Hospitals in Scotland are rolling out new single tests to identify whether patients are infected with Covid-19, flu or RSV (respiratory syncytial virus).
The new three-in-one “multiplex tests” will be used when patients arrive showing respiratory symptoms at some emergency departments and assessment units.
They have been introduced with £5 million of Scottish Government investment.
They provide an advantage over “multi-target testing” which requires two or more tests to be carried out – one for Covid-19 and a second for other viruses such as flu A, flu B and RSV.
Health Secretary Humza Yousaf said: “The introduction of these new tests is an important step to help protect our NHS staff and patients, as services remobilise and we learn to live with the virus.
“The results will help hospital staff assess the treatment and placement of patients which should help accelerate patient flow through the system. It will also play a key role in avoiding healthcare associated infections and co-infection.
“It would be a mistake to think that the successful delivery of the vaccination programme means testing becomes less important.
“Testing will continue to play a vital role in our drive to bring down new cases of Covid-19 and break off future chains of transmission.”
The fastest multiplex tests will see results provided within two hours and will be prioritised for emergency admissions to assist with patient placement and treatment. Other laboratory-based tests may take between 90 minutes and eight hours for the results to come through.
All asymptomatic patients, staff and citizens will still be tested for SARS CoV-2 only and this will constitute the majority of testing in Scotland.
A new vaccination clinic has opened this week in Ocean Terminal, making it even easier for you to get your first and second dose of the COVID vaccine.
The clinic is open seven days a week, from 11am to 7pm. You don’t need to make an appointment to attend, and you don’t need to be registered with a GP to get a jab.
Anyone over 12 can drop in, just make your way to the clinic which is on the first floor of the centre. If you’re coming to get your second jab, you must have had your first jab at least eight weeks ago.
Unite Scotland has today revealed the details of a ‘devastating’ survey conducted of nearly 300 Scottish Ambulance Service (SAS) workers.
The survey conducted over the last month by the trade union among its SAS members reveals a ‘horrifying’ picture of the nation’s ambulance service due to years of ‘chronic underfunding’.
The survey reveals that by huge majorities SAS workers feel under-valued, fatigued; that staff morale has collapsed, with the vast majority of workers stating the nation’s ambulance service is under-resourced and under-staffed.
Substantial majorities of SAS workers also state that they have considered leaving the ambulance service and reported that they have been abused at work in the last year.
The headline survey findings reveal the following:
98.2% believe that Scottish Government’s extra investment of £20m into the SAS and support from the armed services will ‘not be enough’ during the winter months;
88.2% do not feel valued by the Scottish Government and 84.6% do not feel valued by the SAS;
86.7% of SAS workers felt that staff morale was either poor (30.8%) or very poor (55.9%);
86.4% feel fatigued at work while 78.9% believe the SAS is under-staffed;
81.5% have suffered verbal or physical abuse, or both, while working at the SAS within the last year;
73.6% of respondents said they have considered leaving the SAS;
70% do not get the necessary break times during shifts;
53.8% stated that there were not enough ambulances at ‘station level’; and
44.3% stated that the longest shift they have worked was between 12-15 hours, 30%between 15-20 hours; 17.5% between 10-12 hours while 5.7% stated it was under 10 hours and 2.5% over 20 hours.
In a previous Daily Record Exclusive on 9 September, Unite called for a ‘major incident’ status to be declared at all hospitals with Accident and Emergency Units, where turnaround times exceed 30 minutes.
The demand was made by Unite to protect the public who have made 999 calls in the community, amid patient safety concerns due to 6 hours service running times.
On average, an ambulance response to a 999 call can take between 55 minutes, and 1 hour and 10 minutes, from call to completion. However, ambulances are now missing three 999 calls while located at a hospital waiting for patient handovers.
The survey findings shed new light on this depressing situation with nearly 71% of respondents declaring that the longest 999 call they have been involved in from call to completion exceeded six hours: (16.3% – over 20 hours), (11.7% between 15-20 hours), (6.3% between 12-15 hours), (4.6% between 10-12 hours), (5.4% between 8-10 hours), and (26.4% between 6-8 hours), with the remainder being under 6 hours.
Worryingly, 94.5% of survey respondents involved in ambulance 999 call-outs believed the clinical coding to ascertain the severity of the situation was wrong. In addition, 54.7% answered ‘yes’ to the question ‘due to longer service running times has your ‘call’ been involved in an adverse clinical event due to delays and hospital pressures?’
Unite Scotland has repeatedly warned the Health Secretary, Humza Yousaf, that the extra investment and resources for the SAS would ‘not be enough’ to deal with the crises affecting the nation’s health services, which the survey findings conclusively confirm.
Pat Rafferty, Unite Scottish Secretary, in response to the survey findings, said: “I don’t think I have ever seen such an utterly depressing and horrifying situation with massive implications for the nation.
“The workers at the Scottish Ambulance Service are sending out their own 999 call to the Scottish Government saying that they are undervalued, stressed, and exhausted. It is now beyond breaking point.
“The levels of abuse the workers are suffering is inexcusable. The vast majority of those responding to our survey are going as far as to say they are now considering leaving the ambulance service.
“Shockingly, the survey reveals a culture of extremely long hours, partially due to chronic underfunding over many years, and the overwhelming stresses being placed on the system. This situation is directly leading to paramedics and ambulance staff being increasingly involved in adverse clinical events, and dangerously long response times.
“It is a devasting indictment of the Scottish Government’s approach to the ambulance service. Urgent action is necessary because lives are at risk alongside the fundamental issue of how we value those trying to save those lives.”
Almost 100,000 people in Scotland have reported that they’re suffering with long Covid but it has taken until today (Tuesday 9 November) for the Scottish Parliament to debate this important issue.
I led this debate in Parliament yesterday because no matter how much campaigners and MSPs raise the issue, the SNP Health Secretary is just not listening.
It is shameful that it has taken an opposition party debate for the plight of long Covid sufferers to be heard in Parliament.
The SNP/Green Government’s action plan on long Covid is totally unfit for the scale of this challenge. Many Scots would be better off moving to England where there are well-established clinics and a care pathway.
We need to do much more to help long Covid sufferers. That is why I am calling on the SNP/Green Government to:
Have specialist long Covid clinics in every health board
Train more long Covid community nurses to offer in-home support
Give everyone who needs it access to physiotherapy and rehab treatment
Make sure long Covid sufferers are not penalised financially because they are absent from work for longer periods
You can join me in calling for action from the Scottish Government by signing up to my plan for long Covid here:
The UK’s Chief Veterinary Officer has confirmed that the virus responsible for Covid-19 has been detected in a pet dog in the UK.
The infection was confirmed following tests at the Animal and Plant Health Agency (APHA) laboratory in Weybridge on 3 November. The dog is now recovering at home.
All available evidence suggests that the dog contracted the coronavirus from its owners who had previously tested positive for Covid-19. There is no evidence to suggest that the animal was involved in the transmission of the disease to its owners or that pets or other domestic animals are able to transmit the virus to people.
The advice from UK Health Security Agency (UKHSA) is for people to wash their hands regularly, including before and after contact with animals.
Chief Veterinary Officer Christine Middlemiss said: “Tests conducted by the Animal and Plant Health Agency have confirmed that the virus responsible for Covid-19 has been detected in a pet dog in the UK. The infected dog was undergoing treatment for another unrelated condition and is now recovering.
It is very rare for dogs to be infected and they will usually only show mild clinical signs and recover within a few days.
There is no clear evidence to suggest that pets directly transmit the virus to humans. We will continue to monitor this situation closely and will update our guidance to pet owners should the situation change.
Dr Katherine Russell, Consultant Medical Epidemiologist at UKHSA, said: “COVID-19 is predominantly spread from person to person but in some situations the virus can spread from people to animals.
“In line with general public health guidance, you should wash your hands regularly, including before and after contact with animals.”
Pet owners can access the latest government guidance on how to continue to care for their animals during the Covid-19 pandemic.
The case has been reported to the World Organisation for Animal Health in line with international commitments. There have been a very small number of confirmed cases in pets in other countries in Europe, North America and Asia.
Researchers at Queen’s University Belfast have developed a new treatment to be used in combination with radiotherapy that could significantly improve treatment outcomes for men with locally advanced prostate cancer.
The treatment can make cancerous cells up to 30% more receptive to radiotherapy while simultaneously reducing adverse side effects that limit quality of life.
Radiotherapy is extensively used to treat various localised cancers including prostate cancer, offering the best chance for curative intervention. However, approximately 30% of prostate cancer patients experience treatment failure leading to disease progression.
The research team at Queen’s have developed a new nanomedicine comprised of tiny gold particles, coated in a small peptide called RALA. If these nanoparticles are present in tumour cells when treated with radiotherapy, they increase the cell killing potential of this conventional treatment, helping to reduce the risk of disease relapse. In the absence of radiation, the gold nanoparticles are not directly toxic, meaning that risk of treatment related toxicity is low.
Various groups around the world have reported that gold nanoparticles, or other high-atomic number elements, hold the potential to sensitise tumour cells to radiation treatment, but one key challenge has been delivering these particles in sufficient levels to the right regions within the tumour cells.
Combining the gold particles with RALA increases the efficiency of nanoparticle uptake, while also enabling the gold particles to be delivered to regions within the cells which are more sensitive to the effects of radiation damage.
The study, published in Nanobiotechnology, shows that through the new formulation, prostate cancer cells were rendered up to 30% more sensitive to the cell killing effects of the same radiotherapy used to treat patients.
Furthermore, in experiments investigating the magnitude of effect in small 3-dimentional models of prostate tumors called tumourspheres, the combination of radiation and RALA-gold nanoparticles completely suppressed tumoursphere growth.
Professor Helen McCarthy, from the School of Pharmacy at Queen’s University Belfast, explains: “The peptide enables the gold nanoparticles to be delivered more efficiently to the tumour cells. The gold then interacts with the radiotherapy, increasing the cell killing effect in a highly localised manner.”
The gold particles are up to three times more visible on standard medical imaging equipment. This means that if the nanoparticles are located within the tumour, they should help to improve the accuracy of radiotherapy delivery, reducing the risk of off-target damage to neighboring normal tissue such as the bladder or bowel.
The multi-disciplinary team have recently been awarded £376,000 from Prostate Cancer UK to evaluate the effectiveness of these implants at increasing the sensitivity of prostate cancer cells to radiotherapy.
Dr Jonathan Coulter (top), from the School of Pharmacy at Queen’s University Belfast, explains: “Our research has shown that ultra-low concentrations of the RALA-gold nanoparticles effectively sensitise prostate tumour cells to radiotherapy.
“Now we want to build on this work, to address the second major challenge, consistently delivering sufficient nanoparticles to the tumour throughout a patients’ radiotherapy. We are delighted that Prostate Cancer UK are supporting our proposal to develop a biodegradable implant designed to provide sustained release of the gold nanoparticles.”
“Following insertion into the main tumour lesion, the biodegradable implant will consistently release the nanoparticles over time. This is opposed to current approaches that involve daily injections. Following consultation with a local prostate cancer patient focus groups, we learned that a one off implant would be better tolerated by patients than regular injections to the tumour.”
Lothian MSP Foysol Choudhury has warned that NHS Lothian is in crisis as another week of dismal A&E figures has been recorded.
Statistics published yesterday show that only 64.8 per cent of attendances in NHS Lothian at A&E in the week ending 31st October were seen within four hours.
363 patients spent over eight hours in A&E, with 132 waiting over 12 hours.
1,504 patients waited over 4 hours.
These are among the worst weekly A&E times on record for NHS Lothian.
Scottish Labour MSP Foysol Choudhury said:“Yet another week of shocking statistics showing the reality of SNP mismanagement of our NHS.
“Lothian patients are in dire need of medical help and they are not receiving the swift attention they deserve. These are truly shocking figures that show once again just how out of depth the SNP Health Secretary Humza Yousef is.
“The SNP has left NHS doctors and nurses over-worked, under-staffed and under-resourced – and it is patients who are paying the price.’’
More than 2 million consultations with NHS Pharmacy First
An innovative NHS community pharmacy service has helped see patients quickly and relieve pressure on A&E units and GP surgeries by sparing the NHS 200,000 avoidable appointments for the treatment of urinary tract and skin infections in the last year.
The NHS Pharmacy First network of more than 1,200 community pharmacies are the first port of call for minor ailments and common clinical conditions. The NHS Pharmacy First Scotland service has carried out over 2 million consultations since the launch of the service in July 2020.
The service provides free access to a consultation with an appropriately qualified member of the pharmacy team who provides advice on self-care, referral to another part of the NHS if they feel it is necessary and, if appropriate, will provide treatment.
The community pharmacist can also treat certain conditions such as urinary tract infections, shingles and impetigo without the need for a prescription or to see a doctor. This is part of a co-ordinated series of measures to improve patient care and help reduce demand on A&E.
Pharmacists in the network have taken more than 200,000 appointments in the last year which would otherwise have gone to GP surgeries or hospital A&E departments.
Since its launch at the height of the pandemic, only 4% of patients needed to be referred on to another healthcare professional, such as a GP or hospital unit. The majority were handled by the pharmacy team, advice on self-care or with treatment.
Health Secretary Humza Yousaf said: “Community pharmacists are playing a fantastic role in ensuring that millions of people have their minor ailment needs addressed quickly, without needing to go to a GP or hospital. They are a prime example of getting the right care in the right place at the right time.
“This is particularly helpful as our NHS faces one of the most difficult winters in its history, with the NHS Pharmacy First service helping to relieve some of the current pressures faced by emergency departments. As community pharmacy staff continue to give care and advice during the busy winter period, please continue to be kind and patient.
“The Scottish Government introduced the NHS Pharmacy First service, backed by £10 million of investment. As part of the NHS Recovery Plan we will look to expand the range of common clinical conditions that can be treated by community pharmacists, avoiding unnecessary GP and out of hours appointments.
“We have also committed to establishing a community pharmacy hospital discharge and medicines reconciliation service to help speed up the process for people being discharged from hospital. New digital solutions such as ePrescribing and eDispensing will make prescribing paperless and free up capacity for healthcare professionals to see more patients, while making it easier for the public to access their medicines quickly and safely.”
NHS Pharmacy First Scotland launched on 29 July 2020, and is designed to encourage everyone to visit their community pharmacy as the first port of call for all minor illnesses and specific common clinical conditions.
More than 10 million people have now received their COVID-19 booster or third jabs, ensuring vital protection over the winter months.
More than 10 million people have received a COVID-19 booster or third jab
Eligible people can now book a booster appointment a month in advance to speed up vaccination programme
People are urged to get their booster to top up their protection during the winter
More than 10 million people have now received their COVID-19 booster or third jabs, the latest figures show, ensuring the vital protection they have secured from their first two doses is maintained over the winter months.
A total of 10,062,704 people have received their booster and third jabs in the UK. 45,836,791 people have received two doses (79.7%) and 50,234,416 people have received one dose (87.4%). Seven in 10 over 80s in England are already vaccinated with top-up jabs.
The National Booking Service will be updated tomorrow (Monday 8 November) to allow those eligible for a booster vaccine – people over 50 and those most at risk of COVID-19 – to pre-book their jab five months after their second dose.
People will still receive their vaccine six months after their second dose, but the change will speed up the vaccination programme by allowing people to receive a jab the day they become eligible, rather than waiting for a convenient appointment.
People will also be able to book by calling 119 and can get vaccinated at hundreds of walk-in sites across the country six months after their second dose without an appointment. Those eligible can use the NHS online walk-in finder to locate the most convenient site.
More than one million people in London, Midlands, North East and Yorkshire, North West and South East have received the top-up jabs. Elsewhere:
East of England – 996,164 Midlands – 1,552,387 North East and Yorkshire – 1,388,202 North West – 1,126,027 South East – 1,392,592 South West – 956,896 London -1,026,423
COVID-19 booster vaccines have been delivered or booked in at every older adult care home in England where safe to do so, with almost nine in 10 care homes already visited.
Health and Social Care Secretary Sajid Javid said: “More than 10 million people across the UK now have the vital protection boosters provide, further building our wall of defence against this awful virus.
“This a phenomenal achievement and I want to thank everyone working on the rollout and everyone who has come forward for their jab.
“We know immunity begins to wane after six months, and booster jabs will ensure our most vulnerable are protected over the winter.
“Please do not delay – get your vaccines as soon as you can to protect yourself and your loved ones this winter so we can keep the virus at bay.”
The colder weather traditionally leads to increased transmission of viruses and will be challenging for the NHS.
Vaccines give high levels of protection but immunity reduces over time, particularly for older adults and at-risk groups, so it is vital that vulnerable people come forward to get their COVID-19 booster vaccine to top-up their defences and protect themselves this winter.
The latest evidence from SAGE shows that protection against symptomatic disease falls from 65%, up to three months after the second dose, to 45% six months after the second dose for the Oxford/AstraZeneca vaccine, and from 90% to 65% for the Pfizer/BioNTech vaccine. Protection against hospitalisation falls from 95% to 75% for Oxford/AstraZeneca and 99% to 90% for Pfizer/BioNTech.
Although the vaccine effectiveness against severe disease remains high, a small change can generate a major shift in hospital admissions. For example, a change from 95% to 90% protection against hospitalisation would lead to doubling of admissions in those vaccinated.
The booster programme is designed to top up this waning immunity. Early results from Pfizer show that a booster following a primary schedule of the same vaccine restores protection back up to 95.6% against symptomatic infection.
Vaccines Minister Maggie Throup said: “We are making brilliant progress with the COVID-19 booster programme and that’s testament to the tireless dedication of the NHS, and GPs, pharmacies and their teams.
“Booster vaccines will ensure those with increased risk of complications from COVID-19 maintain strong immunity during the winter and I urge everybody to take up the offer as soon as you become eligible.”
Last month, clinical guidance was updated to enable boosters to be given slightly earlier to those at highest risk, where this makes operational sense to do so.
This includes care home residents who may have received their second doses at different times to be vaccinated in the same session, as long as it has been five months since their second dose. It may also help with other vulnerable groups, such as housebound patients, so that they can have their flu and COVID-19 vaccines at the same time.
Vaccine confidence is high with data from the Office for National Statistics showing nearly all (94%) of those aged 50 to 69 say they would be likely to get their COVID-19 booster if offered, with the figure rising to 98% for those over 70.
Flu is another winter virus that can be serious. To give people the best protection over winter, those eligible for a free flu vaccine should come forward and book an appointment at either their GP practice or their local pharmacy, or take it up when offered by their employer or other healthcare provider.
Dr Nikki Kanani, NHS deputy vaccination programme lead and GP said: “Over ten million lifesaving top-up vaccinations is a fantastic achievement in just seven weeks by the NHS vaccination programme thanks to our staff.
“A record 371,000 boosters and third doses were chalked up in England alone yesterday, taking the total delivered to almost 8.5 million, as hundreds and thousands of people come forward every day to maximise their protection.
“With winter fast approaching I urge anyone who has not yet had a booster – or indeed a first or second dose – to not delay any further in protecting themselves and their loved ones against this deadly virus.”
People can now walk-in without an appointment to get their top-up vaccination and from tomorrow can book in an appointment a month in advance of becoming eligible – so there is no excuse to not get the lifesaving vaccine and people should do so as soon as they can.
The UK Government has launched a nationwide advertising campaign, encouraging people eligible to get their booster and flu jabs to protect themselves and their loved ones and help reduce pressures on the NHS. This includes outdoor billboards, broadcast and community radio and TV.
The offer of a first and second COVID-19 vaccine remains open to anyone who is eligible. Vaccines are available free of charge and from thousands of vaccine centres, GP practices and pharmacies.
There are more than 500 extra vaccination sites now compared to April this year, with 1,697 vaccination centres in operation in April 2021, and over 2,200 vaccination centres in operation now.
Vaccines are also available for those aged 12-15 to offer the best possible protection this winter in schools, as well as more than 200 vaccine centres.
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