Nasal flu vaccine drop-in clinics

If your child is between 2 – 5 years old & has missed their flu vaccination appointment, you can head to one of the drop-in clinics or call the team on 0131 659 2920 to book.

The painless nasal spray vaccine helps prevent your child getting and spreading the flu.

Further action to reduce alcohol-related harm

Alcohol companies could face tighter restrictions on advertising in order to protect society’s most vulnerable, under new proposals set out yesterday.

The public’s views are being sought on plans to restrict adverts for alcohol at sporting events, on buses, and online and elsewhere – to reduce the appeal of alcohol and improve the nation’s health.

Proposals have been informed by the Children’s Parliament and the Young Scot Health Panel, delivering on the Government’s commitment to ensure that children and young people’s views are heard.

This is the latest step in efforts to reduce harmful drinking and alcohol-related harms in Scotland and follows the successful introduction of Minimum Unit Pricing, which has already reduced purchases of cheaper, more potent alcoholic drinks.

The public consultation is in line with the World Health Organisation’s (WHO) recommended approach to comprehensively restrict exposure to alcohol marketing.

Public Health Minister, Maree Todd, said: “There is clear evidence that adverts which glamorise drinking can encourage young people to drink alcohol and have a detrimental impact on those in recovery from problem alcohol use.

“This consultation is an important step in doing that, and I am extremely grateful for the young voices who have helped us get this far.”  

“We are making progress already – with our minimum unit pricing reducing alcohol sales in the off-trade – but with 1,245 alcohol related deaths last year we know that more needs to be done if we are to tackle Scotland’s problematic relationship with alcohol.”

The public can view the proposals and give their views on the Scottish Government consultation website

New vaccine marketing campaign urges millions to boost their immunity

COVID-19 and flu marketing campaign launches in England today encouraging eligible people to get their vaccines ahead of winter

A new country-wide marketing campaign urging millions of eligible people to get their flu and COVID-19 booster vaccines to top up their immunity will launch today (Monday 24 October), as almost 10 million people in England have already received their boosters.

Over-50s in Scotland can book their winter vaccines from today (October 24) protecting them from COVID-19 and flu, easing pressure on the NHS this winter.

Adverts will air across television, radio, social and digital media, stressing the importance of people getting both vaccines to increase their protection this winter.

Targeted communications for individuals with long term health conditions, pregnant women and ethnic minority communities, with a particular focus on those with low vaccine confidence, will also appear, and will include examples of where vaccine uptake rates have been low in the past.

More than 10 million people are expected to have received their COVID-19 autumn booster in England by today, with 49.5% of those 65 and over getting their flu jab, helping protect against serious illness throughout the winter.

Latest COVID-19 data has shown continued high rates of cases and hospitalisations in recent weeks.

Cases of flu have climbed quickly in the past week, indicating that the season has started earlier than normal. This is leading to increased pressure on emergency departments, with rates of hospitalisations and ICU admissions rising fastest in children under 5.

Deputy Prime Minister and Health and Social Care Secretary, Thérèse Coffey received her autumn booster this week and urges those eligible to take up the offer as soon as possible, saying: “Our COVID autumn booster and flu vaccination programmes are in full swing. Vaccines are our best line of defence against both viruses and will help keep people out of hospital this winter.

“While we have made great progress with almost 10 million people already boosted, including me, we are actively encouraging, through our new marketing campaign, everybody eligible to come forward for both jabs as soon as possible.”

Vaccination for flu is currently behind last season for pre-schoolers (12.1% in all 2 year olds and 12.8% in all 3 year olds), pregnant women (12.4%) and under 65s in a clinical risk group (18.2%).

Vaccines are the best defence against both viruses and will help reduce the amount of people requiring hospital treatment, reducing pressure on the NHS.

Deputy Chief Medical Officer for England, Dr Thomas Waite said: “The restrictions we had in place to curb the spread of COVID and protect the NHS last year also prevented the flu virus from spreading as we would normally expect to see, so levels of immunity in the population are likely quite low.

“Flu has started circulating at low levels, mainly in children and younger people at the moment. As winter approaches, we can expect flu and COVID cases to rise in all age groups. Getting vaccinated against both viruses is the most important thing you can do to reduce your chances of getting seriously ill.

“If eligible please come forward for your jabs as soon as you can – it is important to be protected before any winter surges begin.”

Dr Mary Ramsay, Director of Immunisations at UK Health Security Agency, said: “The latest data follows the pattern we predicted, and a difficult winter is expected.

“This year we want people to think about COVID-19 and flu as equally important – and both vaccines will provide a ‘boost’ this winter. COVID-19 vaccine protection decreases over time and topping up immunity will help to provide better protection against new variants.

“So far, we have seen millions of people getting their vaccines, particularly older age groups who remain at risk of severe illness and deaths from both diseases. Having both vaccines will help to protect you and to protect the health service so we can continue to treat patients with other conditions.

“I urge everyone who is eligible to book your vaccine as soon as you can and not to delay – you could be in contact with flu or COVID-19 tomorrow.”

NHS director for vaccinations and screening, Steve Russell said: “Thanks to the efforts of staff, the NHS autumn booster programme has vaccinated twice as many people as it had at this stage last year with almost 10 million people getting their COVID-19 boosters already.

“We are seeing evidence of increasing levels of COVID and flu infections in the community and care homes, and so ahead of what will be a very challenging winter, it is vital that everyone eligible gets protected; it has never been easier to get your vaccines, so book in without delay.

Building on the success of the 2021 to 2022 COVID-19 vaccination campaign, this year’s campaign will stress that the protection provided by vaccines wanes over time, so everyone eligible should boost their immunity by getting both vaccines ahead of a difficult winter.

The adverts use blue (flu) and yellow (COVID-19) halos to represent the protection both vaccines provide.

They will run on TV, video on demand, radio, social and digital channels. Highly targeted, eye-catching information on digital channels will help to reiterate the importance of boosting your immunity ahead of a difficult winter by booking jabs early.

The NHS Winter Vaccines chatbot will return, helping to guide those who are searching online for the right information. This instant online conversation tool was first developed to support last winter’s campaign and answers frequently asked questions with trusted NHS information in a single place.

Multicultural community activity will see teams of campaign ambassadors engage with a range of different ethnic groups who tend to be more vaccine hesitant. This will take place across the country in high footfall places of worship and nearby community settings. Dedicated radio adverts and unique social media material will reinforce key messages.

Around 33 million people are eligible for the flu vaccine and 26 million people are eligible for the COVID-19 booster in England.

Over-50s in Scotland can book their winter vaccines from today (October 24) protecting them from COVID-19 and flu, easing pressure on the NHS this winter.

Winter vaccines for remaining priority groups

Over-50s can book their winter vaccines from tomorrow (October 24) protecting them from COVID-19 and flu and easing pressure on the NHS this winter.

Those aged 50-64 can book an appointment on the NHS Inform website making it simple to arrange a time which suits them. Appointments can also be rescheduled online – with a national helpline available for those without internet access.

More than 870,000 people have already come forward for their COVID-19 and flu vaccines, including healthcare staff, care home residents, over 65’s and those at high risk – with over 1.7 million vaccines being administered.

Over two million Scots are being offered both vaccines during the course of the programme and a nationwide marketing campaign – ‘Don’t let your protection fade’ – is raising awareness of the importance of topping up protection against the illnesses – so far, 93.9% of people have received both flu and COVID-19 jabs at the same appointment.

Public Health Minister Maree Todd said: “Uptake continues to be encouraging showing the people of Scotland are keen to protect not just themselves, but their loved ones and the NHS. People who are vaccinated are less likely to become seriously unwell from COVID-19 or flu.

“We are working hard to ensure Scotland maintains its reputation as a leading nation for vaccine uptake – continuing the huge success of the vaccination programme since it was first rolled out in December 2020.

“The flu virus is always changing and COVID-19 protection can fade over time so I would ask everyone eligible to take up the offer of their winter vaccines so we can all stay safe over the winter months.”

1,741,484 COVID-19 and flu vaccines have been delivered since the winter vaccine programme launched.

Both new bivalent vaccines, which target Omicron and the original variant of COVID-19, are being deployed alongside existing vaccines, though the vaccination individuals receive will depend on age and vaccine availability. Both the current and new bivalent vaccines provide good protection from severe illness and hospitalisation from known COVID-19 variants.

Rearrange or opt-out of your vaccination appointment | NHS inform

Winter vaccines | NHS inform

Those without access to the internet can call the national helpline on 0800 030 8013.

Anyone aged 12 years and over who has missed an appointment for their initial course of the COVID-19 vaccine can reschedule through the NHS Inform online.

Appointments for children under 12 must be booked/rescheduled by calling 0800 030 8013. 

Bird flu: Bird keepers ordered to follow strict biosecurity measures as UK-wide Prevention Zone introduced

All bird keepers must implement strict biosecurity measures until further notice to keep their birds safe from avian influenza

An Avian Influenza Prevention Zone (AIPZ) has been declared across the United Kingdom following an increase in the number of detections of avian influenza in wild birds and on commercial premises.

This means that all bird keepers must implement strict biosecurity measures to help protect their flocks from the threat of avian influenza, regardless of whatever type or size. Introducing these steps on farm is the most effective way in reducing the risk of disease spreading.

In addition to this, a regional housing measure remains in place across Norfolk, Suffolk and parts of Essex, where keepers must house their flocks until further notice. Maps of the regional housing measure and national AIPZ are in our declarations.

The UK has faced its largest ever outbreak of bird flu with over 190 cases confirmed across the country since late October 2021. Check the list of confirmed avian influenza cases.

These measures will remain in place until further notice, and will be kept under regular review as part of the government’s work to monitor and manage the risks of avian influenza.

The wild bird risk across Great Britain has increased from medium to high and the risk to poultry with stringent biosecurity has moved up to medium.

The risk to poultry with poor biosecurity has been increased to high, in light of the increased number of infected premises observed during September and October and the distance of some of these, as well as wild bird cases, from the coast.

All bird keepers must now follow enhanced measures at all times to prevent the risk of future outbreaks.

Dr Christine Middlemiss, the UK’s Chief Veterinary Officer, said: “We are seeing a growing number of bird flu cases on commercial farms and in backyard birds across the country driven by high levels of disease within wild birds.

“Unfortunately we expect the number of cases to continue to rise over the coming months as migratory birds return to the UK, bringing with them further risk of disease that can spread into our kept flocks.

“We’re taking action already by implementing a national Avian Influenza Prevention Zones and housing measures in the worst-affected areas, but it is important that all bird keepers – wherever they are in the country – ensure that cleanliness and hygiene are at the forefront of their minds to keep their flocks safe and limit the impact of the outbreak.”

Public health advice remains that the risk to human health from the virus is very low and food standards bodies advise that avian influenzas pose a very low food safety risk for UK consumers. Do not touch or pick up any dead or sick birds that you find and instead report them to the Defra helpline on 03459 33 55 77. There is no impact on the consumption of properly cooked poultry products, including eggs.

All poultry gatherings, including at fairs, shows and markets, remain banned, due to a large number of flocks mixing together and the risk posed by any infections spreading across the country.

Avian influenza is in no way connected to the COVID-19 pandemic, which is caused by the SARS-CoV-2 virus and is not carried in poultry or captive birds.

In a joint statement, the Chief Veterinary Officers for England, Scotland and Wales said: Bird keepers have faced the largest ever outbreak of avian flu this year and with winter brings an even more increased risk to flocks as migratory birds return to the United Kingdom.

Scrupulous biosecurity and hygiene measures are the best form of defence, which is why we have declared an Avian Influenza Prevention Zone (AIPZ) across Great Britain, meaning that all bird keepers must take action to help prevent the disease spreading to more poultry and other domestic birds.

The introduction of an AIPZ means that regardless of whether you keep a few birds or thousands, you are legally required to meet enhanced biosecurity requirements to protect your birds from this highly infectious disease.” 

The introduction of an AIPZ follows a decision to raise the risk level for avian influenza incursion in wild Birds in Great Britain from ‘medium’ to ‘high’.

For poultry and other captive birds the risk level has been raised from ‘medium’ to ‘high’ at premises where biosecurity is below the required standards, and from ‘low’ to ‘medium’ where stringent biosecurity measures are applied.

Advice to poultry keepers

All bird keepers must keep a close watch on them for signs of disease and maintain good biosecurity at all times. If you have any concerns about the health of your birds, seek prompt advice from your vet.

All bird keepers (whether they are pet birds, a commercial farm or just a few birds in a backyard flock) must remain vigilant and help prevent avian influenza by:

  • cleanse and disinfect clothing, footwear, equipment and vehicles before and after contact with poultry and captive birds – if practical, use disposable protective clothing
  • reduce the movement of people, vehicles or equipment to and from areas where poultry and captive birds are kept, to minimise contamination from manure, slurry and other products, and use effective vermin control
  • keep records of mortality, movement of poultry and poultry products and any changes in production
  • thoroughly clean and disinfect housing on a continuous basis
  • keep fresh disinfectant at the right concentration at all farm and poultry housing entry and exit points
  • minimise direct and indirect contact between poultry and captive birds and wild birds, including making sure all feed and water is not accessible to wild birds
  • prevent access by poultry to ponds and watercourses and ensure that birds are kept in fenced or enclosed areas

It is a legal requirement for bird keepers in the national AIPZ to take these biosecurity measures.

See our biosecurity advice for more information.

Avian influenza (bird flu) is a notifiable animal disease.

If you suspect any type of avian influenza in poultry or captive birds you must report it immediately by calling the Defra Rural Services Helpline on 03000 200 301. In Scotland, contact your local Field Services Office. Failure to do so is an offence.

1.3 million winter vaccines delivered

Most vulnerable protected against COVID-19 and flu

Over a million vaccines have been delivered to protect against the latest strains of flu and COVID-19 in the latest efforts to relieve winter pressure on the NHS.

Frontline healthcare staff and the country’s most vulnerable have been immunised at speed – with 80.2% of all care home residents being fully vaccinated since the rollout began in September.

The next groups in line for their vaccines – over 65s and those at high-risk – are receiving a scheduled appointment and 50-64 year olds will soon be invited to book an appointment. Anyone who has missed an appointment can reschedule through the NHS Inform online booking portal.

The COVID-19 vaccine is being given at the same time as the flu jab where possible, and so far 94% of those invited have had both at the same appointment. Over two million Scots will be offered both vaccines over the next three months – a pace that aims to maintain Scotland’s place as a leading nation on vaccine uptake.

Health Secretary Humza Yousaf said: “This impressive uptake is testament to the frontline staff who got us through the pandemic and continue to protect our population and NHS from the threats that winter brings.

“Scotland remains steadfast in the effort to protect everyone – continuing the huge success of the vaccination programme since it was first rolled out in December 2020.

“COVID-19 has not gone away and I call on everyone to take up the offer of a booster as soon as their invitation arrives to protect themselves, their families and the NHS.”

1,369,270 COVID-19 and flu vaccines have been delivered since the winter vaccine programme launched.

Both new bivalent vaccines, which target Omicron and the original variant of COVID-19, are being deployed alongside existing vaccines, though the vaccination individuals receive will depend on age and vaccine availability.

Both the current and new bivalent vaccines provide good protection from severe illness and hospitalisation from known COVID-19 variants.

Rearrange or opt-out of your vaccination appointment | NHS inform

Winter vaccines | NHS inform

Covid-19: Weekly testing to end for health and social care workers

Health and social care workers will no longer be required to test for COVID-19 every week as asymptomatic testing is paused by Wednesday (28 September).

The four UK Chief Medical Officers agreed it is safe to halt weekly staff testing, visitor and carer testing and hospital admission testing following a change to the Covid-19 alert level and, importantly, a high uptake of vaccinations.

Stakeholders were informed of the change to the guidance on 14 September and some healthcare and social care settings may therefore choose to pause regular testing before the end of the month.

It is the latest restriction to be lifted in health and social care settings – following the decision earlier this month to remove the requirement for facemasks in social care homes.

Testing will remain in place for admissions into care homes and to support appropriate clinical diagnosis and treatment for hospital patients and care home residents.

Unpaid carers and visitors to care homes and hospitals will no longer need to undertake routine testing, but those planning to see family or friends in these settings are advised follow the ‘Covid Sense’ guidelines and steer clear if they are unwell.

Health Secretary Humza Yousaf said: “The huge success of our world-leading vaccination programme means we are now able to pause routine asymptomatic testing in most high-risk settings.

“This is the latest step in our return to normal life, but we must apply Covid Sense to keep these freedoms and ease the pressure on the NHS over winter.

“Vaccination remains our best line of defence against COVID-19 and I urge everyone who is eligible for the winter vaccination programme to take up the offer of an appointment when it’s offered.”

COVID sense | NHS inform

NHS dentistry: Support extended, but there can be no return to ‘business as usual’  

Dentists have warned that the Scottish Government’s last-minute extension of financial support for NHS practices must go hand in hand with meaningful reform to avert a crisis in the service.

A new ‘bridging payment’ will replace the current ‘multiplier’ set to expire on 1 October, uplifting NHS fees a rate of 1.2 for the next three months, falling to 1.1 for the period up to April 2023.  

The Cabinet Secretary had previously told the BDA that the multiplier – which at its current level increased NHS fees by 1.3 – had not been included in the Scottish Government’s budget forecasting. The professional body has not ceased reminding officials that without an adequate interim funding package several key treatments including extractions, and anything – like dentures – that requires laboratory work, risk being delivered at a financial loss.

The BDA stress that the new support package cannot presage a return to ‘business as usual’ from April 2023. Dentist leaders stress that in the months ahead efforts must be made to deliver needed change to the broken high volume/low margin model NHS dentistry is based on. Without reform, this package will simply delay an inevitable exodus of dentists from the NHS that is already evident in other UK nations.  

While COVID emergency measures have been withdrawn, dentistry in Scotland has not returned to anything resembling pre-pandemic norms, with practices continuing to work under capacity in the face of an historic backlog.  Latest figures indicate 261,537 claims were made by dentists delivering NHS treatments in July 2022, less than 60% of the number made in the same month in 2019.   

Recent research by the BBC indicated 9 in 10 practices UK-wide were unable to take on new adult patients. In Scotland figures stood at 82%, the multiplier likely playing a decisive role.  

David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said: “The Scottish Government seem to have recognised the wholesale inadequacy of the funding model for NHS dentistry.  

“It’s not rocket science. Without additional support, the basics of NHS care – from extractions to dentures – would have been delivered at a loss. No business can operate on that basis.   

“We now need some serious long-term thinking. Unless Ministers are prepared to revisit the system this service is built on, this funding will amount to sticking plaster on a gaping wound.

“If this is just delaying the return to a broken ‘business as usual’ then millions of patients stand to lose out.”   

Fears for NHS as winter looms

Responding to the latest Emergency Department performance figures published by NHS England for August 2022, President of the Royal College of Emergency Medicine, Dr Katherine Henderson said:The data is stark. We are worried about the coming winter.

“These are the second worst data on record. Too many patients are waiting too long. We know long waits contribute to patient harm. In August over 29,000 patients waited over 12 hours after a decision to admit was made, with some patients waiting up to three days for a bed.

We think the consequence of this is shown in the ONS data as 500 excess deaths a week. We must not accept these long stays as normal. We need to see leadership and meaningful action that gets to grips with this crisis.

“We urge the new Prime Minister, Liz Truss, and incoming Health and Social Care Secretary, Therese Coffey (above), to make tackling the crisis in Emergency Care a priority.

The scale of patient harm occurring is shocking. The Emergency Care system is failing to its core functions; it is vital that we mitigate the impact of this crisis ahead of winter and do all we can to keep patients safe and reduce these dangerous waiting times.

“The Prime Minister and Health Secretary must urgently bolster the social care workforce. Thousands of beds are occupied by patients who are medically fit to be discharged, but the lack of social care service means that getting patients home is a slow and complex process.

“This means that hospitals have difficulty in discharging patients in a timely way, leading to exit block, poor flow throughout the hospital and subsequent problems in Emergency Departments and ambulance waits. The need for investment in social care couldn’t be clearer.

“Staff are exhausted, overwhelmed and in the midst of the worst crisis the NHS has ever faced. Widespread shortfalls of staff across all grades and departments mean health care workers are spread increasingly thinly and more prone to burnout – there are currently around 130,000 vacancies in the NHS almost 10% of its workforce.

“The Prime Minister must deliver the fully funded long-term NHS workforce plan that the government pledged to deliver in 2019. Emergency Care is in crisis and there is a shortfall of 2,000-2,500 Emergency Medicine consultants and widespread shortages of vital nursing staff, trainees, SAS doctors and junior and supporting staff are contributing to the challenges.”

The latest Emergency Department performance figures published by NHS England for August 2022for show:

  • There were 1,304,378 attendances at major Emergency Departments
    • There were 1,988,779 total attendances at all Emergency Care facilities
  • 28,756 patients were delayed for 12 hours or more from decision to admit to admission
    • This is the second highest number of 12-hour waits on record, just 561 short of the previous record in July 2022
    • There have now been 178,770 12-hour waits (from decision to admit to admission) so far this year
  • Four-hour performance at major Emergency Departments was 58.0%, this is the second worst four-hour performance on record, the lowest was recorded the previous month, July 2022
    • More than 2 in 5 patients were delayed by four-hours or more
  • Type 1 admissions stood at 350,618 (a daily average of 11,310)
  • 130,528patients spent more than four hours in an Emergency Department from decision to admit to admission (also referred to as ‘trolley waits’)
  • Bed occupancy stood at 92.8% (far higher than the recommended 85%)

Hopsital Episodic Statisticsfor July 2022 published by NHS Digital show:

  • The longest wait in an Emergency Department from time of arrival until treatment was 4,320 minutes or 72 hours
  • The number of patients leaving the department before being seen stood at 6.0%
  • The rate of unplanned reattendance was 9.0%

Facemasks no longer recommended in social care

Guidance relaxed in line with latest clinical advice

Social care staff and visitors are no longer being advised to wear facemasks at all times under new guidance published today (7 September).

The recommendation has been lifted due to a sharp drop in coronavirus infections and a reduction in severity of illness, which has been driven by Scotland’s successful vaccination programme which has so far seen more than 12 million Covid-19 vaccine doses administered in Scotland.

Care home residents and their loved ones will benefit from these more relaxed visiting arrangements. Masks and face coverings in social care may still be worn if recommended in certain situations, such as a local outbreak of COVID, or if staff deem it necessary. Staff and visitors remain free to wear one if they choose.

This guidance balances the risk of harm from COVID-19 with the impact masks can have on communication, mental wellbeing and rights and choices of those working in and using social care services.

Social Care Minister Kevin Stewart said: “Our phenomenally successful vaccination programme has driven down infections and saved the NHS from untold pressures.

“Removing the need for facemasks in social care settings including care homes is the latest step in our path to recovering from the pandemic.

“This will make communication and relationships easier in care settings, benefiting mental health and promoting the rights and choices of those working in and using social care.”

 Read the new guidance for face mask use in social care settings.