A Conservative MSP has expressed concerns over a possible delay to vaccine rollout in Edinburgh.
Lothians MSP Miles Briggs was reacting to a news story that appeared in the Daily Mail group’s i newspaper yesterday, which quoted a Edinburgh Health and Social Care Partnership (EHSCP) email sent to GPs on Friday (8th January) which said supplies of the vaccine are not expected to ‘become reliable’ until 25 January.
Part of the email reads: “Our best understanding is that the supply will increase and become more reliable and proportionate to practice numbers from week beginning 25th January, so a couple more weeks of frustration during which some 80+ patients will be getting the vaccination whilst others have to wait longer.”
EHSCP also suggested that mass vaccination centres may not become operational until the middle of February, partly due to delays with creating a national booking system for patients.
Lothian MSP, Miles Briggs, said:“This is hugely concerning, SNP Ministers need to get their act together and sort the logistics to deliver the vaccine rollout.
‘The vaccine is our key weapon against this virus, we urgently need to see SNP Ministers accelerate plans and focus on rapid effective vaccine delivery.”
EHSCP have not responded to the news story but the Scottish Government says the email contains ‘inaccuracies’ and that EHSCP will be issuing a correction.
Genuine concerns or political point-scoring? We’ll see – Ed.
Chief Medical Officer, Professor Chris Whitty writes about the UK’s battle with Covid-19
We have faced several grave moments during our battle against coronavirus. But right now, the country is perhaps facing the most serious yet.
The new, more transmissible variant of this disease is spreading rapidly across the country and having tragic consequences.
On Monday the 4 UK Chief Medical Officers and the NHS Medical Director recommended raising the national alert level to the maximum of level 5 for the first time.
This means that without further action there is a material risk of our healthcare services being overwhelmed within 21 days.
Since then the situation has deteriorated further.
Hospitals are always busy in the winter but the NHS in some parts of the country is currently facing the most dangerous situation anyone can remember. If the virus continues on its current trajectory many hospitals will be in real difficulties, and very soon.
This means that the time people wait for care will continue to increase to potentially unsafe levels, hospitals won’t have room to take redirected emergency cases in regional networks, staff to patient ratios which are already stretched will become unacceptable even in places likes intensive care.
There will be avoidable deaths. NHS staff are doing their absolute best, and working remarkably; we all owe them a huge debt of gratitude, but even they have limits.
The public have made an extraordinary effort so far. Of course we are all tired of restrictions, but we need to find the collective strength to get through this critical stage and save as many lives as we can.
The advice right now is unambiguous: to drive the numbers down, we must stay home except for work, exercise and essential activities. Every unnecessary interaction you have could be the link in a chain of transmission which has a vulnerable person at the end.
These restrictions will not last forever. Science has delivered new vaccines, drugs and tests, with more on the way, in record time. People will be reunited. Vaccines and new treatments offer us hope and a clear way out. But we are not there yet, and should not act as if we are.
We still have weeks to go before vaccines will start reducing COVID deaths and, some weeks later, the number of people being hospitalised. We cannot afford to let our justified optimism for the future come at the expense of difficult action today.
That means for now staying home and avoiding all unnecessary contacts. By following the rules, we will save lives and help normal life return more swiftly.
Doses to be administered at over 1,000 GP practices and community centres
Many more people will receive the first dose of the Oxford/Astrazeneca coronavirus (COVID-19) vaccine in GP practices and community vaccination centres across Scotland from tomorrow (Monday)
The vaccine, approved for use in the UK by the Medicines and Healthcare products Regulatory Agency (MHRA) on 30 December, has already been administered in primary care settings in NHS Tayside, Lothian, Orkney and Highland.
First doses of the Oxford/AstraZeneca vaccine will now start to be administered in GP practices and community centres across the rest of Scotland this week.
Scotland has an allocation of 533,640 doses of the Oxford/AstraZeneca vaccine in January. These doses are available for local order and delivery to the different parts of Scotland over January.
Those aged 80 years and over will be invited to attend for vaccination by their local NHS Board or GP practice via a letter or by phone.
Health Secretary Jeane Freeman said: “The delivery of the Oxford/AstraZeneca vaccine is a major development for the biggest vaccination programme we have ever delivered.
“I would like to thank everyone involved for their continued efforts to ensure the pace of the programme continues. Next week I will update parliament with further logistical detail of the vaccination programme.
“We have over 1,100 vaccination sites, including over 750 GP practices with a growing core of over 3000 trained vaccinators to deliver the vaccine. When it is your turn to be vaccinated you will be contacted by your local health board and I urge you to please take up the offer.
“Please do not contact your GP but wait for your letter or phone call. And please remember that when the time comes for your second dose, it is crucial you get it as this is vital for longer term protection and to complete the course.
“As ever, we are dependent on the vaccine supply and we continue to explore all possible options to speed up the delivery of all vaccine and bring forward timescales where possible.
“This work, alongside our expanded testing strategy, rigorously complying with restrictions where we live and adhering to the public health guidance, is essential to protect those most at risk and minimise further impact on the NHS and social care services.”
The number of people being treated for coronavirus in Scotland’s hospitals reached another record daily high yesterday.
Latest figures show a total of 1,596 people are in hospital with Covid, up from Friday’s figure of 1,530.
93 Covid-related deaths were recorded on Saturday, the same number as Friday which was the highest daily figure of the pandemic so far.
Police are urging members of the public to stay at home and not attend a planned demonstration at the Scottish Parliament.
Information has been received that an event is scheduled to take place on Monday (11 January). However, under the current Level 4 restrictions, such gatherings are not permitted and anyone wishing to demonstrate is urged to find alternative ways to protest, such as online, to help prevent the spread of coronavirus.
Superintendent David Robertson from Edinburgh Police Division said: “We understand people want to make their voices heard, but they must do so lawfully and peacefully.
“The Scottish Government regulations are clear that no marches or parades are allowed due to the restrictions in place.
“Static demonstrations can take place if Scottish Government guidance is followed in local authority areas under Level 0-3 restrictions.
“They are prohibited in areas under Level 4 restrictions and we will continue to police these using the 4Es approach of engaging with those taking part and explaining the restrictions in place.
“Our response will be measured and appropriate and we will use enforcement as a last resort where required.”
For more information on the latest coronavirus guidelines please visit the Scottish Government website at http://ow.ly/QT2O50D43KL
US biotech company Moderna, Inc. has announced that the UK’s Medicines and Healthcare products Regulatory Agency (MHRA) has approved its mRNA vaccine against COVID-19 for use under Regulation 174.
The temporary authorization permits the supply of COVID-19 Vaccine Moderna in Great Britain and is based upon the advice of the UK Commission on Human Medicines.
“We appreciate the confidence shown by the UK MHRA in COVID-19 Vaccine Moderna with this decision, which marks an important step forward in the global fight against COVID-19,” said Stéphane Bancel, Chief Executive Officer of Moderna.
“I want to thank the MHRA and the Commission on Human Medicines’ reviewers for their tireless efforts. The authorization of a product developed by Moderna is a significant milestone on the Company’s 10-year journey, and I would like to thank all our colleagues that have helped us get to this point.”
The United Kingdom government has also exercised its option to purchase an additional 10 million doses of the COVID-19 Vaccine Moderna, bringing its confirmed order commitment to 17 million doses. The first deliveries of the COVID-19 Vaccine Moderna to the UK from Moderna’s dedicated non-U.S. supply chain are expected to commence early in 2021.
The UK is the fifth jurisdiction to authorize COVID-19 Vaccine Moderna, following the United States on December 18, 2020, Canada on December 23, 2020, Israel on January 4, 2021 and the European Union on January 6, 2021.
Additional authorizations are currently under review in a number of countries including Singapore and Switzerland.
The vaccine will be available for free and the government is working with the devolved administrations to ensure it is deployed fairly across the UK.
Health and Social Care Secretary Matt Hancock said: “This is fantastic news and another weapon in our arsenal to tame this awful disease.
“Through our vaccine delivery plan we have already vaccinated nearly 1.5 million people across the UK. The Moderna vaccine will boost our vaccination programme even further once doses become available from the spring.
“While we immunise those most at risk from COVID, I urge everyone to continue following the rules to keep cases low to protect our loved ones.”
Nearly 1.5 million people in the UK have already been vaccinated with the Pfizer/BioNTech and Oxford University/AstraZeneca vaccines, with more than 1,000 vaccination sites live by the end of the week across the UK to rapidly scale up the vaccination programme.
The Joint Committee on Vaccination and Immunisation (JCVI) will submit updated advice on which groups to prioritise for vaccination before doses become available.
Business Secretary Alok Sharma said: “Vaccines are the key to releasing us all from the grip of this pandemic, and today’s news is yet another important step towards ending lockdown and returning to normal life.
“The UK was one of the first countries in Europe to sign a deal with Moderna, and I’m delighted our Vaccine Taskforce has secured an additional 10 million doses of their highly effective vaccine to protect the British public and save lives.
“From the scientists and trial volunteers to our world-class regulators and clinicians, we are enormously grateful to everyone who has played their part in this national effort to defeat the virus and get our country back on its feet.”
The NHS has decades of experience in rolling out successful widespread vaccination programmes and is putting into place extensive preparations for the roll-out of the Moderna vaccine ahead of the spring.
The Moderna vaccine will be deployed through similar methods:
hospital hubs for NHS and care staff and older patients to get vaccinated
local community services with local teams and GPs already signing up to take part in the programme
vaccination centres across the country, ensuring people can access a vaccine regardless of where they live
Vaccine Deployment Minister Nadhim Zahawi said: “The NHS is pulling out all the stops to vaccinate those most at risk as quickly as possible, with over 1,000 vaccination sites live across the UK by the end of the week to provide easy access to everyone, regardless of where they live.
The Moderna vaccine will be a vital boost to these efforts and will help us return to normal faster.
Through the Vaccines Taskforce, the UK has secured early access to 367 million doses of 7 of the most promising vaccines so far. To date, the government has invested over £230 million into manufacturing a successful vaccine. In the Chancellor’s Spending Review, published on 25 November, it was announced that the government has made more than £6 billion available to develop and procure successful vaccines.
Deputy Chief Medical Officer for England Professor Jonathan Van-Tam said: The highly effective Moderna vaccine is another impressive success for science and is another testament to the hard work of researchers and selfless clinical trial volunteers.
This vaccine will save lives once doses become available, but it is crucial we all continue to follow the rules to protect each other until enough people have been protected.
Interim Chair of the government’s Vaccines Taskforce Clive Dix said: This is another important milestone in our efforts to end this pandemic, and I would like to thank those in the government’s Vaccine Taskforce who have worked so hard to negotiate agreements with vaccine developers.
“A key objective for the Vaccine Taskforce is to ensure we have a range of vaccines to deliver to the UK population. The addition of the Moderna vaccine to the UK’s portfolio is important to reach that goal.”
Yesterday’s announcement was a glimmer of bright light on Covid’s darkest day. Thursday saw the worst figures since the virus hit the UK last year. A record 68,053 cases were recorded – and there were 1325 deaths, another unwanted record. Scotland also saw it’s worst figures – 93 deaths were registered on Thursday and 1530 people were in hospital with the virus.
Health professionals have said that the worst is yet to come. Vaccination really cannot come fast enough.
Lothians MSP Miles Briggs has expressed concern over a failure to improve conditions at Braid Hills Nursing Centre.
The latest Care Inspectorate report reads:
Braid Hills Nursing Centre is registered to provide care to 95 older people and 24 adults with a physical disability. The provider is BUPA Care Homes (ANS) Limited.
We carried out an initial inspection of the service on 29 September and 1 October, with NHS Lothian. The findings were outlined in the report laid before Parliament on 14 October.
We completed a further visit on 12 November with NHS Lothian to follow up on the improvements required in relation to cleanliness, infection prevention and control, waste management, the use of PPE and staff knowledge. The findings were outlined in the report laid before Parliament on 25 November.
We determined that further progress was still required.
We visited the service again on 29 December. Improvements were not sufficient in respect of the standard of cleanliness, waste management, the use of PPE, staff practice and knowledge. Overall, the management oversight and quality assurance systems were ineffective.
We issued a letter of serious concern to the provider on 29 December which detailed immediate action the home must take.
We returned to the service on 2 January 2021. Although the service had made plans to address our concerns, progress was not sufficient to reassure us that people were being supported safely during the pandemic. We issued the service with an improvement notice on 4 January 2021.
We have informed Edinburgh health and social care partnership of our findings.
We will undertake a further visit to monitor the improvement notice.
This was a follow-up inspection. We did not change the service evaluations.
Lothians MSP Miles Briggs said: “This is extremely concerning that Braid Hills Nursing Centre has failed to make the necessary changes to make the care home safe.
“The care home has repeatedly been told to follow the necessary measures in respect to the standard of cleanliness, waste management, the use of PPE, staff practice and knowledge, but have refused to do so.
“Increased levels of Covid-19 in the community puts elderly care home residents at even greater risk and Braid Hills Nursing Centre’s license must be reviewed if they will not meet the necessary standards to keep residents safe.”
An NHS Lothian GP practice has become one the first in Scotland to begin delivering community COVID vaccinations to the over 80s.
Pentland Medical Centre in Currie today (7 January) welcomed groups of patients, all aged 80 or over, to receive their first dose of the recently approved Oxford AstraZeneca vaccine.
Staff at the Medical Centre have been busy making the final preparations to support the vaccine delivery and are incredibly excited to begin this important step.
Pauline Hutton, Practice Manager explained that the whole team feel like they are playing a part in history. She said, “To all of us within the practice, this feels like Christmas. There is a real sense of anticipation, excitement and hope. We are delighted to begin vaccinating our patients and look forward to welcoming all those who are eligible at this stage over the coming weeks.
“We will be in touch directly with our patients, inviting them in for a vaccination appointment and we would encourage everyone who is eligible, to please attend.”
Hot on the heels of Pentland Medical Centre, Armadale Medical Practice will begin its over 80s vaccine roll out from the weekend.
With age being the greatest risk factor for serious illness and death from COVID-19, the first priority group for the vaccine are residents in care homes for older adults and their carers, people aged over 80 and frontline health and social care workers.
Already across NHS Lothian, over 20,000 vaccines have been delivered to front line staff within NHS Lothian, the four Health and Social Care Partnerships and for staff in both private and Council run care homes. This is in addition to the continued roll out of vaccines to care home residents across the region.
David Small, Director of Primary Care Transformation and the COVID Vaccination Project Lead at NHS Lothian said, “It is fantastic to see the first GP practices delivering COVID vaccinations to the over 80s. This is the beginning of a nationwide rollout which will commence from Monday 11 January.”
With the vaccine being seen as a critical factor in helping life return to normal, Mr Small recognises that people across the country will be eager to know when they will receive their vaccinations.
He added, “The COVID vaccine offers a beacon of hope, in what has some been truly difficult times. Across Lothian, we are working tirelessly to make sure that we can deliver the vaccine to each of the relevant groups when they are due to receive it.
“This is a huge task and won’t happen overnight, which is why we urge the public to please be patient with this process. The message however is clear: you will receive your vaccination, but this has to be done in a systematic way, to ensure that those who are most vulnerable are prioritised.”
Lothian MSP Miles Briggs said:“This is excellent news and will bring real hope to people that the end of full lockdown is in sight and will provide elderly people receiving the vaccine with protection in the community.
“GP practices will be central to the rollout of the vaccine, which Pentland Medical Practice and Armadale Medical Practice are showing a great example of leading the way.
“The whole of Lothian has made a huge effort and sacrifices to minimise the spread of the virus and it is vital we all continue to social distance with a full vaccine rollout to people at risk on the horizon.”
All those aged 80 or over will receive a letter or phone call inviting them forward for their vaccination and advising them where and when they can get it. The vaccine requires two doses to offer the best possible protection, with second dose appointments being scheduled for around twelve weeks after the first dose is administered.
Delivery of the COVID vaccination across Lothian is aligned to the prioritisation schedule outlined by the JCVI, and communicated by the Scottish Government. Through the adoption of this approach, it will help to ensure that the most vulnerable receive protection first.
Plans for the further wide scale vaccination roll out are in the final stages and as soon as this information is available it will be widely communicated to the public.
21,101 new tests for COVID-19 that reported results – 10.5% of these were positive
68 new reported deaths of people who have tested positive
95 people are in intensive care with recently confirmed COVID-19
1,384 people are in hospital with recently confirmed COVID-19
Local area data
Public Health Scotland’s interactive dashboard now provides a map showing the number of cases in local areas, as well as trends for local authorities and NHS boards
UK FIGURES for WEDNESDAY 6th JANUARY
62,322 new cases were reported across the UK yesterday.
There have now been more than 2.8 million confirmed cases of coronavirus in the UK and over 75,000 people have died, latest government figures show.
However, these figures include only people who have died within 28 days of testing positive for coronavirus and other measures suggest the number of deaths is higher.
The first venues for the mass COVID-19 vaccination programme in Lothian have been selected. NHS Lothian has identified and agreed three large-scale venues capable of providing thousands of vaccinations at a time.
The next phase, known as Wave 2, of the vaccination programme is under way across Scotland to vaccinate people aged 75 to 79 years of age, followed by those aged 70 -74 and 65 – 69, followed by adults with risk factors over the age of 60.
NHS Lothian has been working with councils, health and social care partnerships and other partners to ensure the sites are ready when the roll-out begins, which is expected in February.
The Edinburgh International Conference Centre (EICC), The Pyramids Business Park (PBP) in West Lothian have been agreed and details are being finalised for Queen Margaret University (QMU) in East Lothian.
A number of local supplementary centres are also being set up by the four Health and Social Care Partnerships – East Lothian, Edinburgh, Midlothian and West Lothian – to supplement the bigger venues.
Announcing the choice of centres on Christmas Eve,David Small, Director of Primary Care Transformation, NHS Lothian, who is leading the programme, said he was delighted that three large-scale venues had been agreed.
“This is the biggest mass vaccination programme undertaken. It is a massive task and even though all of the teams are working at speed, we know we need to make sure we get the delivery right, first time.
“There are a lot of challenges involved across the project, but we are meeting each one and we are delighted that these three venues are finalised. We still have a number of other options to consider and explore, but this is a milestone.
“It means we can begin work in the new year while we continue planning the smaller centres which will supplement the bigger venues.”
Plans are being developed to create a walk-through centre at the EICC which would be capable of vaccinating 26,000 people in a week at a total of around 50 stations.
A similar walk-through centre is expected to be set up in PBP, which could provide 12,000 vaccinations every week using around 25 stations.
A drive-through vaccination centre is then being planned for Queen Margaret University in East Lothian that would have around 16 stations and be able to vaccinate 8,000 people a week.
People will be contacted by the NHS when they are eligible for a vaccination appointment. They should not contact the venues directly because they would not hold any of the relevant information.
This new phase will be followed in the Spring by the roll-out of Wave 3, which will again target individual age groups, staring with those aged 60-64, 55- 59, 50-54, followed by the rest of the population.
From tomorrow, mainland Scotland will move from Level 4 to a temporary Lockdown, with new guidance to stay at home except for essential purposes.
First Minister Nicola Sturgeon made the following statement to Parliament this afternoon:
I’m grateful to you, Presiding Office for this recall of Parliament today. And I want to wish you, members, and everyone watching, all the best for a new year that we hope – despite a very difficult start – will bring better times.
The Cabinet met this morning to assess the up to date Covid situation – which is extremely serious – and discuss what further action is necessary to minimise further spread of the virus. I will set out our decisions shortly.
However, I can confirm now, in summary, that we decided to introduce from midnight tonight for the duration of January, a legal requirement to stay at home except for essential purposes. This is similar to the lockdown of March last year.
However, before I set out Cabinet’s decisions in more detail, I want to explain in some detail why they are so necessary.
In the last few weeks, there have been two significant game changers in our fight against this virus.
One, the approval of vaccines, is hugely positive and offers us the way out of this pandemic.
But the other – the new faster spreading variant of the virus – is a massive blow.
Possibly the most simple way of explaining the challenge we face right now is to compare it to a race.
In one lane we have vaccines – our job is to make sure they can run as fast as possible. That’s why the government will be doing everything we can to vaccinate people as quickly as possible. I will say more about that later.
But in the other lane is the virus which – as a result of this new variant – has just learned to run much faster and has most definitely picked up pace in the last couple of weeks.
To ensure that the vaccine wins the race, it is essential to speed up vaccination as far as possible. But to give it the time it needs to get ahead, we must also slow the virus down.
And because it is now spreading faster, that means even tougher restrictions are necessary.
The evidence is now compelling that the new variant is up to 70% more transmissible than previously circulating strains, and that it may add as much as 0.7 to the R number.
And according to recent analysis of PCR test samples, it appears that the new variant already accounts for almost half of all new cases in Scotland. That increased and faster spread is undoubtedly driving the very serious situation we now face.
Today’s case numbers – 1,905 new cases, with 15% of tests being positive – illustrate the severity and urgency of the situation.
No new deaths were reported today – because yesterday was a Sunday and registration offices were largely closed – but since I updated Parliament before Christmas, 289 deaths have been recorded in the daily figures. That again reminds us of the continuing grief this pandemic is causing.
But this is not just about one day’s numbers.
We are now seeing a steeply rising trend of infections.
Indeed, it is no exaggeration to say that I am more concerned about the situation we face now than I have been at any time since March last year.
In the week from 23 to 30 December, the seven day incidence of cases per 100,000 of the population increased by 65% – from 136 per 100,000 to 225 per 100,000.
Test positivity has risen sharply too.
The next update on the numbers of Covid patients in hospital and intensive care will be published tomorrow.
I would expect these to show that, nationally, the total number of Covid patients in hospital is close to its April peak. And in some boards, the pressure is already very real.
For example, in terms of hospital beds, NHS Ayrshire and Arran is currently at 96% of its Covid capacity, and three other health boards – Borders, Greater Glasgow & Clyde and Lanarkshire – are above 60% of their capacity.
The number of people in intensive care is still significantly lower than the April peak – which partly reflects the fact that treatment of Covid has improved significantly since last spring.
But even so, the total number of patients in intensive care in Scotland is already above normal winter levels. Indeed, all mainland health boards have now exceeded their normal intensive care unit capacity.
And it is important to be clear that people who are in hospital and ICU now are likely to have been infected 10 days to 2 weeks ago.
That means that these numbers reflect what the level of new cases was around 2 weeks ago.
Given that the number of cases has increased significantly since then, we can expect to see significantly increased pressure on the NHS over the course of this month.
Contingency plans remain in place to double and then treble ICU capacity if necessary.
And the NHS Louisa Jordan continues to be available to help meet demand – as indeed it has been doing in recent months. 12,000 patients have attended there for scans and outpatient appointments; nearly 5,000 NHS staff and students have been trained there; and it is currently being used for Covid vaccinations.
In short, NHS services are coping at present – although the pressure on frontline staff is considerable – but already in some areas the position is fragile, and getting more challenging.
And if the rate of increase in case numbers that we have seen in past two weeks was to continue unchecked, there would be a real risk of our NHS being overwhelmed – even with contingency plans in place.
In fact, our modelling suggests that without further intervention, we could breach inpatient Covid capacity within 3 or 4 weeks.
And, of course, a sharply increasing number of cases, in human terms, means many more people becoming ill and dying. All of that explains why we have to act quickly and decisively.
The situation in some other parts of the UK – where case numbers are already much higher than here, and where the contribution of the new variant is already greater – shows what may lie ahead if we don’t.
As things stand, we estimate that we are possibly about four weeks behind the position in London and the south east.
The rapid acceleration in London began when it was at about 160 new cases a week, for every hundred thousand people. That’s the level Scotland was at a week ago.
London is now seeing 900 new cases a week per 100,000. Test positivity is around 27%. And pressure on NHS services is acute.
We have an opportunity in Scotland to avert the situation here deteriorating to that extent.
But we must act quickly.
The advice of our clinical advisers is clear that the increased transmissibility of the new variant means that the current level 4 measures may not be sufficient to bring the R number back below 1.
It is essential that we further limit interaction between different households to stem the spread and bring the situation back under control, while we vaccinate more people.
In short, we must return for a period to a situation much closer to the lockdown of last March.
Let me therefore set out in more detail the decisions Cabinet has reached.
It is important to stress that these are not decisions taken lightly. I am acutely aware of the impact they will have and I know they will not be welcome.
But they are in our judgment essential.
As government, our clear and overriding duty right now is to act quickly to save lives and protect the NHS.
We know that delay or prevarication in the face of this virus almost always makes things worse not better – even if it stems from an understandable desire that we all share to wait for more data or evidence.
To turn to the decisions in detail. The decisions I will speak about a bit later on schools, let me be clear at this stage, they will apply to all parts of Scotland. However other decisions that I will outline will apply to those parts of Scotland currently at level 4, which of course is all of mainland Scotland, and they are effectively an enhancement to level 4.
The island areas currently in level 3 will remain there for now, although we will continue to monitor them very carefully.
These additional level 4 restrictions – essentially returning us to a position similar to the lockdown of last March – will be in place for the whole of January. We will keep them closely under review.
However, I cannot at this stage rule out keeping them in place longer, nor making further changes. Nothing about this is easy.
The first measure is that our fundamental advice, for everyone, is to stay at home.
That is the single best way of staying safe.
We consider that this stay at home message and advice is now so important that, from tomorrow, it will become law, just as it was in the lockdown last year.
This means it will only be permissible to leave home for an essential purpose.
This will include, for example, caring responsibilities, essential shopping, exercise and being part of an extended household.
In addition, anyone who is able to work from home, must do so. It will only be a reasonable excuse to leave your home to go to work, if that work cannot be done from home.
We are asking people and businesses to take this really seriously – as we all did in March, during the first lockdown, – because the situation is at least as serious now as it was then.
The law already requires many businesses in certain sectors to close in Level 4. We now need every business to look again at their operations, and to make sure that every single function that can be done by people working at home, is being done in that way.
Businesses have already shown a tremendous capacity to adapt during this pandemic and I’m very grateful to them for that – and we need them to consider their operations again, as we all work together to reduce transmissions.
The Economy Secretary will be speaking to business organisations about this, including this afternoon. We will also engage with unions on these issues. And we will continue to consider if more regulatory action is required.
We are also providing new guidance for people who are in the shielding category.
If you were shielding and you cannot work from home, our clear advice now is that you should not go into work at all.
The Chief Medical Officer is writing to everyone who falls into this category, and his letter will count as a Fit Note for those who need it.
Unlike the lockdown last year, the frequency of outdoor exercise is not being limited.
It is important for physical and mental health that we can get outdoors for fresh air and exercise as much as possible.
However, from tomorrow, the rule on outdoor gatherings will change.
As of now, up to six people from two households are able to meet outdoors. Given the greater transmissibility of this new variant, we consider it necessary to restrict that further.
From tomorrow, a maximum of two people from up to two households will be able to meet outdoors.
Children aged 11 and under will not be counted in that limit, and they will also be able to play outdoors in larger groups, including in organized gatherings.
However, for everyone else – including 12 to 17 year olds – outdoor exercise should only take place in a way which is consistent with the 2 people from 2 households rule.
In addition, strict travel restrictions remain in place across Scotland. From tomorrow, if you live in a level 4 area – as the majority of us do – you cannot leave your home except for an essential purpose. When you do go out, stay as close to home as possible and stay away from crowded places.
And it remains the case – and let me stress this point – that no-one is allowed to travel into or out of Scotland unless it is for an essential purpose.
Presiding Officer, a number of other measures will come into effect on Friday of this week.
It is with real regret that we consider it necessary for places of worship to close during this period for all purposes except broadcasting a service, or conducting a funeral, wedding or civil partnership.
I am well aware of how important communal worship is to people.
But we believe that this restriction is necessary to reduce the risk of transmission.
While up to 20 people will still be able to attend funeral services, wakes will not be possible during January. And a maximum of 5 people will be able to attend wedding and civil partnership services.
Presiding Officer, I know how devastating restrictions like these are and I give an assurance that we will not keep them in place for longer than is absolutely necessary.
There will also be additional measures in relation to businesses, in addition to the tightening of the essential retail definition that took effect from Boxing Day.
The current 1 metre exemption for workplace canteens will end – so canteens will have to ensure that employees sit 2 metres or more apart, rather than 1 metre.
The number of non-essential services which remain open will be further restricted.
Premises which will need to close as a result of these changes will include, for example ski centres, showrooms of larger retailers, and clinics offering cosmetic and aesthetic procedures.
I know that many businesses have already been hit by the restrictions which were put in place on Boxing Day.
And of course I know that the vast majority of businesses have taken their responsibilities seriously, and have invested in Covid safety measures.
In addition, the move to home working has brought challenges for workers and employers. I am hugely grateful for the way in which businesses and their staff have responded to those challenges.
Grants are of course available for businesses required to close as a result of restrictions. That support is in addition to support through the UK wide furlough scheme.
The Scottish Government’s financial support for businesses during the pandemic currently totals more than £2.3 billion.
However, we will continue to assess what more the Scottish government can do – either in closure grants or other forms of support – to help businesses and those who work for them.
We will also work with councils to ensure community and social support for those who need it, including for parents balancing work and online learning. We will confirm additional resources later this week.
Presiding Officer, The final substantive issue I want to address – before giving an update on vaccination – relates to schools.
We announced before Christmas that most school pupils would learn remotely – rather than in school – until Monday 18 January.
I can confirm that we have now decided to extend that date and keep schools closed to the majority of pupils until 1 February. We will review this again in mid-January.The change will apply to all pupils – except vulnerable children, and children of key workers. And it includes nursery schools, as well as primary and secondary schools.
There is no doubt that of all the difficult decisions we have had to take today, this was the most difficult of all and its impact is of course the most severe.
The evidence to date makes clear that thanks to the hard work of school staff and pupils, schools in Scotland have been low-risk environments for Covid. We will work with our partners to ensure that remains the case.
That will include ongoing work on testing in schools and discussions about when, in the context of the overall programme, it will be possible to vaccinate school staff.
And I want to be clear that it remains our priority to get school buildings open again for all pupils as quickly as possible and then keep them open.
However, right now, two factors mean that it is not consistent with a safety-first approach for all children to attend school in person.
First, the overall level of community transmission is simply too high. We need to get transmission down before schools can safely reopen. A period of online learning will also, in turn, help us do that.
The second reason is that there is still significant uncertainty about the impact of the new variant on transmission amongst young people.
We therefore have to adopt a cautious approach at this stage.
So most pupils will be learning online for at least the rest of the month.
We will review on 18 January whether they can – as we hope – return to school on the 1 February.
I know that remote learning presents significant challenges for teachers, schools, parents and young people, and we will work to support children and parents throughout this.
The Scottish Government, Education Scotland and local authorities are working together to further improve the remote learning options which are available for schools.
And it is also worth highlighting that since schools returned after the summer, more than 50,000 devices – such as laptops – have been distributed to children and young people to help with remote learning. More devices are being distributed by councils on a weekly basis, and in total we expect our investment –which builds on existing local authority action – to benefit around 70,000 disadvantaged children and young people across Scotland.
I also want to stress one final point.
Just as the last places we ever want to close are schools and nurseries – so it is the case that schools and nurseries will be the first places we want to reopen as we re-emerge from this latest lockdown.
They remain our priority.
That is why we are considering whether and to what extent – consistent with our overall duty to vaccinate the most vulnerable first in line with JCVI recommendations – we can achieve vaccination of school and childcare staff as a priority. Many teachers will of course be vaccinated over coming weeks as part of the JCVI priority list.
The fortnightly review will not simply be a choice between opening and closing schools – we will always seek to maximise the number of pupils we can safely get back to classrooms and nurseries.
So if the evidence tells us we can get some pupils back safely, we will do that.
However ultimately, the best way of enabling more pupils to return more quickly is by reducing community transmission of the virus as much as possible. And all of us – by accepting and abiding by the wider restrictions I have set out today – have a part to play in achieving that.
Before I leave the issue of education, let me remind the chamber that we already had plans in place for the staggered return of universities and colleges. We will be considering this week whether any further change is necessary.
Presiding Officer, Before I close today, I want to give a brief update on our current expectations around vaccine supply.
The Health Secretary will give a more detailed update on vaccination in a statement the chamber next week.
However, I can confirm today that well over 100,000 people have now received their first dose of the vaccine.
The first doses of the Astra Zeneca vaccine are being administered today.
In total, over the period to the end of January – including the more than 100,000 already administered – we expect to have access to just over 900,000 doses of vaccine. Obviously, we hope that increases.
These will be split roughly equally between the Pfizer and Astra Zeneca vaccines.
However, we anticipate that some of the Astra Zeneca portion will be available only in the last week of January.
We do not yet have certainty on supply schedules beyond January but will keep Parliament updated as these become firmer.
However, our current expectation, based on assumptions about supply and the new advice on doses being administered up to 12 weeks apart, rather than 3, is that by early May everyone over 50, and people under 50 with specific underlying conditions, will have received at least the first dose of vaccine.
That is everyone who is on the JCVI priority list, and comprises more than 2.5 million people.
Once everyone on the priority list has been vaccinated, we will start vaccinating the rest of the population, and will do this in parallel with completing second doses for those on the priority list.
Those timetables are of course heavily dependent on vaccine supply. And for that reason, they are at this stage cautious.
However, I have tasked our vaccination team with exploring and keeping under ongoing review all options to speed up the rate of vaccination and bring these timescales forward as far as possible.
I am grateful for the many offers of assistance we have received and while many of them may not prove possible or practical to take up, they will be considered
The Health Secretary will say more about all of this in her statement next week.
Presiding Officer, To conclude, this is most certainly not the new year statement I wanted to give. And I know it is a statement no one wanted to hear.
But as I said at the beginning, we are now in a race between the vaccine and the virus.
The Scottish government will do everything we can to speed up distribution of the vaccine.
But all of us must do everything we can to slow down the spread of the virus.
We can already see – by looking at infection rates elsewhere – some of what could happen here in Scotland if we don’t act.
To prevent that, we need to act immediately and firmly.
For government, that means introducing tough measures – as we have done so today.
And for all of us, it means sticking to the rules
It means continuing to follow the FACTS guidance
And it means – above all – staying at home.
That is again our central message.
Stay Home. Save lives. Protect the NHS.
If we do this, we give the vaccine the time it needs to get ahead and ultimately win the race.
I know that the next few weeks will be incredibly difficult.
I’m sorry to ask for further sacrifices, after nine long months of them. But these sacrifices are necessary.
And the difference between now and last March is that with the help of vaccines, we now have confidence that these sacrifices will pave the way to brighter days ahead. So – for everyone’s sake and safety – please stick with it and stay at home.
