“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:

Scotland sends supplies to help fight COVID-19 in Africa

Stocks of personal protective equipment (PPE) are to be donated to Africa to aid their response to the COVID-19 pandemic.

The PPE equipment, worth £11.2 million, will be distributed by Kids Operating Room (KidsOR), a Scottish-based global health charity.

This distribution will be supported by £250,000 from the Scottish Government, which will fund the transport of 25 shipping containers of material to Malawi, Rwanda and Zambia.  

KidsOR raised a further £1 million to support the transport of the PPE from the Wood Foundation, Pula Limited, Postcode Trust and Delta Philanthropies.

The supplies include masks, goggles, and visors and the shipment, made available through the NHS Scotland Global Citizenship Programme, is due to arrive in partner countries in late September.

International Development Minister Jenny Gilruth said: “COVID-19 knows no borders. I am pleased that the Scottish Government has been able to support this assistance to Malawi, Rwanda and Zambia – particularly as they look to plan for an expected fourth wave of COVID-19 in the coming months.

“This contribution builds on our recent supply of oxygen concentrators and ventilators, and we hope it will go some way to easing the current stress on health services.

“As the global pandemic continues, we firmly believe this is precisely the moment that Governments across the world should be stepping up to help those most in need.

“This donation underlines that the Scottish Government remains fully committed to playing our part in tackling the shared global challenge that the pandemic represents. I would like to thank KidsOR for supporting us to make it possible to distribute this PPE equipment along with the recent supply of oxygen concentrators and ventilators.”

Chief Executive of NHS National Services Scotland (NSS) Mary Morgan said: “The battle to beat COVID is truly a global effort. We are pleased that PPE secured by NSS is being donated to help those who need it most in Africa.

“We will continue to work with partners to identify further opportunities to support countries and communities who need our help.”

Co-Founder of KidsOR Garreth Wood said: “I would like to thank our donors for stepping up to help support the distribution of so many millions of items of PPE that will prove vital for countries in Africa battling the ongoing COVID pandemic.”

NHS Covid-19 funding increased

An additional £380 million is being allocated to Health Boards to help with costs arising from the pandemic.

This comes on top of the £1.7 billion already provided to Health Boards and Health and Social Care Partnerships last year. Further financial support will be made available as necessary over the course of this year.

This additional funding includes ongoing support for the vaccination programme, the Test and Protect system, and personal protective equipment (PPE) for health and care workers.

Health Secretary Humza Yousaf said: “Although we are hopefully emerging from this pandemic, coronavirus continues to add significant pressures to our health and care services.

“We will continue to assess the impact of COVID-19 and provide Health and Care services with the support they require. The remobilisation of the NHS is among our top priorities. We will publish a national recovery plan within the first 100 days of this government.

“The £380 million includes £90.3 million for Test and Protect, a further £76.8 million for the COVID and extended flu vaccination programmes, and £85.5 million allocated to National Services Scotland for PPE costs. The rest of the funding will cover costs including additional staffing to support hospital scale-up, equipment, maintenance and IT.”

The 2021-22 Scottish Budget takes total health portfolio funding in excess of £16 billion – an increase of over £800 million (5.3%) – with a further £1.08 billion of funding to address pressures related to COVID-19. 

FM: Progress – but DO NOT meet people from another household indoors

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House yesterday (Thursday 4 June):

Good afternoon. Thank you very much for joining us for today’s briefing. I want to start with my usual update on the current position in relation to Covid-19.

As at 9 o’clock this morning, there have been 15,553 positive cases confirmed – that is an increase of 49 from yesterday.

A total of 1,021 patients are currently in hospital with either confirmed or suspected Covid-19. That represents a total decrease of 96 from yesterday, including a decrease of 21 in the number of confirmed cases.

A total of 28 people last night were in intensive care with confirmed or suspected Covid 19. That is a decrease of 6 since yesterday.

I am also able to confirm today that since 5 March, a total of 3,758 patients who had tested positive and required hospital treatment for the virus have been able to leave hospital.

And in the last 24 hours, 9 deaths have been registered of patients confirmed through a test as having the virus – that takes the total number of deaths in Scotland, under that measurement, to 2,395.

Now, as I often say, we cannot and indeed we should not read too much into any one day’s figures – and tomorrow’s figure or the next day’s figure may be higher than the one I have just given you – but I think it is still worth noting that yesterday was the first weekday, since 27 March, when the number of deaths registered under our daily measure was in single figures.

I think that demonstrates the progress we are making against this virus, but it also underlines why we all continue to need to comply with the public health guidance, so that we can continue to make this progress and don’t allow it to go into reverse.

But of course 9 deaths is still too many, and thinking of those 9 lives lost reinforces the point I make every day: that these figures are not just statistics; they represent people – unique and irreplaceable individuals – whose loss will have left families shattered and grieving. So I want to send my condolences once again to everyone who has lost a loved one to this virus.

I also want to express my thanks– as I always do – to our health and care workers, for the incredible work you are doing in incredibly challenging circumstances. My thanks goes to each and every one of you. The entire country owes you a debt of gratitude.

I am joined today by the Chief Medical Officer and the Cabinet secretary for Health. The Cabinet Secretary has some information to share about the prioritisation of cancer services, and the Chief Medical Officer will focus on figures which were published yesterday relating to patients in intensive care.

Before they speak, I want to  acknowledge the job losses announced yesterday at Rolls Royce in Inchinnan.  That announcement will have been devastating news for the workforce and their families, at what is already a very anxious time – and unfortunately it may not be the last of its kind in the period ahead. I want to stress that the Scottish Government will do everything we can to secure as good an outcome as we can for those whose jobs are at risk.

Yesterday’s news emphasises a point I have made before – that alongside a public health emergency, we are also now dealing with an economic emergency, on a scale none of us have experienced.

And that requires – and it will get – the attention and focus of the Scottish Government, just as the health emergency has and continues to get.

We have already allocated more than £2.3 billion to help businesses in Scotland through measures such as grants and business rates relief. That is in addition to welcome UK Government measures such as the furlough scheme.

Mitigating and addressing the economic costs of Covid is going to become an even greater priority in the weeks and months ahead.

But alongside that, and as part of our response, we also want to help businesses, where possible, to adapt and find new markets.

One of the areas where we have been doing that already, is in relation to personal and protective equipment, or PPE – in Scotland.

We are publishing a report today that summarises how we are securing PPE for health and care workers in Scotland – it also sets out the work we are doing to develop a manufacturing chain for that equipment.

To demonstrate the scale of some of this work, it’s maybe worth looking at an item such as fluid resistant surgical masks. Those are masks which help to prevent blood, bodily fluids and secretions from one person – including water droplets from coughs – coming into contact with the mouth or nose of the person wearing the mask.

Prior to Covid-19, National Services Scotland would provide around 57,000 of those masks to our health and care sector each week.

Now, instead of needing 57,000 masks a week, we need 4 ½ million. That is an 80-fold increase.

To meet that demand, we are importing equipment from overseas. 100 million fluid resistant masks have been imported from China, and a further 60 million are on order.

But we are also working with suppliers in Scotland to establish domestic supply chains.

Alpha Solway, a firm based in south-west Scotland which specialises in protective clothing, is due to start producing masks in August.  They have taken on 30 new staff to do so, and they are using raw material sourced from Don & Low in Forfar.

As a result, we hope that in due course, manufacturers in Scotland will be able – not just to meet demand for these masks here in Scotland – but also provide them to other parts of the UK or to other countries in Europe.

There is a similar story in relation to other items of equipment. We are creating supply chains for non-sterile gowns and FFP3 masks.  In addition, Berry BPI are planning to make 2-3 million new aprons a week in Greenock. A number of smaller Scottish enterprises are planning to make visors.

And CalaChem Ltd has produced 580,000 litres of hand sanitiser at its Grangemouth plant, using ethanol provided by Whyte & Mackay.

Many other Scottish businesses have diversified in order to help with the provision of PPE and I am grateful to each and every one of them.

They have worked alongside public service bodies such as NHS Scotland, Scottish Development International and the National Manufacturing Institute for Scotland.

And it is worth highlighting that in many cases, companies are not simply making existing products. They are often using innovation to improve the equipment – for example by ensuring that face masks fit better on small faces, and that more equipment can safely be re-used.

Fundamentally, the Scottish Government’s priority – which we are achieving – must always be to ensure that we have adequate stocks of PPE.

Our health and care service workers – the people who help and protect us – must themselves be protected.

That is important at the moment, but also for the future, as we look to reopen the NHS, and maintain secure stocks of equipment for social care.

We will always, when necessary, place major orders with overseas suppliers.

However we are also increasingly taking advantage of the expertise of manufacturers here. Doing that gives us greater reassurance that supplies will be secure in the long term, and it also creates real benefits in terms of jobs and exports.

Those benefits don’t of course come close to balancing the wider economic harms caused by this pandemic – and so the Scottish Government will continue to work with business and the UK Government to address those. But these benefits are welcome nonetheless. And they are a testament to the ongoing importance and excellence of our manufacturing sector here in Scotland.

I will hand over to the Cabinet Secretary and Chief Medical Officer in a moment. Before I do that, however, I want to re-emphasise our key public health guidance.

And I’m asking you today to focus not just on what you are now allowed to do as a result of the small changes we made last week – but to focus even more so on what we are still asking you not to do.

It is by not doing certain things right now that we will help stop the virus spreading – so that means not meeting other households indoors, not coming within 2 metres of people from other households, not shaking their hands or hugging them, not sharing food or utensils with others or touching hard surfaces they may also have touched and not leaving your face uncovered in enclosed spaces like shops and public transport.

So I’m asking you to think about all of that every time you leave home or meet with someone from another household.

And, particularly, ahead of a weekend when the weather forecast is more traditionally Scottish ie heavy rain – I want to particularly emphasise this point:

You cannot and must not meet people from another household indoors – that is a sure fire way of allowing this virus to spread again.

So if you’re not willing to get your waterproofs on and meet outdoors, don’t meet up at all.

I cannot emphasise that enough.

So to recap –

You should still be staying home most of the time, and you should still be meeting fewer people than normal. If your life feels like it is getting back to normal at the moment, you should ask yourself whether it should be and whether you are complying with all the guidance.

When you do meet people from another household, you must stay outdoors, and you must stay 2 metres apart from them.

Don’t meet with more than one other household at a time, don’t meet more than one a day – and keep to a maximum – I stress, a maximum – of 8 people in a group.

Wash your hands often. Take hand sanitiser if you are out and about.

Wear a face covering when you are in shops or on public transport.

Avoid touching hard surfaces – and clean any you do touch.

And if you have the symptoms of Covid-19 – a new, continuous cough; a fever; or a loss of, or change in, your sense of smell and taste – you must get tested, and follow the advice on self isolation.

Above all else, please remember that the decisions each of us take as an individual, affect the health and wellbeing of all of us.

Please, continue to do the right thing, and to stick to those guidelines. It really, really matters, and it matters as much now as it did at the start of this pandemic. By doing so, we will continue to slow the spread of the virus, and save lives. So thank you, once again, to all of you for doing that.

70 million face masks for NHS and care workers through new industry deal

  • Government agrees deal with technology company Honeywell to manufacture 70 million face masks for frontline workers
  • New deal part of plan to unleash potential of UK industry to scale up domestic personal protective equipment (PPE) manufacturing
  • The production line has capacity to produce up to 4.5 million masks each month and will create 450 new jobs at the production site

More than 70 million face masks will be manufactured in Scotland and delivered to frontline health and care workers following an agreement with a global technology company, the UK government has announced.

FFP2 and FFP3 masks will be produced over an 18-month period at Honeywell’s site in Newhouse, Scotland, with production set to begin as early as July. Each month will see up to 4.5 million masks roll off the production line, ready for distribution to frontline NHS and social care workers.

It marks a significant moment in the government’s ‘make’ programme, headed up by Lord Deighton, which seeks to unleash the potential of UK industry to scale up domestic PPE manufacturing.

The move supports the government’s continued efforts to ensure PPE reaches those fighting the virus on the frontline, with over 1.25 billion items of PPE delivered to health and social care workers since the outbreak began.

Additionally, the new production line will create approximately 450 new jobs at the Scotland site.

Health and Social Care Secretary Matt Hancock said: “These 70 million masks are the result of our challenge to UK industry to scale up domestic PPE manufacturing.

“This deal is brilliant news for the whole United Kingdom which will not only deliver the masks we need but create around 450 jobs in Newhouse, Scotland.

“I’m delighted to team up with Honeywell to open up another avenue to get millions of masks to the frontline and strengthen our ongoing response to the outbreak.

Lord Paul Deighton, adviser to the Secretary of State on PPE, said: ““As countries around the world face unprecedented demand for PPE, British industry is stepping forward to make sure vital pieces of equipment reach our workers on the frontline.

“My role is to increase our homegrown PPE supplies, both now and in the future, by investing in the potential of UK manufacturing. This fantastic deal announced with Honeywell today marks a significant step along the way.”

The government has ordered 70 million of the locally produced FFP2 and FFP3 Honeywell SuperOne disposable respirator masks. These are certified to the highest international PPE standards, compliant with EU regulations, and must meet UK quality and safety standards before being delivered to healthcare settings via the NHS Supply Chain from July.

Will Lange, President of Honeywell’s PPE business, said: “As a global leader of high-quality personal protective equipment, Honeywell is committed to getting safety gear to those who need it most, including workers on the frontline in the fight against COVID-19.

“Our Newhouse facility has both the physical capacity and technical capabilities to launch a large-scale respirator production line in such a short timeframe, and we are proud of our teams who are bringing new manufacturing capabilities to the United Kingdom as quickly as possible to support the country’s response to the pandemic.”

Scottish Secretary Alister Jack said: “As well as creating 450 new jobs and boosting the local economy it is great a company with manufacturing facilities in Scotland can help ensure our heroic frontline workers have the PPE they need to carry out their lifesaving work.

“Our UK-wide strategy is continuing to manage and supply protective equipment to the people that need it in all 4 nations.”

The agreement announced today is the latest in a number of steps the government is taking to ramp up PPE production and distribution. New collaborations between the government and organisations including Amazon, the Royal Mint and Jaguar Land Rover, will see increased production and delivery across all PPE products.

PPE distribution network with the NHS, industry and armed forces, and a 24-hour NHS-run helpline that’s received around 35,000 calls since it was set up, have also been established as part of the government’s national PPE plan.

Tax relief for NHS and care home staff for PPE

NHS and care home staff who have had to buy their own personal protective equipment (PPE) so that they can support the nation during the COVID-19 crisis can claim tax relief, say leading tax and advisory firm Blick Rothenberg.

Paul Haywood-Schiefer, a manager in the firm, said: “At 8pm last night, as with every Thursday, the nation again opened its windows and doors, and clapped its appreciation in support of the fantastic work NHS staff and care workers are doing to help, not just those with COVID-19, but for all the patients in their care.

“Amidst all this goodwill, there have been many stories of shortages of PPE for NHS workers and those in care homes.

“For many, in this situation, who have had to buy their own, and have not been (or only partially) reimbursed by their employer, there is the opportunity to at least claim some tax relief.”

Below, Paul gives some guidance on how NHS and care home staff can make a claim:

“HMRC allows employees (who don’t already complete self-assessment tax returns) to make claims of up to £2,500 on employment related expenses incurred in a tax year, by using a form P87 (if non/partially reimbursed expenses for a tax year exceed this amount, the person will need to register to file a self-assessment tax return and make a claim through that). This includes for uniforms and protective clothing used in the line of duty.

“These claim forms can either be filled in through a person’s government gateway account (which can be set-up if you don’t have one, by following the instructions on the link) or by completing the form on screen, then printing this off and sending it off to HMRC.

Paul Said: “This will allow those who have made such a great sacrifice for the nation, at their own cost, to at least get some of their money back.”

PPE access extended to all social care providers

Everyone who provides social care will have access to appropriate PPE under new arrangements announced by the Scottish Health Secretary.

From Monday (27 April), local Hubs will distribute PPE supplies to the whole of the social care sector where normal supply routes have not been successful. These hubs will extend their provision to include all social care providers, and unpaid or family carers and personal assistants.

During the coronavirus (COVID-19) pandemic, global supply chains have been put under immense pressure and that is why the Scottish Government has set up supplies of PPE to support the social care sector from the national stock.

Health Secretary Jeane Freeman said: “The Scottish Government values the importance of everyone who is providing social care and we want to ensure they have access to appropriate PPE.

“As we respond to the challenges from global scarcity of PPE, we have worked with partners to agree an improved model that will ensure all social care providers have access to supplies from national NHS stock.

“This has only been possible because of a shared aim to ensure the right PPE gets to the right people at the right time and to keep everyone safe.

“In the coming weeks, we will collectively monitor how this model is operating, identifying challenges quickly and taking action as we deal with the evolving nature of the pandemic.”

Health and Social Care spokesperson for COSLA, Councillor Stuart Currie said: “COSLA welcomes this announcement which will ensure PPE provision for unpaid and family carers and personal assistants. 

“Local Government has worked with partners across the sector to develop this model to ensure those who are supporting vulnerable people within their communities and all parts of the workforce have access to the PPE they need.”

Businesses rally to the cause in the battle against coronavirus

The First Minister has praised those manufacturers and businesses which have stepped in to support frontline services by diversifying production lines, increasing capacity and exploring new distribution routes during the coronavirus (COVID-19) pandemic. Continue reading Businesses rally to the cause in the battle against coronavirus

Flight from China delivers vital NHS supplies to Scotland

A charter flight carrying essential personal protective equipment (PPE) and NHS supplies has landed in Scotland.

The cargo which included around 10 million face masks as well as infusion pumps for Intensive Care Units and virus collecting kits for use in health laboratories, landed at Glasgow Prestwick Airport from China on Saturday morning.

Minister for Trade, Investment and Innovation Ivan McKee said: “Scotland’s health and social care system is facing unprecedented demand.

“Protecting staff working on the frontline is an absolute priority which is why we have been working at pace with the NHS and manufacturers both in Scotland and internationally to improve and increase the supply of PPE.

“This charter flight, carrying additional equipment ordered by the Scottish Government, is significant and we will be focusing the distribution of these supplies to health and social care settings over the coming days.

“In these incredibly challenging times the Scottish Government will continue to do all it can to make health and social care staff feel as safe as possible in their workplace.”

Jim Miller, Director of Procurement, Commissioning and Facilities at NHS National Services Scotland (NSS), said: “This delivery is the result of a painstaking collective effort involving multiple partners working together to provide our NHS and social care colleagues with the PPE they need to keep them safe.

“Together with supply partners and Scottish Government, NSS continues to work 24/7 to source and supply the PPE that Scotland needs to fight COVID-19.”

HSE advises on the importance of fitting RPE correctly

The Health and Safety Executive (HSE) is advising healthcare workers currently using respiratory protective equipment (RPE) on the importance of ensuring it is fitted correctly. A respirator that is incorrectly fitted will not protect the wearer.

Tight-fitting respirators rely on having a good seal with the wearer’s face. It is vital that before using a respirator for the first time, or before using a different brand of respirator, wearers pass a fit test for the model and size of respirator they are going to use. This is to make sure the equipment fits to their particular facial characteristics.

In these unprecedented times, to protect front line health care workers and reduce the risk of transmission during the coronavirus outbreak, if support is required in carrying out a fit test, it should be done following government advice on social distancing. This means making sure instructions are delivered verbally and observations are made from a distance of 2 metres (6ft) where possible. If closer observation is required, those being fitted should keep their respirator on to minimise the risk of transmission.

Once the wearer has been fit tested for the model of respirator they intend to use, they must ensure they have put it on correctly to protect themselves and others. Wearers should follow three simple steps: R-P-E

Read the guidance

HSE has step-by-step guidance on the correct way to fit the respirator and carry out a fit check. Wearers must familiarise themselves with the guidance and follow the manufacturer’s instructions when fitting their equipment.

Put your respirator on using a mirror

When fitting a respirator, wearers must make sure the straps are in the correct place and are not twisted or crossed over. The easiest way to do this is using a mirror.

Ensure your own safety

https://youtu.be/iVVlTBcN5eA

Dr David Fishwick, Chief Medical Adviser for HSE and respiratory physician said: “Before entering the workplace, wearers must carry out a fit check to ensure their respirator is on correctly.

“This allows the wearer to check they are experiencing no leakage around the face seal, and that they have put the respirator on correctly.”

Andrew Curran, Chief Scientific Adviser for HSE said: “Ensuring RPE is put on correctly is crucial. Any gaps between the wearer’s face and the mask face seal, whether through incorrect moulding of the nose clip or by facial hair, will compromise the protection of the wearer.

“Users must ensure they have been fit tested for the size and model of respirator they are going to use, and that they carry out a fit check each time RPE is used.”

For further information, see HSE’s RPE video on our website.

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