital connectivity and COP26, which Shetland Islands Council also joined.
He completed his visits with the world famous, 5,000-years-old Skara Brae village and heard about plans to increase visitor numbers to boost the local economy.
Minister Stewart said: “It was a great experience to visit Orkney and I’m delighted the Islands Deal Growth deal is going to help develop the future of the archipelago alongside Shetland and the Outer Hebrides.
“I saw how Orkney has the potential to generate through wind, waves and tides, a vast amount of the renewable energy that the UK needs to get towards net-zero. I really do believe that Orkney can be a trailblazer.
“But it’s not all about the present and future. Skara Brae, a 5000-years-old Neolithic village, is an incredibly important tourist destination, not just in Orkney, but a World Heritage Site.
“I look forward to seeing how, with the help of UK Government funding, experts will develop this as a destination both to make it more sustainable and cope with hopefully ever-increasing numbers as tourism returns after the pandemic.
“Vaccinations are undoubtedly the route out of this. But vaccine passports are not.”
Scottish Liberal Democrats leader Alex Cole-Hamilton has spoken out against Scottish Government proposals to introduce a vaccine certificate in Scotland.
The Edinburgh Western MSP said: “Next week the Scottish Parliament will vote on SNP/Green proposals to introduce vaccine certification in Scotland.
“For the first time, Scottish People will have to share private medical data with strangers in order to access venues and services.
“These are COVID ID cards in all but name and the Scottish Liberal Democrats are leading the opposition to their introduction.
“Our hospitality and events businesses see COVID ID cards as a threat to their recovery.
“COVID ID cards will not stop the spread of the virus, reduce case numbers or make up for the week-long delays in contact tracing. There are no time limits on their use and the door will be left open to expand their use in the future.
“Vaccines are our way out of the pandemic and I urge everyone who can receive a vaccine to get one. But COVID ID cards are illiberal and dangerous precedent and are not part of the answer.”
JVCI advises politicians to seek further advice from CMOs
The four Chief Medical Officers will provide further advice on the COVID-19 vaccination of young people aged 12 to 15 with COVID-19 vaccines following the advice of the independent Joint Committee on Vaccination and Immunisation (JCVI).
The independent medicines regulator, the Medicines and Healthcare products Regulatory Agency (MHRA), has approved the Pfizer and Moderna vaccines for people aged 12 and over after they met strict standards of safety and effectiveness.
The JCVI has advised that the health benefits from vaccination are marginally greater than the potential known harms. It has advised the government to seek further input from the Chief Medical Officers on the wider impacts.
This includes the impact on schools and young people’s education, which has been disproportionately impacted by the pandemic.
UK health ministers from across the four nations have today written to the Chief Medical Officers to request they begin the process of assessing the broader impact of universal COVID-19 vaccination in this age group.
They will now convene experts and senior leaders in clinical and public health to consider the issue. They will then present their advice to ministers on whether a universal programme should be taken forward.
People aged 12 to 15 who are clinically vulnerable to COVID-19 or who live with adults who are at increased risk of serious illness from the virus are already eligible for a COVID-19 vaccine and are being contacted by the NHS, to be invited to come forward.
The JCVI has advised that this offer should be expanded to include more children aged 12 to 15, for example those with sickle cell disease or type 1 diabetes.
Health and Social Care Secretary Sajid Javid said: “Our COVID-19 vaccines have brought a wide range of benefits to the country, from saving lives and preventing hospitalisations, to helping stop infections and allowing children to return to school.
“I am grateful for the expert advice that I have received from the independent Joint Committee on Vaccination and Immunisation.
“People aged 12 to 15 who are clinically vulnerable to the virus have already been offered a COVID-19 vaccine, and today we’ll be expanding the offer to those with conditions such as sickle cell disease or type 1 diabetes to protect even more vulnerable children.
“Along with Health Ministers across the four nations, I have today written to the Chief Medical Officers to ask that they consider the vaccination of 12 to 15 year olds from a broader perspective, as suggested by the JCVI.
“We will then consider the advice from the Chief Medical Officers, building on the advice from the JCVI, before making a decision shortly.”
Scottish Health Minister Humza Yousaf said: “I want to thank the JCVI for today’s advice regarding vaccination for 12 -15 year olds.
“While the JCVI has agreed that the benefits marginally outweigh the risks they are not yet prepared to recommend universal vaccination of 12-15 year olds, however, they have suggested that Health Ministers may wish to ask their respective CMOs to explore the issue further, taking into consideration broader educational and societal impacts.
“Therefore, I have agreed with the other three UK Health Ministers to write a letter asking the four Chief Medical Officers to consider this latest guidance and explore whether there is additional evidence to suggest it would be beneficial to offer vaccination to all 12 – 15 year olds. We have asked for this further work to be conducted as soon as possible.
“A further update will be issued once these discussions have taken place. In the meantime, we will offer the vaccine to those children and young people currently recommended.
“The recent increase in cases of COVID-19 means it remains crucial that everyone who is offered a vaccination takes up the offer.”
Lothian Conservative MSP Miles Briggs has called on SNP and Green Minister to do more to support Edinburgh Council in preventing homelessness.
Yesterday the city council’s Housing, Homelessness and Fair Work Committee met to discuss challenges facing the capital.
Councillors raised concerns that the number of people presenting as homeless would rise over the next few months. Between 1st April 2020 and 30 June 2021, 2,550 people presented to the Council as homeless.
The number of household in temporary accommodation increased from 3,570 in March 2020 to 4,431 in March 2021, an increase of 24%.
Mr Briggs has also supported calls for tenants to contact Edinburgh Council if they are having trouble paying their rent to help resolve the issue sooner rather than later.
The pledge to end homelessness across Scotland by the end of this Parliament has received cross party support, with Lothian MSP Miles Briggs going even further, calling for homelessness to be ended by 2023.
Lothian MSP, Miles Briggs, said:“If we are going to end homelessness in Scotland then the first step is to prevent people becoming homeless.
“Charities, such as Crisis, do excellent work to stop people becoming homeless, by working with Private landlords and Edinburgh Council.
“In Edinburgh we face unique challenges to preventing homelessness and SNP/ Green Ministers are not providing enough support to prevent people from becoming homeless.
“I will be meeting with the Cabinet Secretary for Social Justice, Housing and Local Government later this month to discuss these issues in greater detail.”
The largest coalition of organisations to date on this issue has signed a joint open letter to the Prime Minster calling on him not to go ahead with the planned £20-a-week cut to Universal Credit and Working Tax Credit, due to come into effect on 6 October.
The joint letter, coordinated by the Joseph Rowntree Foundation, is signed by a wide range of 100 organisations that operate at a national level as well as in communities across the UK. Among the signatories are leading voices on health, education, children, housing, poverty, the economy and other aspects of public policy.
OPEN LETTER
Dear Prime Minister,
We are writing to collectively urge you not to go ahead with the planned £20-a-week cut to Universal Credit and Working Tax Credit at the beginning of October.
Many of us provide frontline support in communities up and down our country and see first-hand the importance of our social security system. Life is full of crises that we cannot plan for, such as job loss or illness, and periods of lower earnings or caring responsibilities. We all need the security and stability of a strong lifeline, not just during a national crisis, but every day.
Imposing what is effectively the biggest overnight cut to the basic rate of social security since World War II will pile unnecessary financial pressure on around 5.5 million families, both in and out of work.
At the start of the pandemic, the Chancellor rightly said that he was introducing the £20 increase to “strengthen the safety net” – a tacit admission that a decade of cuts and freezes had left it unfit to provide the support families need. We all strongly supported this crucial improvement in support.
We are at risk of repeating the same mistakes that were made after the last economic crisis, where our country’s recovery was too often not felt by people on the lowest incomes. The erosion of social security support was one of the main drivers of the rise in in-work and child poverty, and contributed to a soaring need for food banks, rising debt and worsening health inequalities.
We deeply regret that the Department for Work & Pensions has not published its assessment on the impact of cutting Universal Credit and Working Tax Credit. However, the latest independent analysis from the Joseph Rowntree Foundation (JRF) shows it risks plunging 500,000 people into poverty, including 200,000 children. It will take the main rate of out of work support down to its lowest levels in real terms since around 1990.
This is not a question of having to choose between a recovery based on getting people into jobs or investing in social security, in fact most families impacted by this cut to Universal Credit and Working Tax Credit are already in work. The reality of the UK labour market means that to improve living standards, we need to both improve job quality and strengthen the social security system. We also must never lose sight of the need to provide adequate support to families who are not able to work so they can meet their needs with dignity.
Six former Conservative Work & Pensions Secretaries believe previous cuts to social security spending went too far and oppose this cut, and your own Conservative MPs are warning that it will have deep and far-reaching effects in their constituencies.
Recent analysis from JRF shows that 413 parliamentary constituencies across Great Britain will see over a third of working-age families with children hit by the planned cut to Universal Credit and Working Tax Credit on 6 October 2021. Of these 413 constituencies, 191 are Conservative – 53 of which were newly won at the last general election or in a subsequent by-election.
This looming cut would fundamentally undermine the Government’s mission to level up. Citizens Advice has identified that people are one and a half times more likely to claim Universal Credit in places the Government has prioritised for levelling up investment. They also found for every £1 that could be invested from the Levelling Up Fund in England, £1.80 would be taken from these local economies if the Government presses ahead.
Furthermore, it is unacceptable that legacy benefits, such as Employment and Support Allowance, Jobseeker’s Allowance and Income Support, continue to be excluded from this crucial improvement in support, mostly impacting people who are sick, disabled or carers.
We are rapidly approaching a national crossroads which will reveal the true depth of the Government’s commitment to improving the lives of families on the lowest incomes.
We all want a social security system that supports families to escape poverty rather than pulling them deeper into it. However, this cut risks causing immense, immediate, and avoidable hardship. A strong social security system is a crucial first step to building back better. We strongly urge you to make the right decision.
Yours sincerely,
Action For Children
Advice NI
APLE Collective
The Association of Charitable Organisations
Become
Bevan Foundation
The Big Issue
Bright Blue
The British Association of Social Workers
British Psychological Society
Business in the Community
Carers UK
Caritas Social Action Network
Centre for Cities
Centrepoint
Child Poverty Action Group
Children England
Christians Against Poverty
Church Action on Poverty
Citizens Advice
Citizens Advice Scotland
Citizens UK
Communities that Work
Crisis
Disability Benefits Consortium (a network of over 100 disability organisations)
Employment Related Services Association (ERSA)
End Child Poverty Coalition
End Furniture Poverty
The Equality Trust
The Faculty of Public Health
Family Fund
Feeding Britain
The Food Foundation
Generation Rent
Gingerbread, the charity for single parent families
“A threat hanging over the whole of the hospitality industry” – Scottish Licensed Trade Association
Coronavirus vaccination certificates will be required to enter certain events and higher risk venues, such as nightclubs, music festivals and some football grounds, if Parliament backs the move in a vote planned for next week.
While Covid cases continue to rise and to avoid as little disruption to the economy as possible, the Scottish Parliament will be asked to vote on the introduction of the certification scheme which will only be implemented once all adults have had the opportunity to receive both doses of the vaccine. Children and adults that are ineligible for vaccination will be exempt.
Proof of vaccination will be required later this month to enter:
nightclubs and adult entertainment venues
unseated indoor live events, with more than 500 people in the audience
unseated outdoor live events, with more than 4,000 people in the audience
any event, of any nature, which has more than 10,000 people in attendance
There are currently no plans to introduce certification for the wider hospitality industry but this will be kept under review over the autumn and winter months.
From Friday (3 September), people will be able to download a PDF copy of their vaccination certificate, with a personalised QR code, to print off instantly or store on their mobile phone for use domestically or internationally. This is in addition to the existing paper letters that can be requested from NHS Inform and the CovidHelpline.
First Minister Nicola Sturgeon said: “We do not want to reimpose any of the restrictions that have been in place for much of this year as we all know how much harm they have caused to businesses, to education and to people’s general wellbeing but we must stem the rise in cases.
“In addition to measures such as free testing and the installation of CO2 monitors in schools, we believe that a limited use of vaccine certification in certain higher risk settings, could help us to keep businesses open and prevent any further restrictions as we head into autumn and winter.
“They will be for use in very limited settings and never for public services such as transport, hospitals and education. This is a significant step forward and not a decision we have taken lightly but it is in line with certification in other European countries.
“The original protective measures such as wearing a face covering, physical distancing, hand washing and isolating when necessary are still key to reducing prevalence of the virus but getting vaccinated remains the single most important step that any of us can take to keep ourselves and others safe.
“Ensuring that as many people as possible get vaccinated remains a key priority and the Scottish Government will continue to do everything we can to improve on the already high up take of the vaccine. We continue to urge anyone aged 16 and over to get vaccinated, please find your local drop-in clinic by visiting NHS Inform.”
THE announcement by the First Minister that the Scottish Government proposes to roll out vaccine certificates in nightclubs and larger event settings is a “threat hanging over the whole of the hospitality industry”, says the Scottish Licensed Trade Association (SLTA).
Colin Wilkinson, SLTA managing director, said:- “Although the suggestion is that the wider hospitality industry will not be affected should the Scottish Government agree to the introduction of ‘Covid passports’ next week, it is a most unwelcome development for the licensed trade in general.
“But a simple question is: where is the evidence that this is required for nightclubs and what is a night club? We are seeing a large spike in infection rates following the general reopening of the economy when a number of sectors fully reopened and Scottish schools have been opened for two weeks, universities and colleges are about to open, but nightclubs alone have been targeted with the possible introduction of a Covid status certification system at this time.
“And what is a night club? With a wide variety of hybrid premises in the Scottish licensed trade market, how is this defined? Many pubs, bars and hotels are larger than nightclubs and offer various entertainments. Consultation with the industry before this announcement was made would have been helpful.
“If Covid status certification is to be introduced, any system must be easy to use for both businesses and members of the public.
“We await the finer details of how this scheme will work and will strive to work with the Scottish Government to ensure that their introduction, if that is what happens, is seamless and easy for all involved.”
With COP26 just around the corner, we are happy to announce our Youth Climate Summit, ‘Let’s Talk COP26’, taking place digitally on the 4th of September from 10.00 – 15.15 BST.
This event will host a diverse variety of speakers and workshop sessions grounded in 5 key themes up for discussion on COP26’s presidential programme: nature-based solutions, adaptation and resilience, finance, energy transition, and clean road transport.
These sessions will be led by youth activists, community groups, and industry leaders from organisations such as Friends of the Earth Scotland, the Black Environmental Network, and the Loss and Damage Youth Coalition (to name just a few!).
By engaging specifically with the event of COP26 and its themes, ‘Let’s Talk COP26’ strives to unpack a political decision-making process that lacks transparency and marginalises those experiencing the climate emergency first and worst. This event will tackle the key issues being discussed at COP26 so that we can take informed and effective youth action moving forward.
This event is free and open to young people aged 18-35 in Scotland and beyond. Sign up now!
