Humzah Yousaf: “We believe Omicron has not yet peaked”

‘Vaccination is vital’: Scots urged to get boosted as soon as possible

Anyone who has not yet received their booster or third dose is being urged to come forward now, to give the best possible protection against the Omicron variant.

That includes anyone who was unable to attend a vaccination clinic before the Hogmanay bells because of a COVID-19 infection, or if they were self-isolating.

People who are aged 18 and over can receive a booster 28 days after they tested positive or if it has been at least 12 weeks since their second dose.

Young people aged 12-17 can also attend for their second dose of the vaccine – many will have received an appointment but this group can also attend a drop-in clinic at a time and place convenient for them as long as 12 weeks have passed since their first jab.

Health Secretary Humza Yousaf said: “The recent acceleration of activity in response to the emerging threat of the Omicron variant has been a remarkable national endeavour and I can’t stress enough how grateful we are to all those involved.

“More than three million people have now received a booster or third dose, offering strengthened protection from the virus and reducing the risk of hospitalisation from the virus.

“However, we believe Omicron has not yet peaked, and the pressure being felt by the health and social care system is extremely high. So, to protect ourselves and the NHS at this critical time it is vital people complete the vaccination course for which they are eligible. It remains vital that everyone gets their booster vaccine when they are eligible.

“We know many people have been unable to attend appointments because of the virus, or due to self-isolation, so I urge anyone who has been unable to attend to rearrange it or go to a drop-in clinic.

“It is never too late to receive your booster – or a first or second dose – so please come forward as soon as possible, as there is plenty of capacity available.”

Deputy Chief Medical Officer Nicola Steedman said: “Data shows you are significantly more likely to be admitted to hospital if you are unvaccinated.

“We now know that boosters provide the best possible protection against this variant of the virus. My clinical colleagues and I know the difference this will make – we see it in our hospitals and communities every day. Please get vaccinated.”

Find out more about the COVID-19 vaccination at NHS Inform

No need for second booster at this time, say health experts

Boosters continue to provide high levels of protection against severe disease from Omicron in older adults

Latest data from UKHSA shows booster doses are continuing to provide high levels of protection against severe disease from the Omicron variant among older adults.

Figures show that around 3 months after they received the third jab, protection against hospitalisation among those aged 65 and over remains at about 90%.

With just 2 vaccine doses, protection against severe disease drops to around 70% after 3 months and to 50% after 6 months.

The Joint Committee on Vaccination and Immunisation (JCVI) has taken this latest evidence into account in their ongoing review of the booster programme.

The Committee advises that at this present time:

  • there is no immediate need to introduce a second booster dose, or fourth jab, to the most vulnerable (care home residents and those aged over 80) – the timing and need for further booster doses will continue to be reviewed as the data evolves
  • priority should continue to be given to rolling out first booster doses to all age groups
  • unvaccinated individuals should come forward for their first 2 doses as soon as possible

Professor Wei Shen Lim, the JCVI’s chair of COVID-19 immunisation, said: “The current data shows the booster dose is continuing to provide high levels of protection against severe disease, even for the most vulnerable older age groups.

For this reason, the committee has concluded there is no immediate need to introduce a second booster dose, though this will continue to be reviewed.

“The data is highly encouraging and emphasises the value of a booster jab. With Omicron continuing to spread widely, I encourage everyone to come forward for their booster dose, or if unvaccinated, for their first 2 doses, to increase their protection against serious illness.”

The latest study looked at booster doses in those aged over 65, who were among the first to be eligible when the booster rollout began in mid-September.

Whilst with a booster dose, the duration of protection against severe disease remains high, protection against mild symptomatic infection is more short-lived and drops to around 30% by about 3 months.

First anniversary of UK deploying Oxford-AstraZeneca vaccine

  • A year ago today, the UK became the first country in the world to administer the Oxford University/AstraZeneca vaccine
  • Vaccination programme has been a phenomenal success, saving countless lives and reducing pressure on NHS

One year ago today [Tuesday 4 January 2021] the UK became the first country in the world to administer the Oxford University/AstraZeneca COVID-19 vaccine.

Brian Pinker, 82, (above) was the first person to receive the life-saving vaccine outside of clinical trials at Oxford University Hospital at 7.30am.

Since then, around 50 million AstraZeneca vaccines have been administered in the UK, saving countless lives, keeping people out of hospital and reducing the pressure on the NHS.

To mark the anniversary, the Secretary of State for Health and Social Care, Sajid Javid, will visit a vaccination centre in London to thank hard-working NHS staff and volunteers delivering jabs.

Health and Social Care Secretary Sajid Javid said: “Backed by government funding, the UK-made Oxford-AstraZeneca vaccine has played an absolutely crucial role in our fight against COVID-19, saving countless lives in the UK and around the world.

“I’m extremely proud of our world-leading researchers and scientists who are responsible for developing some of the most effective vaccines and treatments during the pandemic and the NHS for the incredible roll out.

“The UK’s vaccination and booster programme is world leading but with the rapid spread of the Omicron variant, it is more important than ever that people come forward for their vaccines and booster to top up your immunity this winter and protect the progress we have made.”

The government invested early in Oxford University’s team, supporting their vaccine technology since 2016 and their COVID-19 jabs since March 2020 with more than £88 million to help research, develop and manufacture the vaccine.

The National Institute for Health Research’s (NIHR) helped recruit thousands of volunteers from across the UK for the phase 3 clinical trials and supported the researchers, which paved the way for approval by the independent Medicines and Healthcare products Regulatory Agency (MHRA).

Around 2.5 billion doses have been distributed at-cost to more than 170 countries. Almost two-thirds of these have gone to low and lower-middle-income countries, including more than 30 million doses donated by the UK through COVAX or bilaterally.

The UK will donate a further 20 million AstraZeneca doses to countries in need this year as part of the government’s commitment to donate 100 million doses overall.

Vaccines Minister Maggie Throup said: “The Oxford-AstraZeneca vaccine is a UK success story and demonstrates what can be achieved when researchers, scientists and the government work together.

“The at-cost vaccine has given billions of people around the world a way to fight back against this virus. Please get your vaccines and booster to protect yourself and your families this winter.”

The COVID-19 vaccination programme is the largest in British history and was established at unprecedented speed, with thousands of vaccine centres set up rapidly in England, meaning around 98% of people live within 10 miles of a vaccination clinic.

The government’s Vaccine Taskforce secured early access to almost 340 million doses of the most promising vaccine candidates in advance for the entire UK, Crown Dependencies and Overseas Territories, enabling a rapid deployment once approved by the medicines regulator.

NHS National Medical Director Professor Stephen Powis said: “Thanks to the extraordinary efforts of scientists and doctors, the Oxford/AstraZeneca vaccine was developed in just a matter of months instead of years, with NHS staff working tirelessly to roll the jabs out to millions across the country.

“The Oxford Astra Zeneca vaccine has played a crucial role in the biggest and most successful immunisation programme in NHS history, and I’d like to take this opportunity to remind people again that there are still hundreds of thousands of appointments available for first, second and booster jabs so please come forward and get jabbed.”

The UK led the world on vaccine research, providing results for three of the successful vaccine candidates through huge phase 3 trials for Oxford AstraZeneca, Janssen and Novavax vaccines. The Novavax trial is the largest ever double blind placebo controlled trial in the UK, recruiting 15,000 participants from 35 research sites in just over two months.

More than 133 million COVID-19 vaccinations have been administered in the UK in just over a year, including around 34 million boosters and third doses, securing vital protection against Omicron.

NASUWT: Action needed to protect UK schools from Omicron

Teaching union the NASUWT is calling on governments across the UK to take urgent measures to protect schools from the Omicron variant of Covid-19.

In England the Union has released a joint statement with the five other trade unions representing the majority of education staff prior to the return of schools and colleges for the spring term. 

And in ScotlandWales and Northern Ireland the NASUWT has called for urgent action from the Scottsh Government, the Welsh Government and the Northern Ireland Executive to protect schools now.



Dr Patrick Roach, NASUWT General Secretary said: “Teachers have been on the frontline throughout the pandemic to support pupils and students and provide them with the best education possible.

“However, the rising number of cases of the Omicron variant could cause significant disruption in the next academic term with many teachers being forced to self-isolate.

“We must see immediate action to ensure that schools can continue to operate safely and provide high quality education.”

The statement below is from NASUWT, ASCL, GMB, NAHT, NEU and UNISON:
 
“There has been much speculation about the possibility of more disruption to education over the next academic term as a result of the Omicron variant of Covid-19.  
   
“As trade unions representing the vast majority of education staff, we wish to emphasise that teachers, leaders and support staff desperately want to be able to conduct face-to-face teaching for all children and young people on a consistent basis and without further interruption caused by the pandemic.  
   
“Education staff have moved heaven and earth to support pupils and students throughout the course of the crisis and they remain committed to providing the best possible support for all children and young people.  
   
“They are acutely conscious that this is essential particularly in supporting disadvantaged and vulnerable children and young people who have often been most badly affected by the pandemic both educationally and in terms of their wellbeing.  
   
“But last term education staff were more likely than other workers to test positive and therefore to have to self-isolate, inevitably leading to disruption of education.  
   
“Schools and colleges cannot on their own reduce the threat posed by the virus and they need from the Westminster government more than rhetoric about the importance of education.   
 
“We need the minimum amount of educational disruption this term in order to avoid a third successive year where GCSEs, A-levels and other exams have to be cancelled, and thereby removing the uncertainty and additional workload for students and teachers.  
    
“It is essential therefore that the government takes immediate and urgent steps to mitigate the risk of Covid transmission and that it provides more support to minimise disruption in schools and colleges by such steps as:    

  • Providing government-funded air cleaning units to every school and college classroom that needs these devices. While we welcome the provision of a small number of these units to special educational needs and alternative provision settings, the government’s decision to signpost all other schools and colleges to purchase this equipment from an ‘online marketplace’ is simply not good enough. We also question why the Westminster government takes such a different line on face coverings in secondary schools to Scotland and Wales when they use the same evidence. 
  • Committing to providing schools with more resources in the event that on-site Covid testing is again required. Secondary schools have once again been left in the lurch at the beginning of the spring term by being asked to set up and staff testing stations with little support from the government.  
  • Providing improved financial support to schools and colleges for the costs of supply staff to cover for Covid-related absence. The current government scheme contains so many complex conditions that it is inaccessible in many circumstances.  
  • Making it clear that all schools or colleges due for an Ofsted inspection this term can request that the inspection is deferred, and that their request will be automatically granted. This will enable teachers and leaders to focus on the immediate and urgent task in hand – that of supporting their pupils and students – and remove the unnecessary pressure and distraction of unhelpful inspections at this time. 

“As a new year begins, we urge the government to work more collaboratively and constructively with education workforce representatives to keep schools and colleges open. By working side by side, we can remove unnecessary burdens and find solutions with government in the interests of all children and young people.” 

Omicron: Greater Glasgow to operate essential-only visiting

Due to the increasing challenges faced as a result of the new Omicron variant, and in order to protect the safety of our patients and staff, the difficult decision has been taken to operate essential-only visiting from Wednesday 5 January 2022 in our adult hospital wards.

This change will include maternity services meaning only one essential visitor will be permitted in all parts of the maternity pathway.

Jennifer Rodgers, Deputy Nurse Director at NHSGGC, said: “This has been one of the hardest decisions to take but it is essential to help protect our patients, visitors and staff. We recognise how difficult this is for patients and the people that matter most to them and we will keep this under close review so that restrictions are not in place any longer than is necessary.

“This decision has been reached in conjunction with senior infection control, public health, clinical and operational teams, and in the best interests of patient wellbeing.

Jennifer added: “Essential visiting arrangements will be applied flexibly and compassionately, and each patient’s needs considered on their own merits. Carers, those providing essential care or emotional support, or spiritual care are not considered to be visitors and will continue to be permitted to attend a patient in hospital. 

“Essential visits will be supported wherever possible and include the following illustrative examples:  

  • A birth partner supporting a woman during hospital visits and throughout the maternity pathway
  • A person receiving end-of-life care – we expect this to be defined as flexibly and compassionately as possible, to support patients at the end of life spending meaningful time with their loved ones in their final days, weeks or months 
  • To support someone with a mental health issue, or dementia, or a learning disability or autism, where not being present would cause the patient to be distressed 
  • To accompany a child in hospital 
  • In general situations when someone is receiving information about life-changing illness or treatments. 
  • In these and other similar situations where support from another person is essential for advocacy and wellbeing, family support should be facilitated. 

Evelyn Frame, Chief Midwife said: “We understand that support from birthing partners has a positive impact on a woman’s experience so making this decision has been very difficult but, as this variant seems to be more transmissible, our priority has to be keeping our women and staff as safe as possible.

“For our inpatient areas we encourage a person-centred, flexible visiting approach and within ante-natal and post-natal visiting continues but only the birthing partner will be allowed.  No other visitors will be allowed including siblings. During labour and birth only one birthing partner will also be allowed to stay throughout the whole labour experience.

“In our outpatient areas – anyone coming for a scan, early pregnancy or day care, or perhaps an outpatient appointment with one of our physiotherapist, dietician, midwife or obstetrician there is no change and you can bring your birthing partner for the duration of your appointment.

“Anyone with questions about visiting arrangements should speak to their midwife.”

Angela O’Neil Deputy Nurse Director said: “we recognise how difficult it is for families being apart, especially when their loved one is unwell.

“Where possible ward staff will continue to support patients to maintain contact with those closest to them however due to the extreme pressures staff are under if may not be possible to give an exact time or day when a video call or telephone call can be guaranteed.

“We are sorry for any distress this may cause and of course, staff will always try to facilitate these calls where possible, however we ask for your understanding while we try to manage under very challenging circumstances. Further information on arranging a virtual visit can be found on the NHSGGC Webpages

“The successful ‘Give and Go Service’ available earlier in the pandemic will be remobilised for family to drop-off essential personal items for patients and to pick up laundry etc. 

“The service will be available from Wednesday 5 January 2022, and thereafter Monday – Friday as follows:

  1. Queen Elizabeth University Hospital (main atrium) – items should also be dropped off here for patients in the INS – available between 12pm – 4pm
  2. Glasgow Royal Infirmary (medical block entrance) – available between 12pm – 5pm
  3. Royal Alexandra Hospital (main hospital foyer) – available between 12pm – 5pm
  4. Beatson West of Scotland Cancer Centre (main entrance), available between 8.30am – 3.30pm, and
  5. Local arrangements will be in operation in all other sites.  

 “Please speak to ward staff who will advise of local arrangements for dropping off and collecting belongings.  

“Further information can be found on the Give and Go Webpage.

“It should be noted Current visiting arrangements will remain in place until Tuesday 4 January 2022. These are as follows:

  • Patients in shared accommodation such as nightingale type wards and 4 and 6 bedded bays will be able to have essential visits only 
  • Patients in single room accommodation will be able to benefit from the support of one visitor. This visitor can change each day.   
  • Two visitors per day is recommended for patients in paediatrics, neonates and maternity wards.  
  • Mental Health, Addictions and Learning Disabilities staff will make a visiting plan with each patient based on their individual needs and circumstance, and the local risks that present in each ward. 
  • In line with infection prevention and control practice, wards with current active infection cases are required to temporarily restrict visiting to essential visits only 
  • As always, there may be some individual patients who are particularly vulnerable to the risks of infection. For these patients, visiting will remain at essential visits only

“We would like to thank our patients and their loved ones in advance for their patience and support during this incredibly difficult and challenging time.”

Additional information can be found on the NHSGGC Visiting Webpages and on our social media channels.

Damehood for Dr. Jenny Harries

UKHSA Chief Executive, Dr Jenny Harries, has received the title of Dame Commander of the Order of the British Empire for her outstanding service to public health.

Jonathan Turner, Head of Scientific and Technical Services has been awarded an MBE with Professor Kevin Fenton, London Regional Director of Public Health, Office for Health Improvement and Disparities, awarded a CBE.

Dr Harries has worked tirelessly to keep the nation safe during the COVID-19 pandemic with a focus on providing advice and support to the most vulnerable people in the country. Throughout the pandemic, she has provided health advice to the public at critical times in her role as Deputy Chief Medical Officer.

Dr Harries is now the Chief Executive of the newly formed UK Health Security Agency which brings together Public Health England and NHS Test and Trace, including the Joint Biosecurity Centre, with a remit to plan and prepare for current and future threats to our health.

Dr Harries is uniquely placed to understand the national challenges the nation faces and the importance of working closely with local and regional colleagues to address them, particularly supporting the most vulnerable in our communities.

Prior to becoming Deputy Chief Medical Officer, Dr Harries was the Deputy Medical Director at Public Health England, where she played a leading role in the UK’s response to Ebola in West Africa. She also provided crucial expertise to the Zika epidemic response, helping provide scientific advice and input to early studies to provide reassurance to expectant mothers across the UK at a time of considerable concern.

She also led the successful responses to the detection of MERS in the UK and the first UK cases of Monkeypox, ensuring dangerous infectious diseases were swiftly contained.

Using knowledge from her previous role as PHE Director for the South of England, Dr Harries was instrumental in shaping both the national and local public health response to the Novichok attack in Salisbury. Her public health advice helped contain the risk to the public.

Dame Dr Jenny Harries said: “I am hugely honoured to receive this award. It is accepted on behalf of the countless brilliant and committed colleagues in clinical and scientific communities as well as those who provide such dedicated operational response through every health protection incident and emergency.

“It is they, who have inspired and supported me throughout my career and who continue to work tirelessly to make the UK a safer place, often largely out of sight of the public.

“In the response to COVID-19, and in so much else, the unprecedented speed and diligence of scientific endeavour has saved many thousands of lives and I hope that today’s award will encourage more people, especially women, to pursue careers in science and public service.”

Ian Peters, UKHSA Chair, said: Jenny has made an enormous contribution to protecting the country’s health during an outstanding career. She has repeatedly provided leadership in helping to resolve the most challenging health issues in the UK and overseas, providing expert advice and a reassuring voice during incredibly critical times.

“From the outset in the pandemic firstly as Deputy CMO, and since April as CEO of UKHSA she has combined her public health knowledge and her wide experience, with an integrity and calmness of approach which has led to the saving of many lives. Her honour is thoroughly deserved

Jonathan Turner, Head of Scientific and Technical Services, has worked as a Biomedical Scientist for over 30 years to develop patient-centred and health protection focused public health microbiology services in the South West and across the national network.

Jonathan Turner said: “I am thrilled and honoured to accept this award but do so on behalf of the team in Bristol and the wider diagnostic community. I recognise the efforts of all the team, the support staff, our administrators, warehouse staff, logisticians, and managers as well as our clinicians and scientists.

“I also need to recognise the volunteers that came to our aid, without whom we would not have been able to achieve this response.”

Professor Kevin Fenton, London Regional Director of Public Health, Office for Health Improvement and Disparities, has received a CBE for his 30 years of service and leadership across all domains of public health.

This includes a recognition of his work in improving health outcomes in complex public health programmes including HIV prevention, sexual and reproductive health, child obesity, mental health, health equity and social regeneration, and leading London’s public health response during COVID-19.

Professor Kevin Fenton said: “I am honoured and humbled to receive such a prestigious award alongside other outstanding individuals. As we enter the third year of the COVID-19 pandemic response I am continually inspired by the professionalism, resilience and contributions of so many amazing colleagues who work relentlessly to keep us all safe and well.

“I am accepting this award on behalf of all the incredible public health and NHS teams I am privileged to lead and work with in London and around the nation, who are committed to improving health, tackling health inequalities, building resilient communities and providing high quality health and care services to all.

“They exemplify the best of public health and should be proud of all they have achieved.”

Action to focus Test and Protect on those at highest risk

Priority given to essential workers and those most at risk

Essential workers, those at highest risk and anyone eligible for new COVID treatments will be prioritised for a PCR test site slot. This measure is being taken to ensure timely access to PCR testing, as rising rates of COVID-19 infections are resulting in increasing demand.

It is vital that essential workers get the test results they need to qualify for a prompt exemption from self-isolation. However testing remains available for anyone who needs it.

Test & Protect will also focus resources on those most at risk of harm. This means most people will be contacted by text message or email – with contact tracers prioritising telephone calls to those linked to higher risk settings such as hospitals and care homes.  

People should respond to the text or email message, and complete the online form provided, so close contacts can receive the advice they need as quickly as possible.

Updating Parliament yesterday, First Minister Nicola Sturgeon said: ““The current surge in cases means testing capacity – sampling and processing – is under pressure. So we are now prioritising some slots for essential workers – such as NHS and transport staff – as well as for those who are clinically vulnerable or eligible for new Covid treatments. This ensures that essential workers will get the test results they need to qualify for an exemption promptly.

“This is a sensible step to take at this stage. However, notwithstanding this priority for essential workers, let me stress that testing remains available for anyone who needs it.

“If you try to book a test, and can’t find a slot in a location you can get to, do try again later. Additional PCR slots are released throughout the day.

“Test & Protect is also, for now, focusing its telephone tracing on high risk settings, such as care homes. The majority of us, if we test positive, will be contacted by text or e-mail, rather than by phone. If you are contacted by Test & Protect – either as a positive case or a close contact – please respond and complete the online form, and make sure you follow all advice given.”

Self-isolation exemption scheme guidance is available for essential workers.

An investment of £33.1 million was announced last month to safeguard the future of Scotland’s contact tracing workforce of more than 500. The change to PCR prioritisation for test site booking slots will not affect booking a PCR home test.

Information about the new COVID-19 treatments and the eligibility criteria is available at nhsinform.scot

People on the highest risk list, and those who are eligible for new COVID treatments should tick that they are an essential worker to ensure prioritised access to booking a PCR test.  

Record high number of Covid cases in Scotland … but no change to protections, says First Minister

Statement given by the First Minister Nicola Sturgeon to the Scottish Parliament Edinburgh on 29 December 2021

Thank you very much Presiding Officer.

I will give our latest assessment today on the spread of Omicron and, in light of that, I can confirm no immediate changes to the protections currently in force or the advice we are giving the public.

However, I will also talk about the data we will be monitoring closely in the days ahead as we assess the likely impact of this wave of infection and the continued necessity and proportionality of our response.

I will also briefly summarise the protective measures which took effect earlier this week to help slow spread, and provide some further detail of the support available to businesses.

Finally, I will report on the delivery of booster vaccinations.

First, though, today’s statistics. 15,849 positive cases were reported yesterday –  28.9% of all tests carried out.

Now it’s worth noting that the much higher test positivity experienced over recent days may be partially explained by people being more selective about when to go for a test over the Christmas period.

However, this is by some margin the highest overall daily case number reported in the pandemic to date.

679 people are currently in hospital with Covid – which is 80 more than yesterday.

And 36 people are in intensive care – 1 fewer than yesterday.

I will say more shortly about the numbers of people with Covid in hospital and why this is an important indicator as we judge the most proportionate response going forward.

Sadly though, a further 3 deaths have been reported, taking the total number of deaths under this daily definition to 9,836.

And once again, I want to send my condolences to everyone who has lost a loved one.

Presiding Officer

It is clear from these figures that the wave of Omicron that has been predicted is now rapidly developing.

Omicron now counts for around 80% of all cases and over the past week the number of reported cases overall has increased by 47%.

We should also bear in mind that any transmission over recent days will not yet be fully evident in the reported figures.

So it is reasonable to assume that we will continue to see steep increases in cases in the days and indeed possibly in the weeks ahead.

That said, it is also important to remember that our individual and collective behavior will influence how fast or otherwise the virus spreads.

The current surge would almost certainly be even higher, but for so many people following advice to cut down on social interactions in the run up to Christmas.

And given the speed and extent of the transmission we are experiencing now, it is really vital that we all continue to take sensible precautions and limit social interactions for a further period, as we learn more about the likely impact of this wave of infection and as we complete the booster vaccination programme.

Presiding Officer

Obviously one of the factors we are looking at most closely is the proportion of Omicron cases that require hospital treatment. This will tell us more about the severity of Omicron for individuals and also about the overall impact that it is likely to have on the NHS. This will therefore inform our ongoing response.

Before I say more about that, though, it is worth emphasising that there are other reasons to do all we can at this stage to slow down the spread.

Firstly, whatever the overall impact of Omicron turns out to be, we know that this virus will cause serious illness and death for some. We also know that for others, long Covid will cause ongoing suffering.

Secondly, we know that high levels of infection and therefore sickness absence, will be disruptive to the economy and the delivery of critical services – and I will say more later about how we are seeking to mitigate this.

However, as things stand, none of us should be complacent about getting Covid. We should take steps to avoid it if we can.

There is no doubt however, that the data we are looking at most closely just now is the conversion of cases into hospital admissions.

And there are here some grounds for optimism.

Over the past week, published studies have suggested that the risk of hospitalization from Omicron is lower – possibly significantly lower – than for other strains of the virus.

What is not yet fully understood is why this might be the case – whether it is because Omicron is inherently less severe, or because of its greater ability to infect those who have had prior infection or been vaccinated which means that more of those who get it carry a level of immunity that protects them from more serious illness.

We don’t yet know the answer to that but, either way, if it is the case that a much lower proportion of people with Omicron need hospital care compared to other strains of the virus, that is really good news – especially as Omicron is now the dominant strain and good news both in terms of individual health and overall impact.

And of course it would inform how we respond in the weeks ahead.

However – and this remains key – for at least the next couple of weeks, we do need to show continued caution as we assess in real time the impact that these higher case numbers will have on the NHS.

It is encouraging that, at least until now, the rise in cases experienced over the past few weeks has not translated into a corresponding rise in hospital admissions or occupancy.  

On the contrary, the number of people in hospital with Covid has so far remained broadly stable.

However, again, we do need to exercise caution.

The numbers in hospital with Covid in England is now rising quite sharply – which may be a sign of things to come here.

And indeed today’s reported increase in hospital occupancy of 80 is the biggest we have seen for some time.

And we know that there is a time lag between rising cases and rising hospital admissions.

And, of course, in terms of sheer numbers, the benefits of a lower rate of hospitalization could be quickly cancelled out by the much higher case numbers resulting from significantly increased transmissibility.

So we will be monitoring all of this data very carefully in the days to come.

As well as looking at the headline numbers, we will also be interrogating the detail – for example, the breakdown between those in hospital because of Covid, and those in hospital who have Covid but who were admitted for different reasons; and also whether the average length of stay in hospital for those with Omicron is different to other variants.

All in all, I would expect that within the next couple of weeks, we will have a clearer picture and that this will then help us reach informed judgments about the most  proportionate response going forward.

In the meantime, however, while we better understand the impacts and while more and more of us get the added protection of booster vaccinations – which will of course help reduce the impacts of Omicron – we must try to avoid the sheer volume of cases overwhelming us.

That is why it is prudent, indeed I would say it is essential, that we do act to slow transmission at this stage as much as possible.

Indeed that is why additional protections were announced last week and are now in force and I will summarise these shortly.

And it is also why, over Hogmanay and New Year’s day, and for at least the first week of January, we are advising everyone to stay at home more than normal, to reduce contacts with people outside our own households, and to limit the size of any indoor social gatherings that do take place so that they don’t include people from any more than 3 households. Also try to ventilate indoor spaces as much as possible.

And it remains our advice – our strong advice –  that lateral flow tests should be taken just before meeting up with anyone from another household.

And if that shows a positive result, it is vital to immediately isolate and book a PCR test.

You should also isolate and book a PCR test if you have symptoms that might be Covid.

Following this advice is difficult and frustrating at the best of times I know. But it is even harder at this time of year.

But it really does help and it will be helping already not withstanding these very high case numbers. So please do stick with it for now.

In addition to this general advice to the public, the new protective measures relating to hospitality, public indoor places, and live events that I set out last week are now in force. We will review these on an ongoing basis but, at this stage, our expectation is that they will be in force until 17 January. 

That means, for now, limits on the size of live public events – though private life events such as weddings are exempt.

For indoor standing events the limit is 100; for indoor seated events 200; and for outdoor events it is 500 seated or standing.

I know some question the rationale for this – so let me set it out again.

Firstly, the higher transmissibility of Omicron means that large gatherings have a much greater potential to become rapid super-spreader events.

Second, there are transmission risks associated with travel to and from such events.

And, thirdly, they do place significant demands on emergency services – such as the police and ambulance service. At a time when emergency services are already dealing with high levels of staff absence due to the virus, not having large scale public events allows these services to focus on the delivery of core services to the public.

As well as limits on large events, some further protections are now in force for hospitality settings and other indoor public places.

A requirement for table service has been reintroduced for venues that serve alcohol for consumption on the premises.

And guidance has been issued to the effect that indoor hospitality and leisure venues should ensure 1m distance between different groups of customers. So one group – whether it is made up of one, two or three households – should be physically distanced from other such groups in the same venue.

Finally, unfortunately, nightclubs are now closed until 17 January, unless they have decided to remain open, without dancing, as hospitality premises – in which case they will follow the same rules and guidance as other hospitality venues. 

All of these protections are important to help us deal with and reduce the impact of the public health challenge that Covid represents.

However, they also have a very significant impact on businesses.

Two weeks ago, I announced £100 million to support businesses affected by the advice to minimize contacts over the festive period. We have already detailed the allocation of that.

However, last week, I announced a further £275 million of support and I can give further detail today of how the first £100 million of that additional support is being allocated.

£16 million will be made available to support public transport providers through existing Covid support schemes.

£27 million will go to the culture sector, and a further £17 million to the events sector.

A further £32 million will be allocated to hospitality and leisure businesses, with an additional £10 million for those parts of the hospitality industry most severely impacted by the requirement for table service.

And up to £5 million will be allocated to nightclubs required to close.

We are also working closely with the sport sector. Sporting events are obviously affected by the limit on spectators, and also by cancellations due to Covid absences – however we also know that some of this impact will be alleviated by the rescheduling of events. So we want to make sure that the support we provide is effectively targeted and we will be confirming further details soon.

In total, we have now reached decisions on the allocation of £207 million of the £375 million being made available for business support.

And councils are now working to get that money into bank accounts as fast as possible.

Decisions on the allocation of the remaining funds will be confirmed following consultation with affected sectors on how it can best be targeted.

Presiding Officer

I know how difficult all of this for businesses.

And I wish it wasn’t necessary and I hope it isn’t necessary for long.

But there simply isn’t an easy tradeoff between protecting health and protecting the economy.

If Covid continues to spread rapidly, the economic impact in the form of staff absences and diminished consumer confidence will be severe and we’re already seeing those impacts.

So doing nothing won’t help business.

We must protect public health and the economy together – by slowing the speed at which Covid is spreading, while we complete the booster programme.

Presiding Officer

There are two further issues I want to touch on this afternoon.

I mentioned earlier the need to mitigate the impact of staff absences on the economy and critical services.

Now, obviously, the best way of doing this is by stemming transmission.

But we must also ensure the requirements for isolation are proportionate.

I indicated last week that we were weighing the risks and benefits of shortening the isolation period for index cases, and also potentially easing the requirement for all household contacts to isolate following a positive case.

These are finely balanced judgments and we are considering the current trends in infection carefully. However, I can confirm that we do hope to reach decisions in the next week with any changes taking effect from 5 January.

And we will keep Parliament updated.

In the meantime we have introduced a sectoral exemption scheme, subject to appropriate protections.

And I can confirm today a further change that will help ensure the exemption scheme – which is dependent on speedy turnaround of PCR tests – is effective.

The current surge in cases means testing capacity – sampling and processing capacity – is under pressure.

So we are now prioritising some slots for essential workers – such as NHS and transport staff – as well as for those who are clinically vulnerable or eligible for new Covid treatments.

And this ensures that essential workers get the test results they need to qualify for an exemption promptly.

This is a sensible step to take at this stage.

However, notwithstanding this priority for essential workers, let me stress that testing remains available for anyone who needs it.

If you try to book a test, and can’t find a slot available in a location you can get to, do try again later. Additional PCR test slots are released throughout the day.

Test & Protect is also, for now, focusing its telephone tracing on high risk settings, such as care homes.

The majority of us, if we test positive, will be contacted by text or e-mail, rather than by phone.

So if you are contacted by Test & Protect – either as a positive case or a close contact – please do respond and complete the online form, and make sure you follow all advice given.

The final point and the vital point indeed that I want to update on today is the progress of the vaccination programme.

Before I do so though, let me address this point. I’ve heard people ask in recent days what the purpose of booster vaccination is if we still have to restrict our activities for a period.

And I understand that question. But it is the answer that it is vital for all of us to understand.

Firstly, getting a booster doesn’t mean we won’t get Covid – though it will reduce the chances of that. But what it does do is significantly enhance our protection against serious illness. Getting boosted could quite literally save your life.

Because it doesn’t completely stop us getting or passing on the virus, those not fully vaccinated are still at significant risk. We won’t get the full benefit of the booster programme as a country until the maximum number of us are fully vaccinated. Which does mean that anyone choosing not to be vaccinated without good reason is acting irresponsibly. But the key point is this, until the programme is completed, and we are getting closer to that every day, we still need to slow down the spread.

In recent weeks there has been a huge increase in booster appointments and I want to put on record again my thanks to everyone involved in the delivery of the programme and to everyone coming forward to be boosted.

75% of those eligible for a booster or a third dose have now received one.

That represents excellent progress, but to deliver maximum benefits we need as many people as possible to get boosted as quickly as possible.

We want to get to – or close as possible to – the target of having 80% of eligible adults boosted by the bells.

Getting there depends on both capacity and demand.

Let me make it clear, we definitely have enough capacity now to meet that target.

What we need between now and the end of the week is high demand – eligible people who aren’t yet boosted to come forward now and get the jag.

High numbers of positive cases are making things more difficult – because if you get the virus, you can’t get the vaccine for a period afterwards.

So cancellation and do not attend rates have been creeping up this week as case numbers have risen.

But to everyone out there who isn’t yet boosted but could be – please book an appointment now or go to a drop in clinic.

If you have an appointment booked for January, please reschedule it for this week. There are plenty of slots available.

Please, please don’t delay. Every single booster jag administered now is a step on the road back to normality.

And remember if you haven’t had your first or second jag yet, it’s never too late for that either. Please make sure you get those now.

Presiding Officer, To draw my remarks to a conclusion, it’s an understatement to say that the situation we face now is not what any of us want.

And, I have to be clear, that the period immediately ahead will not be an easy one. That said I do hope that the clearer picture we will have in the next couple of weeks will also prove to be a much more positive picture.

And we can all help make it so.

So please, do get fully vaccinated.

Do it this week. The more of us who are boosted, the less severe the impact of Omicron will be and the sooner we will all return to normality.

Secondly, please test regularly.

The advice, if you are meeting other people, is to test before you go, every single time.

And take your test as close as possible, to the time you will be seeing other people. This is really important if you are planning to meet people from other households over Hogmanay. Although I would encourage you to please minimise that.

And finally, take all the other precautions which can help make a difference.

Work from home whenever possible.

Stay at home right now more than normal and reduce your contacts as much as possible –  as I said even over Hogmanay.

If you do visit indoor public places, limit the number of households in your group to 3 at most.

Wear a face covering on public transport, in shops, and when moving around in hospitality. And make sure the covering fully covers your mouth and nose.

Keep windows open if you are meeting indoors.  And follow all advice on hygiene.

Sticking to this is really hard. 

But it does keep us safer and gives us the ability to slow down the spread of the virus as we complete the all-important booster programme.

Presiding Officer

This has – and this is another understatement – been another really difficult year. But despite these renewed challenges that we face now I do firmly believe – largely because of vaccination – that 2022 will be a better year. Let me conclude by thanking everyone again for all of the sacrifices made over this year and by wishing everyone a very happy new year when it comes.

Thank you Presiding Officer.

Daily reported Covid cases in the UK jumped to a record 183,037 on Wednesday.

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Coronavirus

If you need advice about coronavirus, you can find more information on NHS inform or use our online symptom checker for the quickest way to check your symptoms and next steps. This may save you time and help you to decide if you need to phone.

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When your GP is closed and you cannot wait until they are open, you should phone 111 for out-of-hours advice.

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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.”