From Sunday 1 May public health advice will change to a ‘stay at home’ message replacing self-isolation for people who have symptoms or have tested positive for Covid-19.
People who have symptoms of Covid-19 and who have a fever or are too unwell to carry out normal activities will be asked to ‘stay at home’ while they are unwell or have a fever. They will no longer be advised to take a PCR test.
The changes, part of the Test and Protect Transition Plan which was published last month, will also see all contact tracing ending.
As previously announced, testing for the general population will end on 30 April with test sites closing at that point too. However, testing will remain available to certain groups in order to protect high risk settings, support clinical care and for surveillance purposes.
Those groups include health and social care workers, care home and hospital visitors, patients groups eligible for treatment, hospital patients, unpaid carers and people in prison.
Other adults who have symptoms of Covid-19 and other respiratory illnesses and have a high temperature or do not feel well enough to go to work or carry out normal activities, are advised to stay at home until their fever has gone or they feel well enough.
Children and young people aged 18 and under with mild symptoms such as a runny nose, sore throat, or slight cough, who are otherwise well, do not need to stay at home and can continue to attend education settings.
They should only stay at home if they are unwell and have a high temperature. They can go back to school, college or childcare, and resume normal activities when they no longer have a fever and they feel well enough to attend.
This guidance reflects the fact that children and young people generally have a higher likelihood than adults of regular instances of respiratory symptoms from non-Covid illnesses.
The Protect Scotland app will also be closed down shortly, but users are encouraged to keep the app on their phones in case it is needed again at a future date.
NHS Scotland will also be taken out of emergency footing at the end of Saturday 30 April as Covid-19 cases continue to fall.
However, with continued demands on services across health and social care, there remains a need for caution to protect vital services.
Patients should only attend A&E if their condition is an emergency, to continue to limit the pressure on services. Patients can contact their GP during the day, local pharmacy or call NHS24 on 111 as an alternative.
Health Secretary Humza Yousaf said: “Scotland’s Test and Protect programme has been one of the key interventions in our response to Covid-19, the success of which has been due, in no small part, to the remarkable staff and volunteers working in Test and Protect – my sincere thanks go to them.
“I would also like to thank the Scottish public for their commitment and willingness to engage with Test and Protect when it was required of them and helping to protect their fellow citizens.
“However, we recognise we are now in a different phase of the pandemic. The primary purpose of testing is changing from population-wide testing to reduce transmission, to a targeted response focused on reducing severe harm of the virus.
“As we are now seeing a steady reduction in new Covid cases, the NHS will no longer remain on emergency footing after Saturday 30 April. But we must continue with a measured approach to support the recovery and renewal of our NHS.
“This will require balancing capacity of the NHS and the wellbeing of the workforce to respond to increasing demands for urgent care while reducing the backlog of planned care.”
Further information on the stay at home guidance and measures you can take to limit the spread of Covid-19 can be found at https://bit.ly/39polwD and from 1 May on nhsinform.scot/covid19.
The Highest Risk List – formerly known as the Shielding List – will be formally ended on 31 May, as a result of the success of the vaccination programme and the introduction of new treatments for COVID-19.
The decision has been taken following a careful review of growing clinical evidence by a team of specialist clinicians.
It shows that, for the vast majority of those on the list, the risk of hospitalisation or death from COVID-19 has been significantly reduced and is no greater than that of the general public.
For some time now, the clinical advice has been for those on the Highest Risk List to follow the same guidance as everyone else in Scotland unless specifically advised otherwise by their own GP or clinician.
The list is not being used to identify people who are eligible for vaccine prioritisation or new treatments, and the NHS will continue to be able to contact those people when needed.
Support remains in place for those who are immunosuppressed and who may still have some reduced immunity. This group are likely to need general protection from a range of infections in addition to Covid-19.
Wellbeing support is also available for those on the List, and the Scottish Government has allocated an additional £120,000 to the British Red Cross to fund their Connecting With You service to help people reconnect with activities and friends, to rebuild their confidence in going out and to help them regain a better quality of life.
The Distance Aware Scheme is in place to provide free badges and lanyards to people who wish to show others they would welcome additional space and extra care while out in public.
The Chief Medical Officer will shortly write to everyone on the list to advise them of the change, and sign-post them to ongoing support.
The Highest Risk List is ending.
The success of vaccines and new treatments mean most people on the List are no longer at higher risk from #coronavirus
Those eligible for priority vaccinations or treatments will still be contacted.
Dr John Harden, Deputy National Clinical Director, said: “At the beginning of the pandemic we introduced shielding to protect the most vulnerable from a virus we knew little about. Clearly shielding did not come without impact, particularly for those who were socially isolated or feeling particularly anxious due to being labelled at ‘highest risk’.
“In March 2020, we used the information we had at that point to identify those with certain health conditions who we reasonably thought would be at higher risk of severe illness from Covid-19.
“Thankfully, we know a lot more about the virus now. Combined with our successful vaccination programme and the availability of new treatments, means the clinical evidence clearly shows that the vast majority of people who have been on the Highest Risk List no longer need to consider themselves at any significantly higher risk.
“Support is still in place for the small number of immunosuppressed people who are unable to mount a full immune response due to their condition or ongoing treatment. We will publish separate advice for this group and have put in place an identification process to be able to rapidly generate an accurate and current list of individuals to provide additional advice to, should it be needed in future.”
Public Health Scotland reports from January 2021 and March 2022 both highlighted the negative impact of shielding on those asked to do so.
The Distance Aware scheme was launched by Wales’ health and care think tank The Bevan Commission in August 2020. The Scottish Government invested £55,500 in developing the scheme for a Scottish audience, including procuring and distributing badges, lanyards and promoting the scheme.
The Scottish Government is asking organisations, businesses and employers to promote this to their staff, customers and members. A toolkit is available to provide further support and information.
The mandatory housing measures for poultry and captive birds, which were introduced across the UK to help stop the spread of bird flu, will be lifted from 00:01 on Monday 2 May, Chief Veterinary Officers confirmed yesterday.
Poultry and other captive birds will no longer need to be housed, unless they are in a Protection Zone, and will be allowed to be kept outside. While the risk of bird flu has been reduced to ‘medium’ for premises with poor biosecurity, the enhanced biosecurity requirements that were brought in as part of the Avian Influenza Prevention Zone (AIPZ) will remain in force as infection may still be circulating in the environment for several more weeks. All poultry gatherings will remain banned.
Those who intend to allow their birds outside are advised to use the upcoming days to prepare their outside areas for the release of their birds. This will include cleansing and disinfection of hard surfaces, fencing off ponds or standing water and reintroduction of wild bird deterrents.
The UK has faced its largest ever outbreak of bird flu with over 100 cases confirmed across the country since late October. Scrupulous biosecurity is the most effective method of disease control available and all bird keepers should apply enhanced measures at all times to prevent the risk of future outbreaks.
In a joint statement, the four Chief Veterinary Officers said: “Whilst the lifting of the mandatory housing measures will be welcome news to bird keepers, scrupulous biosecurity remains the most critical form of defence to help keep your birds safe.
“It is thanks to the hard work of all bird keepers and vets, who have played their part in keeping flocks safe this winter, that we are in a position to take this action. However, the recent cases of avian influenza show that it’s more important than ever for bird keepers to remain vigilant for signs of disease and maintain stringent standards of biosecurity.”
The Avian Influenza Prevention Zone (AIPZ) will remain in force across the UK, with only the housing measures component being lifted from Monday 2 May.
This means all bird keepers (whether they have pet birds, a commercial sized or a backyard flock) must be diligent in continuing to take effective and precautionary biosecurity measures including cleansing and disinfecting equipment, clothing and vehicles, limiting access to non-essential people on their sites, and workers changing clothing and footwear before entering and when leaving bird enclosures.
Poultry and captive bird keepers must be vigilant for any signs of disease in their birds and any wild birds, and seek prompt advice from their vet if they have any concerns.
All bird keepers must:
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
thoroughly cleanse 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
All keepers are encouraged to register their flocks with the Animal and Plant Health Agency. For poultry this is a legal requirement if you have 50 birds or more (poultry includes chickens, ducks, turkeys, geese, pigeon (bred for meat), partridge, quail, guinea fowl and pheasants). Registering means that keepers will be contacted with information or action required should an outbreak happen near them.
Do not touch or pick up any dead or sick birds that you find. If you find dead swans, geese or ducks or other dead wild birds, such as gulls or birds of prey, you should report them to the Defra helpline on 03459 33 55 77.
More than one third of patients facing long waits in Scotland, as Emergency Care remains in severe crisis.
Responding to the latest weekly Emergency Department performance figures in Scotland Dr John Thomson, Vice President of The Royal College of Emergency Medicine Scotland, said:“We are continuing to see severely poor performance in the Emergency Care system. Staff are becoming more and more burnt out; the appalling crisis in Emergency Care is seriously distressing.
“The public are extremely worried about these long waiting times, and rightly so, because patients are coming to harm. Staff continue doing all they can to deliver care and keep patients safe, but it is incredibly challenging.
“It is a desperate situation, a result of widespread shortages of staff and beds throughout the system and a crisis in social care. Despite exiting winter and entering spring, the situation remains dire; we have never faced a crisis worse than this. The intense workload is breaking staff, and the distressing circumstances are breaking their morale.
“Patients continue to face seriously long waits, and we continue to state that this crisis is worse than ever, and that patients are coming to harm. The government cannot let this deteriorate further, staff and patients urgently need meaningful action now to tackle the desperate situation in Emergency Care and address the widespread staff shortages, the bed shortages, and the social care crisis.”
Thinking of getting your child vaccinated over the school break? At your child’s vaccination appointment, you will have the opportunity to speak to the vaccinator and ask questions before giving final consent.
Please see an overview of the locations available to get your child vaccinated here:
The UK Health Security Agency (UKHSA) has recently detected higher than usual rates of liver inflammation (hepatitis) in children. Similar cases are being assessed in Scotland.
Public health doctors and scientists at the UK’s public health agencies are continuing to investigate 74 cases of hepatitis (liver inflammation) in children since January 2022, where the usual viruses that cause infectious hepatitis (hepatitis A to E) have not been detected.
Of the confirmed cases, 49 are in England, 13 are in Scotland and the remainder are in Wales and Northern Ireland.
One of a number of potential causes under investigation is that a group of viruses called adenoviruses may be causing the illnesses. However, other possible causes are also being actively investigated, including coronavirus (COVID-19), other infections or environmental causes.
There is no link to the COVID-19 vaccine. None of the currently confirmed cases in the UK has been vaccinated.
Adenoviruses are a family of common viruses that usually cause a range of mild illnesses and most people recover without complications. They can cause a range of symptoms, including colds, vomiting and diarrhoea. While they don’t typically cause hepatitis, it is a known rare complication of the virus.
Adenoviruses are commonly passed from person to person and by touching contaminated surfaces, as well as through the respiratory route.
The most effective way to minimise the spread of adenoviruses is to practice good hand and respiratory hygiene and supervise thorough handwashing in younger children.
Dr Meera Chand, Director of Clinical and Emerging Infections at UKHSA, said: “We are working swiftly with the NHS and public health colleagues in Scotland, Wales and Northern Ireland to investigate a wide range of possible factors which may be causing children to be admitted to hospital with liver inflammation known as hepatitis.
“One of the possible causes that we are investigating is that this is linked to adenovirus infection. However, we are thoroughly investigating other potential causes.
“Normal hygiene measures such as good handwashing – including supervising children – and respiratory hygiene, help to reduce the spread of many of the infections that we are investigating.
“We are also calling on parents and guardians, to be alert to the signs of hepatitis – including jaundice – and to contact a healthcare professional if they are concerned.”
UKHSA, working with partners, will continue to make the public aware of findings throughout the course of the investigation.
Four-hour performance was 71.7%, 1.9% lower than the previous month, January 2022, and the second lowest on record
27,087 patients were delayed by four hours or more, this is means more than one in four patients were delayed by four hours or more
6,248 patients were delayed by eight hours or more
2,230 patients were delayed by 12 hours or more, this represents the highest proportion of attendances experiencing 12 hour waits since records began
Dr John Thomson, Vice President of the Royal College of Emergency Medicine Scotland, said:“The crisis in Urgent and Emergency Care is dire. The health system in Scotland is ceasing to function as it should. Patients are at risk of severe harm and staff are facing stress, distress, burnout and moral injury on a daily basis.
“This is unsustainable and dangerous. The first step to tackling this crisis is opening 1,000 beds that are desperately needed across the system and recruiting senior decision makers in Emergency Medicine. In addition, the crisis in social care, which is resulting in the most vulnerable patients residing in hospital for extremely long periods of time before being discharged means that the system is unable to cope.
“This patient safety crisis must be a priority for the Scottish Government, and they must take meaningful action now before more patients come to severe harm.”
New guidance outlines free COVID-19 tests will continue to be available to help protect specific groups once free testing for the general public ends on 1 April
Nicola Sturgeon will given an update on Scotland’s position this afternoon
Free COVID-19 tests will continue to be available to help protect specific groups including eligible patients and NHS and care staff once the universal testing offer ends on 1 April and next steps for adult social care set out
Plans in place to enable rapid testing response should a new health threat emerge, such as a new variant of concern emerge
Vaccines and treatments mean we can transition to managing COVID-19 like other respiratory illnesses, with updated guidance published on 1 April
People at risk of serious illness from COVID-19, and eligible for treatments, will continue to get free tests to use if they develop symptoms, along with NHS and adult social care staff and those in other high-risk settings, Health and Social Care Secretary Sajid Javid announced yesterday (Tuesday 29 March).
Free testing for the general public ends on 1 April as part of the Living with Covid plan which last month set out the government’s strategy to live with and manage the virus.
Although COVID-19 infections and hospitalisations have risen in recent weeks, over 55% of those in hospital that have tested positive are not there with COVID-19 as their primary diagnosis.
Free universal testing has come at a significant cost to the taxpayer, with the testing, tracing and isolation budget costing over £15.7 billion in 2021-22. This was necessary due to the severe risk posed by COVID-19 when the population did not have a high level of protection.
Thanks to the success of the vaccination programme and access to antivirals, alongside natural immunity and increased scientific and public understanding about how to manage risk, the population now has much stronger protection against COVID-19 than at any other point in the pandemic.
This is enabling the country to begin to manage the virus like other respiratory infections.
From 1 April, updated guidance will advise people with symptoms of a respiratory infection, including COVID-19, and a high temperature or who feel unwell, to try stay at home and avoid contact with other people, until they feel well enough to resume normal activities and they no longer have a high temperature. Until 1 April individuals should continue to follow the current guidance.
From 1 April, anyone with a positive COVID-19 test result will be advised to try to stay at home and avoid contact with other people for five days, which is when they are most infectious.
Advice will be provided for individuals who need to leave their home when they have symptoms or have tested positive, including avoiding close contact with people with a weakened immune system, wearing a face-covering and avoiding crowded places.
Secretary of State for Health and Social Care Sajid Javid said: “Thanks to our plan to tackle Covid we are leading the way in learning to live with the virus. We have made enormous progress but will keep the ability to respond to future threats including potential variants.
“Vaccines remain our best defence and we are now offering spring boosters to the elderly, care home residents and the most vulnerable – please come forward to protect yourself, your family, and your community.”
Under the plans set out today free symptomatic testing will be provided for:
Patients in hospital, where a PCR test is required for their care and to provide access to treatments and to support ongoing clinical surveillance for new variants;
People who are eligible for community COVID-19 treatments because they are at higher risk of getting seriously ill from COVID-19. People in this group will be contacted directly and sent lateral flow tests to keep at home for use if they have symptoms as well as being told how to reorder tests; and
People living or working in some high-risk settings. For example, staff in adult social care services such as homecare organisations and care homes, and residents in care homes and extra care and supported living services, NHS workers and those working and living in hospices, and prisons and places of detention (including immigration removal centres), where infection needs to be identified quickly to minimise outbreaks. People will also be tested before being discharged from hospital into care homes, hospices.
Asymptomatic lateral flow testing will continue from April in some high-risk settings where infection can spread rapidly while prevalence is high.
This includes patient-facing staff in the NHS and NHS-commissioned Independent Healthcare Providers, staff in hospices and adult social care services, such as homecare organisations and care homes, a small number of care home visitors who provide personal care, staff in some prisons and places of detention and in high risk domestic abuse refuges and homelessness settings.
In addition, testing will be provided for residential SEND, care home staff and residents during an outbreak and for care home residents upon admission. This also includes some staff in prisons and immigration removal centres.
Children and young people who are unwell and have a high temperature should stay at home and avoid contact with other people, where they can. They can go back to school, college or childcare when they no longer have a high temperature, and they are well enough to attend.
The internationally recognised Community Infection Survey delivered through the Office for National Statistics will continue to provide a detailed national surveillance capability in the coming year so the government can respond appropriately to emerging developments such as a new variant of concern or changing levels of population infection.
Infections in health and care settings will also be monitored through bespoke studies including the Vivaldi study in residential care homes, the SIREN study in the NHS, and RCGP surveillance in primary care.
The government has retained the ability to enable a rapid testing response should it be needed, such as the emergence of a new variant of concern.
This includes a stockpile of lateral flow tests and the ability to ramp up testing laboratories and delivery channels.
The government’s Therapeutics Taskforce and Antiviral Taskforce will also be merged into a single unit which will continue to focus on securing access to the most promising treatments for COVID-19.
Dame Jenny Harries, Chief Executive of the UK Health Security Agency, said: “As we learn to live with Covid, we are focusing our testing provision on those at higher risk of serious outcomes from the virus, while encouraging people to keep following simple steps to help keep themselves and others safe.
“The pandemic is not over and how the virus will develop over time remains uncertain. Covid still poses a real risk to many of us, particularly with case rates and hospitalisations on the rise. That is why it is sensible to wear a mask in enclosed spaces, keep indoor spaces ventilated and stay away from others if you have any symptoms of a respiratory illness, including Covid.
“Vaccination remains the best way to protect us all from severe disease and hospitalisation due to Covid infection. If you have not yet come forward for your primary or booster I would urge you to do so straight away – the NHS vaccine programme is there to help you and the sooner you are vaccinated the sooner you and your family and friends will be protected.”
Most visitors to adult social care settings, and visitors to the NHS, prisons or places of detention will no longer be required to take a test. More guidance on what people should do when visiting adult social care settings will be published by 1 April.
A number of changes and new guidance is also being confirmed today for adult social care including:
From 1 April, those working in adult social care services will also continue to receive free personal protective equipment (PPE). Priority vaccinations and boosters for residents and staff will also continue
Updated hospital discharge guidance will be published setting out how all involved in health and social care will work together to ensure smooth discharges from hospital and people receive the right care at the right time in the right place
Designated settings will be removed. These were initially set up to provide a period of isolation to COVID-19 positive patients before they move into care homes and before routine point of care testing for COVID-19 was available. Restrictions on staff movement will also be removed
Streamlined guidance on infection and prevention control measures will be published to set out long-standing principles on good practice, and support consistency across the adult social care sector. This will include details on future measures for COVID-19 and other respiratory viruses to ensure providers have the latest information on best practice which will include information on admissions, visiting and PPE
Updated guidance for adult social care providers and staff to set out the current testing regime across adult social care
Outbreak management periods in care homes, which can include visiting restrictions, have been reduced from 14 to 10 days
People aged 75 and over, residents in care homes for elderly adults and those who are immunosuppressed are now eligible to receive a Spring booster jab to top up their immunity to COVID-19. Around five million people will be eligible for a Spring booster around six months after their previous dose, and the NHS has contacted over 600,000 people inviting them to book an appointment. Anyone who has not yet had a COVID-19 jab continues to be encouraged to take up the ‘evergreen’ offer.
Through the Health and Social Care Levy, funding will rise by a record £36 billion over the next three years. This is on top of the previous historic long-term settlement for the NHS, which will see NHS funding increase by £33.9 billion by 2023-24, which has been enshrined in law.
The success of the government’s Living with Covid plan, will enable the country to continue to move out of the pandemic while also protecting those at higher risk of serious outcomes from the virus through our testing regime.
First Minister Nicola Sturgeon will announce this afternoon whether Scotland’s last remaining Covid regulations will be lifted next week.
The First Minister will update Holyrood on whether the requirement to wear masks in shops and on public transport will end as planned on 4 April.
Covid cases in Scotland remain at an alarmingly high level.
There were 25,506 attendances in week ending 20 March 2022
Four-hour performance was 66.2%, the lowest on record
8,610 patients were delayed by four hours or more, this is the highest on record and means one third of all patients were waiting for four hours or more in an Emergency Department
2,615 patients were delayed by eight hours or more, this is the highest on record and means more than one in 10 patients were waiting for eight hours or more in an Emergency Department
1,015 patients were delayed by 12 hours or more, this is the highest on record and means one in 25 patients were waiting for 12 hours or more in an Emergency Department
Dr John Thomson, Vice President of the Royal College of Emergency Medicine Scotland, said:“Each week the Urgent and Emergency Care crisis worsens.
“Scotland’s Emergency Care system is failing patients who are coming to harm, and failing staff who are overworked, exhausted, and burned out but are left to cover the widespread shortcomings of the health system. Shortages of beds, shortages of staff, the social care crisis; existing staff do all they can to keep patients safe in these exceptionally challenging circumstances.
“It is an untenable and unsustainable situation. This week saw the highest number of long waits on record yet again. Data show that there is one excess death for every 82 patients delayed for more than six hours.
“This week 2,615 patients were delayed by eight hours or more, from this we can estimate that over 30 patients in this week alone could have come to associated harm or death as a result of their delay to admission.
“The significance of this appalling harm must not go unnoticed and must be met immediately with effective and meaningful action. The Scottish Government must understand the severity and extent of harm befalling our patients, and see that existing staff facing moral injury, going above and beyond, running on goodwill and adrenaline is not reasonable or acceptable.
“This can no longer be the sole answer to the biggest patient safety crisis in Emergency Care for a generation. This must not continue.”
TODAY (Thursday 17th March) and tomorrow, Friday 18th March, there will be a pop up vaccination clinic from 9am – 2.30pm at the North Edinburgh Community Resource Centre on Pennywell Road.
All vaccines including boosters can be administered.
