Cole-Hamilton calls for early decision on vaccinating children

Liberal Democrat Health Spokesperson Alex Cole-Hamilton has lodged a parliamentary motion calling for the Joint Committee on Vaccines and Immunisation to accelerate the process by which it will come to a view on whether the Covid 19 vaccine rollout can be extended to children.

Mr Cole-Hamilton, lodged the motion after it was revealed that the number of Scottish children aged 0-9, hospitalised with Covid-19 has risen to 10. He is keen for the JCVI to come to a view as to whether or not it is safe to offer vaccines to young people given that it is already being rolled out to children as young as 12 in countries like Canada. This follows widespread reports various reports that the Delta strain of the virus could be more harmful to young people than previous variants.

Commenting, Mr Cole-Hamilton said: “I am in no way trying to influence the decision of the JCVI, nor am I asking them to cut corners, but I am concerned about the threat that the new Delta variant could pose to children.

“There is international data to support the benefits of some vaccines in children. If it’s is possible to safely vaccinate our children and young people I would like to see that done as quickly as possible.

“Canada is one of the first countries in the world to start vaccinating children, and they are confident enough to do so based on the existing data and the view of their own regulators. I’m not for a minute suggest that we follow their lead for the sake of it, but we do need to treat the potential threat of the Delta variant on young people for what it is- a matter of urgency.”

“The sooner we have a decision from the JCVI on use of the Covid-19 for children, the sooner we can put a plan in place for how best to protect them.”

Cole-Hamilton Seeks Walk-In Vaccine Centres for Constituency Hot Spots

Edinburgh Western MSP Alex Cole-Hamilton is seeking walk in coronavirus vaccination centres in the Lothians today, after an outbreak in his constituency which forced the temporary closure of a local primary school.

Last week, Mr Cole- Hamilton, raised concerns over the temporary closure of Davidsons Main Primary School within his constituency, after 12 out of the 19 classes were required to self-isolate. Health Secretary Humza Yousaf responded to Mr Cole-Hamilton with the assurance that an extra effort would be made to ensure appropriate testing measures would be in place to keep the virus under control.

Mr Cole-Hamilton believes that more immediate action must be taken, using an opportunity in the Holyrood chamber to ask if the Health Secretary would make drop-in vaccination clinics available for constituents over the age of 18 who have yet to have their first jag or face a long wait for their second in local hotspot areas across Edinburgh, as he had done in Glasgow over the weekend.

Unable to give a definitive answer, Mr Yousaf did promise to raise the merits of walk in centres during a meeting with NHS Lothian that will take place tomorrow.

Mr Cole-Hamilton said: “I am pleased that the Cabinet Secretary understands the value of walk in vaccination centres, and there are many examples of the appetite for them across the United Kingdom.

“If we have learned anything from this pandemic it is the tragedy of being slow to take action. If the city of Edinburgh is to avoid a situation like the one Glasgow has been facing for the last eight months, then walk in vaccination clinics must be set up as soon as possible.

“It is of the utmost importance that local outbreaks, just like the ones in Davidsons Mains and Silverknowes, are dealt with swiftly, to avoid further harm to our to both our health and economy.”

New treatment standards for drug users announced

New standards for treatment for drug users will ensure everyone has access to the support which works best for them.

The 10 new standards, published today by the Drug Deaths Taskforce, will reinforce a rights-based approach for people who use drugs and the treatment they should expect, regardless of where they live.

Funding from the additional £50 million for drugs services announced by the First Minister in January will ensure that all Alcohol and Drug Partnerships (ADPs) are supported by the Scottish Government to embed the standards by April 2022. They make clear that people must be able to start receiving support on the day that they ask for it and emphasise the importance of allowing people to make informed choices about the type of medication and help available to them.

These 10 standards apply to Medication-Assisted Treatment (MAT) which is the term used to refer to the use of medication, such as opioids, together with any psychological and social support, in the treatment and care of people who experience problems with drug use.

Minister for Drug Policy Angela Constance said: “I want to thank the Drug Deaths Taskforce for their work on developing these standards and all those who gave their views following the interim report.

“We now have a set of standards which are safe, accessible and person-centred. These will help ensure consistency of treatment across the country. Making help available and giving people an informed choice is an essential part of respecting a person’s rights and dignity. It is also an approach which is more likely to be effective and provide people with the support and treatment they need.

“We have said a national mission is needed to tackle the drug deaths emergency and that is why we allocated an additional £250 million over the next five years to improve and increase services for people affected by drug addiction.

“These MAT standards will mean everyone with problematic drug use can access the right support for them regardless of their situation or location.”

Chair of the Drug Deaths Taskforce Professor Catriona Matheson said: “The publication of the MAT Standards and the start of their implementation represents a major achievement for the Taskforce and the beginning of a new phase of our work.

The Standards constitute the most significant intervention in the strategy to reduce the unacceptable level of drug related deaths. The Standards will form a critical element of the longer term, sustainable actions that will save lives, complimenting the emergency actions taken to date.

“The evidence is clear that using street drugs and not being in treatment is dangerous and life-threatening. The Taskforce wants more people at risk to be in treatment programmes.

“I would like to thank everyone who contributed to the rapid development of the Standards and who are now involved in their roll-out and adoption. Commitment like this will help save lives.”

Scottish Drugs Forum CEO David Liddell said: “Scotland’s MAT Standards are the most significant landmark in improving Scotland’s response to problem drug use in over a decade. Implementing the standards will be the most significant development in addressing the on-going public health emergency of drug-related deaths.

“People who enter treatment are amongst the most vulnerable people in our society and often find engaging with services difficult. Services need to be more attractive, more approachable and more accessible; and reach out to people who have been in treatment but no longer are. 

“These standards are the basis for  making services truly person-centred. Implementing them will help services develop empowering relationships with people in treatment. Full implementation of the standards will save lives, reduce harm and transform people’s quality of life.”

Medication-Assisted Treatment (MAT) standards:

  • all people accessing services have the option to start MAT from the same day of presentation
  • all people are supported to make an informed choice on what medication to use for MAT, and the appropriate dose
  • all people at high risk of drug-related harm are proactively identified and offered support to commence, re-commence or continue MAT
  • all people are offered evidence based harm reduction at the point of MAT delivery
  • all people will receive support to remain in treatment for as long as requested
  • the system that provides MAT is psychologically and trauma informed (Tier 1); routinely delivers evidence based low intensity psychosocial interventions (Tier 2); and supports the development of social networks
  • all people have the option of MAT shared with Primary Care
  • all people have access to advocacy and support for housing, welfare and income needs
  • all people with co-occurring drug use and mental health difficulties can receive mental health care at the point of MAT delivery
  • all people receive trauma informed care.

Scottish Government launches lung cancer detection campaign

A new Detect Cancer Early (DCE) campaign is encouraging people to contact their GP if they have a new or different persistent cough or unusual breathlessness for three weeks or more in an effort to return to pre-pandemic cancer detection levels.  

These could be the early signs of lung cancer – and it’s important to get checked, especially if you’re over 40. While lung cancer is the most common cancer in Scotland, with around 5,500 new cases diagnosed every year, more people than ever are surviving the disease. This is down to improved treatments and more people being diagnosed earlier.

The campaign has been developed in response to Public Health Scotland’s data that show around 25% fewer lung cancers are being diagnosed now compared to pre-COVID-19. This, coupled with the fear of a potential cancer diagnosis continues to stop people acting early, when there are more treatment options available and the chance of survival is higher. The campaign, entitled ‘Settling In’, aims to empower people to take responsibility for getting any potential symptoms checked.

Since the launch of our £43m Detect Cancer Early Programme the proportion of lung cancer diagnoses at the earliest stage have increased by 43%, and by 57% in the most deprived areas of Scotland.

Launching the campaign, Health Secretary Humza Yousaf said: “More people are surviving cancer than ever before, but we know that fear of cancer is putting people off getting checked or attending screening, when invited.

“Don’t ignore early cancer signs and symptoms, and certainly don’t delay getting checked. NHS Scotland remains open during COVID-19 and your GP practice is still there for you – getting checked early is a hugely important step in finding out if you, or your loved one, needs urgent medical help.

“While it’s probably nothing to worry about, a quicker diagnosis can mean less worry. If cancer is confirmed, more treatment options are available if it’s found early.”

Co-chair of Scottish Primary Care Cancer Group Lorna Porteous said: “If you have a sign or symptom that might be due to lung cancer, please don’t delay contacting your GP practice.

“During the pandemic appointments may be done by either telephone or video so when you do get in touch, please give as much information as you can. You will be asked to come in for a face-to-face appointment if we need to examine you or do some tests – measures are in place to ensure your safety.”

Top professional snooker referee, Leo Scullion, today backed the call for people worried about potential lung cancer symptoms to get checked without delay, as someone who survived the disease after seeing his GP about a persistent cough. 

Leo, 63, originally from Glasgow but treated in Ayrshire, was diagnosed in July 2014 and started treatment in September 2014 which involved chemotherapy and radiotherapy. Following a period of recovery, Leo returned to the snooker circuit in 2017. 

He was told his cancer was in remission in December 2019, five years after diagnosis –  the same year he reached the pinnacle of his career, officiating his first World Championship final.

Leo said: “I was aware I was coughing, but it became noticeable to those around me.  I was in China for a tournament and put it down to the smog at that time, and the fact I was a smoker. 

“I did have other symptoms which I now know were warning signs.  I was waking up in the middle of the night with terrible sweats, and by the time I came back home, I was feeling pretty horrible. Looking back, I think I knew there was something more going on, your body just tells you.

“As soon as the results came back, I just remember saying ‘is it terminal?’ At that point my GP reassured me that there was plenty they could do.

“When I was at the sharp end and I needed help, the NHS was there for me.  If you’re worried about any unusual changes to your health, or worried about someone close to you, go and get checked.  It really is that simple.  The sooner they can find out what is wrong, the better.  I’m very grateful I went when I did.  There were times when I wondered whether I’d be back refereeing.  To be back working at a professional level, and to have my health, is tremendous. 

There is life after a diagnosis, and I intend to cause havoc for the rest of it!” 

TUC: Employers are “massively under-reporting” Covid deaths

  • Employers claim just 2.5% of working-age Covid deaths are from exposure to Coronavirus at work 
  • System for reporting workplace deaths and infections is “letting bad bosses off the hook”, says TUC 
  • Under-reporting has badly undermined health and safety regulation and enforcement during the pandemic 

The number of people who have died from exposure to Covid at work is being “massively under-reported” by employers, according to a new TUC report published yesterday (Sunday). 

The report highlights a huge discrepancy between Covid work-related deaths reported by employers and data from the Office for National Statistics (ONS) and Public Health England. 

Between April 2020 and April 2021 the ONS reported that 15,263 people of working age died from Covid.  But according to reports filed by employers just 387 (2.5 per cent) of these deaths came from workers contracting Covid at work. 

The union body says this under-reporting has badly undermined health and safety regulation enforcement during the pandemic with employers less likely to face action from regulators for putting staff at risk. 

Under-reporting in at-risk sectors 

The TUC’s report shows that in sectors with high numbers of deaths during the pandemic –  like food production and transport – only a small fraction of deaths have been reported as work-related by employers. 

Figures from the ONS show that between March 2020 and December 2020 more than 600 people working in the transport sector died.  

But according to reports filed by employers (over the longer period of April 2020 to April 2021) just 10 deaths in the transport sector were work-related. 

And figures from the ONS show that 63 food production workers died between March 2020 and December 2020. 

But according to data supplied by employers (over the longer period of April 2020 to April 2021) just three of these deaths were the result of work. 

The TUC believes the true number of work-related deaths in these and other sectors are much higher, especially considering the high number of breaches of safety protocols we have seen during the pandemic and the high numbers of outbreaks.  

Reporting system “letting bad bosses off the hook” 

Employers are required by law to report deaths, injuries and illnesses that take place at work or in connection with work.   

This is done through a mechanism called RIDDOR (The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013) which logs work-related deaths, illnesses and injuries for the Health and Safety Executive (HSE). 

But under the current reporting system employers are given “free rein” to decide whether a Covid-19 diagnosis is the result of occupational exposure or from exposure outside of work premises. 

The TUC says this loophole has led to employers not reporting the true scale of Covid work-related deaths and infections to the HSE, despite this information being vital to containing the spread of the virus. 

Enforcement crisis 

The TUC says that for the HSE to do its job effectively it must possess an accurate and up-to-date picture of where and when work-related deaths and infections are taking place. 

But during the pandemic it has only been provided with very partial information from employers.  

This has prevented the HSE from carrying out potentially urgent inspections and ensuring employers take the necessary action to keep workers and the public safe, says the report. 

TUC analysis shows that just 1 in 218 workplaces has been inspected by the HSE (between March 2020 and April 2021) and not one single employer has been prosecuted for putting staff at risk.  

The union body says this “crisis of regulation and enforcement” has allowed bad bosses to get away with flagrant labour rights abuses – adding that the pandemic has highlighted Britain’s enforcement system’s long-standing deficiencies. 

New approach needed to health and safety 

As well as calling for improvements in the way work-related delated deaths and infections are reported, the union body says government must reverse cuts to the HSE of the past decade, which it says left the country “under-prepared and vulnerable” to the pandemic.  

The last ten years has seen real term cuts of 50 per cent to the HSE budget, on top of local authority budgets being slashed.  

There has also been a dramatic decline in inspections. There were 27 per cent fewer HSE inspections carried out in the UK in 2019 than 2011, amounting to a fall of over 5,700 a year. 

TUC General Secretary Frances O’Grady said: “Everybody deserves to be safe at work. But this pandemic has exposed a crisis in health and safety regulation and enforcement. 

“Employers have massively under-reported Covid work-related deaths and infections. This has made it much harder for regulators to track where outbreaks are happening and allowed bad bosses to get away with flagrant labour rights abuses. 

“It’s staggering that not a single employer has been prosecuted for putting workers at risk of contracting Covid-19.  

“The government must fix the deficiencies in how workplace deaths, illnesses and injuries are reported. The current system is letting bosses off the hook. 

“And ministers must fund enforcement bodies properly so they can recruit and train qualified workplace inspectors, inspect more workplaces, and prosecute companies who don’t keep their workers safe.”

A copy of the report can be found at: https://www.tuc.org.uk/sites/default/files/2021-05/Underreporting%20of%20RIDDOR%20report%20-%20May%2021.pdf

Sixty million and rising!

one of the greatest achievements in Health Service history’

Over 60 million doses of the coronavirus (COVID-19) vaccine have been administered, with 37.9 million people across the UK receiving at least one jab.

  • More than 22.6 million people in the UK have been vaccinated with both doses for the strongest possible protection
  • Public urged to get vaccine when eligible

Around 72% of UK adults have received a first dose of a COVID-19 vaccine, the latest figures published yesterday (Sunday 23 May) show.

Health services across the UK have now administered a total of around 60.6 million vaccines since 8 December, including around 37.9 million people with their first dose (72%) and 22.6 million with both doses (43%), ensuring they have the strongest possible protection against COVID-19 from a second dose.

This comes as new real-world data shows the vaccines are reducing hospitalisations and deaths, saving more than 13,000 lives and preventing 39,100 hospitalisations in England by 9 May.

The government met its target of offering a vaccine to the most vulnerable by 15 April and remains on track to offer a first dose to all adults by the end of July. NHS England are sending texts inviting people to book a vaccination to those aged 32 and 33.

Health and Social Care Secretary, Matt Hancock said: “Shortly after vaccinating over 70% of adults in the UK with a first dose, we have hit yet another incredible milestone with over 60 million doses delivered in total.

“Our trailblazing vaccination programme – the biggest and most successful in NHS history – is another great British success story and a testament to what can be achieved when all 4 corners of country comes together to defeat this virus.

“Our country has one of the highest uptake rates in the world and I’m delighted that so many have answered our call to arms. If you have not yet come forward, and you are eligible, I urge you to take up the offer – it could save your life and protect your loved ones.”

To ensure people have the strongest possible protection against COVID-19, appointments for second doses have been brought forward from 12 to 8 weeks for the remaining people in the top 9 priority groups who have yet to receive both doses.

The move follows updated advice from the independent experts at the Joint Committee on Vaccination and Immunisation (JCVI), which has considered the latest available evidence and has recommended reducing the dosing interval to counter the threat of new variants of concern.

The UK government announced new ‘decisive actions’ to halt the spread of the B1.617.2 variant of concern first identified in India last week. Targeted activity is taking place to continue to drive vaccine uptake amongst eligible cohorts to protect the most vulnerable.

The government continues to work in close partnership with local authorities to ensure the right action is taken at the right time, and to boost uptake of the approved vaccines for those eligible in these areas.

The UK Government says they are also providing support to the Scottish government, who are adopting similar action to control the spread of variants in Glasgow and Moray.

The government and its scientific experts are monitoring the evolving situation and rates of variants closely, and will not hesitate to take additional action as necessary.

Vaccines Minister, Nadhim Zahawi said: “Today we hit yet another phenomenal achievement, with 60 million jabs in arms and over 4 in 10 people fully vaccinated with two doses.

“I want to pay tribute to the heroic work of NHS workers, volunteers, local authorities and civil servants across the whole country who have worked tirelessly to help make this happen.

“The vaccine is saving thousands of lives and provides invaluable protection from this virus, so when you get the offer please come forward for the jab.”

NHS England chief executive Sir Simon Stevens said: “This latest milestone in our ongoing fight against COVID-19 is another opportunity to thank everyone again working throughout this weekend to deliver the NHS COVID-19 vaccination programme come rain or shine, through thick and thin – undoubtedly one of the greatest achievements in Health Service history.

UK Government Minister for Scotland Iain Stewart said: “It’s superb to hear more great news about the vaccine rollout. This milestone underscores the incredible progress we are making right across the country in our fight against COVID-19.

“The UK government is supplying vaccines for people in all parts of the United Kingdom, and our fantastic NHS is working tirelessly to administer first and second doses.

“I’d encourage everyone to please take up the invitation to get the jab when it comes to help us all through this pandemic.”

The vaccine offers high levels of protection against symptomatic disease and even higher levels of protection against severe illness, hospitalisation and death from COVID-19.

Protection increases with the second dose which is why it’s vital that everyone gets both doses of the vaccine as soon as they are offered to them. Getting the vaccine makes people less likely to get infected and growing evidence shows that it also helps to prevent them from passing the virus on to others.

The latest data from Public Health England’s (PHE’s) real-world study shows the vaccines are already having a significant impact in the UK, reducing hospitalisations and deaths, saving at least 13,000 lives and preventing at least 39,100 hospitalisations in England by the 9 May. For the over 80s, it is estimated that 2 doses of the Pfizer-BioNTech vaccine reduces the risk of hospitalisation by 93% from the B.1.1.7 (Kent) variant.

PHE analysis also shows that individuals who receive a single dose of the Oxford/AstraZeneca vaccine have approximately 80% lower risk of death against the B.1.1.7 coronavirus variant originating in Kent and a second dose of the vaccine can provide 85-90% protection against symptomatic disease. Protection against death from the Pfizer-BioNTech vaccine rises from approximately 80% after one dose to 97% after 2 doses against the Kent variant.

A new study by PHE shows that 2 doses of the COVID-19 vaccines are highly effective against the B.1.617.2 variant first identified in India. Vaccine effectiveness against symptomatic disease from the B.1.617.2 variant is similar after 2 doses compared to the B.1.1.7 (Kent) variant dominant in the UK, and we expect to see even higher levels of effectiveness against hospitalisation and death.

Data published by YouGov shows the UK continues to top the list of nations where people are willing to have a COVID-19 vaccine or have already been vaccinated.

ONS data published on 6 May found that more than 9 in 10 (93%) adults reported positive sentiment towards the vaccine.

Approved vaccines are available from thousands of NHS vaccine centres, GP practices and pharmacies. Around 98% of people live within 10 miles of a vaccination centre in England and vaccinations are taking place at sites including mosques, community centres and football stadiums.

The latest UK-wide vaccination statistics are published here 

Vaccines are ‘highly effective’ against Indian variant

New study shows that 2 doses of the COVID-19 vaccines are highly effective against the B.1.617.2 variant first identified in India

Vaccine effectiveness against symptomatic disease from the B.1.617.2 variant is similar after 2 doses compared to the B.1.1.7 (Kent) variant dominant in the UK, and Public Health England expect to see even higher levels of effectiveness against hospitalisation and death.

The study found that, for the period from 5 April to 16 May:

  • the Pfizer-BioNTech vaccine was 88% effective against symptomatic disease from the B.1.617.2 variant 2 weeks after the second dose, compared to 93% effectiveness against the B.1.1.7 variant
  • 2 doses of the AstraZeneca vaccine were 60% effective against symptomatic disease from the B.1.617.2 variant compared to 66% effectiveness against the B.1.1.7 variant
  • both vaccines were 33% effective against symptomatic disease from B.1.617.2, 3 weeks after the first dose compared to around 50% effectiveness against the B.1.1.7 variant

The analysis included data for all age groups from 5 April to cover the period since the B.1.617.2 variant emerged. It included 1,054 people confirmed as having the B.1.617.2 variant through genomic sequencing, including participants of several ethnicities. Data published on Thursday 20 May for vaccine effectiveness covered the period since December for those aged over 65.

The difference in effectiveness between the vaccines after 2 doses may be explained by the fact that rollout of second doses of AstraZeneca was later than for the Pfizer-BioNTech vaccine, and other data on antibody profiles show it takes longer to reach maximum effectiveness with the AstraZeneca vaccine.

As with other variants, even higher levels of effectiveness are expected against hospitalisation and death. There are currently insufficient cases and follow-up periods to estimate vaccine effectiveness against severe outcomes from the B.1.617.2 variant. PHE will continue to evaluate this over the coming weeks.

Health and Social Care Secretary Matt Hancock said: This new evidence is groundbreaking – and proves just how valuable our COVID-19 vaccination programme is in protecting the people we love.

“We can now be confident that over 20 million people – more than 1 in 3 – have significant protection against this new variant, and that number is growing by the hundreds of thousands every single day as more and more people get that vital second dose. I want to thank the scientists and clinicians who have been working around the clock to produce this research.

“It’s clear how important the second dose is to secure the strongest possible protection against COVID-19 and its variants – and I urge everyone to book in their jab when offered.”

Dr Mary Ramsay, Head of Immunisation at PHE, said: “This study provides reassurance that 2 doses of either vaccine offer high levels of protection against symptomatic disease from the B.1.617.2 variant.

“We expect the vaccines to be even more effective at preventing hospitalisation and death, so it is vital to get both doses to gain maximum protection against all existing and emerging variants.”

Minister for COVID-19 Vaccine Deployment Nadhim Zahawi said: Almost every day we get more and more encouraging evidence about the difference our COVID-19 vaccines are making to people’s lives – with 13,000 lives saved and 39,100 hospitalisations prevented overall.

“Today’s data is astounding and a true reflection of just how important it is to get both your jabs when offered.

“I encourage all those offered an appointment to get their jab booked in as soon as possible and take full advantage of the high levels of protection the vaccines bring.”

Scottish aid wings it’s way to India

Scotland is sending life-saving oxygen and ventilation equipment to India as part of a UK-wide effort to support it in its fight against coronavirus (COVID-19).

Following an initial offer of various types of equipment, the Indian High Commission has accepted 100 oxygen concentrators and 40 continuous positive airway pressure (CPAP) ventilators.

The Indian Government urgently requires these units as its healthcare system is under extreme pressure. The devices can be used in hospitals, ICU wards or other locations and are ideally suited to treat COVID-19 patients when there are constraints on medical gas infrastructure supply.

Health Secretary Humza Yousaf said: “The coronavirus situation in India is a human tragedy. We are working with the other UK nations to help tackle the crisis by providing equipment that can be used immediately to save lives.

“Solidarity with other countries remains of key importance throughout this global pandemic and we will continue to make contributions within the international community, while tackling COVID-19 here in Scotland.

“There are a number of ways to donate to the response effort, including the British Asian Trust’s ‘Oxygen for India’ Emergency Appeal, and the Disasters Emergency Committee, which has extended its Coronavirus Appeal to include India.”

https://youtu.be/HSCJNvOIzQI

Launch of Lowland Hall Mass Vaccination Centre at Ingliston

This week NHS Lothian launched their biggest COVID-19 vaccination centre so far in a bid to deliver more lifesaving vaccinations. The first of thousands of patients have begun streaming through the Lowland Hall at the Royal Highland Centre, Ingliston.

Vaccination teams opened the doors to the huge centre which has 50 vaccination stations with the potential to increase, if required.By opening Lowland Hall, we will be able to more than triple our current capacity.

We will deliver 18,000 vaccines every day as the numbers of patients eligible for the jab increases in line with the population mix in Lothian.

We look forward to welcoming you to the Lowland Hall.

Protecting Scotland against COVID

Appeal for those who missed vaccine appointments to come forward  

Anyone who was part of vaccine priority groups 1-9 and missed their original appointment is being asked to come forward to arrange their vaccination.

This includes everyone 50 or over, adults on the shielding list, anyone with underlying health conditions, and unpaid carers.

Invitations have been issued to everyone aged 40 or over, with 30-39-year olds starting to be invited now. In the specific areas of Glasgow affected by the current outbreak, all 18-39 year olds are being invited with older age groups first.

Anyone who believes they should have had a letter by now with details of either their first or second dose should call the national helpline or fill out the missing appointments form on the NHS Inform site.

The system for handling missed appointments has recently been streamlined in order to speed up the process.

More than three million people – two thirds of the adult population – have now received their first dose. However, in response to the new variant currently circulating in parts of the UK, and in line with updated JCVI advice, second doses which are not already scheduled, are being brought forward from 12 weeks to eight weeks across Scotland where supply allows.

Chief Medical Officer Dr Gregor Smith said: “Our vaccination programme has been extremely successful, and we’ve seen very high uptake rates across all age groups. However, we know that there will inevitably be a small number of people who, for a variety of reasons, may not have taken up their original appointment.

Our message to you is clear – it is not too late, and you are still welcome. Please contact us to make an appointment today.

“It continues to be vitally important that everyone takes up the opportunity to get both doses of their vaccination when their opportunity arrives. I want to emphasise that the second dose offers greater and longer lasting protection, and should not be missed.

“Vaccination is crucial in protecting ourselves, our families and communities and helping us on the path back to normality.

“Anyone who missed their original appointment, or thinks they may have been missed, should contact the Vaccination Helpline on 0800 013 8013 or fill out the missing appointment form on the NHS Inform website. They can also help you find other ways to get your coronavirus vaccination if you are unable to leave your home for your appointment on medical grounds.

“People who have been vaccinated should still continue to get tested and engage with contact tracing teams if they are a contact of a positive case. While the latest evidence suggests vaccines provide a high level of protection, they don’t yet provide a guarantee that you can’t still get the virus or pass it on to others around you.”