Scottish Ambulance Service is on the ball as it delivers 10k vaccines

SAS gives Covid a kick!

The Scottish Ambulance Service’s vaccination bus has celebrated a huge milestone – the delivery of 10,000 vaccines to individuals across the country, as part of Scotland’s national vaccination programme.  

To mark this significant moment, the Service, working with NHS Greater Glasgow and Clyde, brought the vaccination bus to Scotland’s national stadium, Hampden Park, today (Wednesday 28th July). 

The Cabinet Secretary for Health and Social Care, Humza Yousaf, MSP, was in attendance at Hampden to help mark this achievement and to witness the vital work being carried out.

He met with the Consultant Paramedic Paul Kelly, who has been leading the vaccination bus programme with other colleagues, and Scottish Professional Football League Referee John Beaton, who was there to encourage people to get vaccinated. 

Over the last six months, the Service has been working in partnership with health boards and local authorities to support the delivery of the national vaccination programme.  This has included taking the vaccination bus to local community settings, such as football grounds and shopping centre car parks, to demonstrate the benefits of a responsive and tailored approach to reach communities across Scotland.

Pauline Howie, Chief Executive of the Scottish Ambulance Service, said: “Reaching the milestone of delivering 10,000 doses of the vaccine is incredibly significant, and it’s been made possible with the dedication of our colleagues, and our close working with Scottish Government, Health Boards and local authorities across Scotland to reach into communities.

“It’s so simple to get vaccinated and protect yourself and others from Covid-19. Just come along to our vaccine buses, roll up your sleeve, and our professional team will administer the vaccine. If we work together, we can all do our part in beating the Pandemic.”

Health Secretary Humza Yousaf said: “The vaccination programme has been a huge success and it is great to see so many people taking advantage of the mobile units.

“It is fantastic that the staff at the vaccination bus have administered 10,000 jags and I want to thank them all for their hard work in helping to get our national programme out into the community, making getting a vaccine easier than ever.

“You can pop in to the bus while you are out shopping or walking and staff will answer any questions you have in relation to the COVID-19 vaccination.

“All of the evidence says that the vaccines are working as we continue to battle the faster-transmitting Delta variant so I urge everyone to take advantage of the vaccination programme which is open to every adult in Scotland.”

Dr Emilia Chrighton, Deputy Director for Public Health for NHS Greater Glasgow and Clyde, said: “We’d like to thank everyone who has come forward so far to receive a vaccination. This is the single biggest factor in helping us control the virus.

“The vaccine bus has played a key role in the vaccination programme rollout so far, and alongside drop-in clinics and appointment clinics, has helped provide as many routes to vaccination to make it as easy for the public as possible.”

Pop-up Covid vaccination clinic opens at Gyle Shopping Centre

NHS Lothian has opened a pop-up vaccination clinic at Gyle Shopping Centre.

The team can administer all three vaccines – Pfizer, Moderna and AstraZeneca – so it is open to all ages. No appointment is necessary and those needing a first or second dose are welcome, as long as you have waited eight weeks between injections.

The clinic, which is just next to M&S, will run from 10am til 6pm, seven days a week from today – Tuesday 27 July.

More information here: http://ow.ly/3IWJ50FDPel

Health chiefs issue warning as childhood respiratory infections rise ahead of winter

Respiratory infections in young children have begun to rise out of season, following low infection levels in response to COVID-19 restrictions and good infection control measures that have been in place.

  • Parents are being encouraged to look out for symptoms of severe infection in at-risk children, including a high temperature of 37.8°C or above (fever), a dry and persistent cough, difficulty feeding, rapid or noisy breathing (wheezing).
  • The NHS is preparing for a rise in children needing treatment.
  • Through the Respiratory DataMart surveillance system, positivity of samples tested for RSV has increased over the last 5 consecutive weeks and now stands at 8.9%.

Health chiefs in England are encouraging parents to be aware of the signs of respiratory illnesses in young children, as data from Public Health England (PHE) shows cases are starting to rise in parts of the country.

Respiratory illnesses, including colds and respiratory syncytial virus (RSV) are very common in young children and we see them every year.

Last winter, due to the various restrictions in place to reduce the spread of coronavirus (COVID-19), there were far fewer infections in younger people. This means many will not have developed immunity and so we may see more cases this year than in a typical season. For the majority of children, these illnesses will not be serious and they will soon recover following rest and plenty of fluids.

RSV is a very common virus and almost all children are infected with it by the time they are 2 years old. In older children and adults, RSV may cause a cough or cold.

However, some children under 2, especially those born prematurely or with a heart condition, can suffer more serious consequences from these common infections such as bronchiolitis, an inflammatory infection of the lower airways – which can make it hard to breathe.

The early symptoms of bronchiolitis are similar to those of a common cold but can develop over a few days into a high temperature of 37.8°C or above (fever), a dry and persistent cough, difficulty feeding, rapid or noisy breathing (wheezing).

Most cases of bronchiolitis are not serious and clear up within 2 to 3 weeks, but you should contact your GP or call NHS 111 if:

  • you are worried about your child
  • your child has taken less than half their usual amount during the last 2 or 3 feeds, or they have had a dry nappy for 12 hours or more
  • your child has a persistent high temperature of 37.8C or above
  • your child seems very tired or irritable

Dial 999 for an ambulance if:

  • your baby is having difficulty breathing
  • your baby’s tongue or lips are blue
  • there are long pauses in your baby’s breathing

While still at low numbers, respiratory infections in young children are expected to rise this summer and as we go into the winter months.

Health Minister Lord Bethell said: “I remember the long nights in hospital when my 8 week old daughter fought off RSV. The image of her tiny body plugged into those machines and gasping for air will not leave me. I would not wish those moments for anyone.

“I urge all parents and carers to be alert to the signs of RSV, particularly amongst young children. It’s a nasty bug, so watch out for it.”

Dr Yvonne Doyle, Medical Director at PHE, said: “This winter, we expect levels of common seasonal illnesses such as cold and flu to increase as people mix more and given that fewer people will have built up natural immunity during the pandemic.

“Children under 2 are at a particular risk of severe infections from common seasonal illnesses. If a child under 2 is suffering from a cold, keep a close eye on their symptoms and make sure to contact your doctor if they get a high temperature, become breathless or have difficulty feeding.

“It’s important that we carry on with good hygiene habits that we’ve become used to during the pandemic, in order to protect ourselves and those around us. This means washing your hands regularly, using a tissue to catch coughs or sneezes and washing your hands afterwards, and staying away from others if you feel unwell.”

Ruth May, Chief Nursing Officer for England, said: “For most children these illnesses won’t be serious and they will ​soon bounce back but if you do need medical help for your child, especially if they are under 2, please do come forward for the care you need.

“The NHS has detailed plans in place for a wide range of scenarios ahead of winter and will continue to adapt them as needed, in line with the guidance from PHE.”

NHS England began planning for the potential rise in paediatric respiratory infections in April 2021, with paediatric units bringing forward their usual winter planning, escalation and emergency processes which will support an increased capacity in terms of beds, workforce and ward supplies.

Promoting physical activity is key to achieving U.N. Sustainable Development Goals, says study

A new study by Queen’s University Belfast and Washington University in St. Louis shows that promoting physical activity is key to achieving the U.N. Sustainable Development Goals (SDG’s).  

The research provides new evidence to show that integrating strategies to promote increased physical activity is a key part of the action plan for achieving the United Nations Sustainable Development Goals

The study, ‘Physical Activity Promotion and the United National Sustainable Development Goals: Building Synergies to Maximize Impact’ was published in the Journal of Physical Activity and Health. It is the first study to systematically explore the links between the seven strategies known to be effective for promoting physical activity at scale or a population-wide level, and the 17 U.N. development goals  (SDGs).  

The study found strong links between physical activity promotion strategies and eight out of the 17 SDGs: good health and well-being (SDG 3); gender equity (SDG 5); industry, innovation and infrastructure (SDG 9); reduced inequalities (SDG 10); sustainable cities and communities (SDG 11); climate action (SDG 13); and peace, justice and strong institutions (SDG 16). 

Deborah Salvo, Assistant Professor of Public Health at Washington University in St. Louis and lead author on the study, said: “Physical inactivity has been characterized as a pandemic, accounting for 7% of all premature deaths per year globally and resulting in billions of dollars spent on health-related expenditures.”  

The international research team applied a modelling method to simulate the effects of large-scale physical activities strategies to gain insights on the potential impacts of widespread scale-up of active transport systems and active urban design strategies on three different city types of high-, middle- and low-income countries. 

The simulation results indicated that expected physical activity gains are greater for low- and middle-income countries. In high-income countries with high car dependency, physical activity promotion strategies may help to reduce air pollution and traffic-related deaths, but shifts toward more active forms of travel and recreation and climate change mitigation may require complementary policies that disincentivize driving. 

Dr Leandro Garcia, from the Centre for Public Health at Queen’s University Belfast and co-author, said: “The simulation results reveal context-specific relations. In terms of physical activity increases, low- and middle-income country cities stand more to gain from urban transformations that prioritize equitable access to walking, cycling, public transport, and recreational infrastructure.

“As for high-income country cities, findings suggest that to observe meaningful improvements in physical activity levels and climate change mitigation, these types of strategies may need to be further complemented by policies that increase the cost of driving.  

“Our research provides strong evidence to illustrate the multiple benefits of promoting physical activity on a large scale, not just for specific areas or populations. The benefits are huge for individuals, communities and to the planet and goes a long way in contributing to the U.N. sustainable development agenda.  

“As well as helping to prevent chronic disease, promoting physical activity at scale can reduce traffic deaths and pollution. It helps to create more equitable societies and reduce climate change.

“Physical activity promotion strategies can bring benefits beyond health and bring us closer to a more equitable, sustainable and environmentally friendly future.” 

Ten FREE defibrillators up for grabs for Scottish Men’s Sheds

The Scottish Men’s Sheds Association (SMSA) is working in partnership with St Andrew’s First Aid to offer FREE Automated External Defibrillators (AEDs) to ten Scottish Men’s Sheds on a first-come, first-served basis.

Sudden cardiac arrest strikes 7 million people a year worldwide with no warning and no pattern. There’s little time to react and even less time to think, this means an AED must be close at hand, easy-to-use and ready to shock.

St Andrew’s First Aid is Scotland’s dedicated first aid charity and leading first aid training provider and the Association is delighted to be teaming up to provide this life-saving kit to Sheds to not only protect Shedders but also the wider community. 

The HeartSine Samaritan PAD 500P Fully Automatic Defibrillator (RRP: £1,557.60 inc. VAT)

  • Ready to Shock: Small, portable and lightweight (2.4 lbs) and offers the highest level of protection against dust and water.
  • Easy-to-Follow Instructions: Easy-to-understand visual and voice prompts guide the rescuer through the entire resuscitation process, including CPR—a key link in the chain of survival. 
  • Simple, two-button operation – an ON/OFF button and SHOCK.
  • After analyzing heart rhythm, the unit will automatically deliver a shock (if needed), eliminating the need for the rescuer to push a shock button.
  • Always Ready: A System Status Ready Indicator flashes to show that the complete system is operational and ready for use.
  • Self-check: The device automatically runs a self-check each week.
  • View full product info here

Conditions

  • The AED’s are being offered FREE OF CHARGE to ten Scottish Men’s Sheds however, as they are not new, they will require new pads/electrode batteries (which will last for four years) at a cost to each individual Shed of £117.60.  
  • St Andrews First Aid advise that these defibrillators are accessible to the public 24/7 outdoors and are placed in cabinets (available at a discounted cost of £540 inc.VAT for Sheds through St Andrew’s First Aid), however, if this is not possible, they are still happy to donate them to Scottish Sheds.
  • Interested Sheds will pay a delivery charge for the equipment.

REGISTER YOUR INTEREST

Please register your Men’s Shed’s interest by submitting your details online at the link below.  Defibrillators will be issued to ten SMSA Shed members on a first-come, first-served basis.

First Minister: Vaccinating younger teenagers ‘not ruled out’

Coronavirus (COVID-19) update: First Minister’s statement – 20 July 2021

Good afternoon everyone. As you can see I am joined today by Dr Nicola Steedman, the Deputy Chief Medical Officer and she will answer questions with me shortly.

Firstly, though, an update on the current state of the pandemic, starting with a summary of today’s statistics.

1,604 positive cases were reported yesterday – 9.2% of all of tests carried out. That takes the total number of confirmed cases now to 332,455.

There are 529 people now receiving hospital treatment – which is 7 fewer than yesterday and 47 people are in intensive care, that is 2 more than yesterday.

Sadly, a further 13 deaths were reported in the past 24 hours, which means that the total number of deaths registered, under the daily definition, is now 7,813.

As always, my condolences are with everyone who has suffered bereavement.

Now, although case numbers remain high – and I’ll cover the implications of that shortly – they are very much right now on a downward path.

To illustrate that point – in the 7 days up to 2 July, there were an average of 3,305 new cases being reported each day but, in the 7 days to 16 July, that had fallen to an average of 2,112 new cases a day.

So that amounts to a decline in the past two weeks of more than 1/3 – and that is very encouraging. Because of that, we were able to go ahead yesterday with the move to level 0.

But as I said a moment ago, case numbers – though they are definitely falling – do remain higher than we should be comfortable with.

Covid as we know is highly infectious – indeed, Delta is significantly more transmissible than previous variants of the virus.

And although vaccination is weakening the link between Covid cases and serious illness, the virus is still potentially dangerous.

And, of course, long Covid is affecting many, including those in younger age groups.

All of this means that vigilance and care remain really important. Restrictions were eased yesterday as part of a gradual process – but restrictions were not abandoned yesterday.

Important measures and mitigations do remain in place – and we continue to ask people across the country and I do so again today to treat the threat that Covid poses seriously at this stage.

I’ll emphasise that point in more detail towards the end of my remarks, but before then I’ll touch briefly on some other issues.

The first of those is vaccination.

As of this morning, 3,984,433 people had received their first dose of vaccine.

That’s an increase of 2,483 since yesterday. As you can see were are getting to the end of first doses.

In addition to that, 16,340 people had a second dose yesterday and that means the total number of second doses is now 2,995,086.

All adults have now been offered first dose appointments – indeed that has happened earlier than we had initially anticipated.

And as of now, around 90% of all adults in the population have actually taken up the opportunity and had the first jag administered.

Also, more than 2/3 of all adults have had the second dose as well – and that proportion will continue to rise on a daily basis, as the programme of second doses continues.

Remember the clinical advice is that – in order to maximise the protection and the longevity of the protection of the vaccine – we should leave 8 weeks between first and second doses.

I think it’s important to say that the level of uptake achieved so far is quite remarkable by the standard of any previous vaccination programme. And it actually exceeds what we dared hoped for when this programme started back at the turn of the year. That said, we want to see uptake levels increase further, we want to get as close to 100% uptake as it is possible to do.

To put it bluntly, each and every single person who gets jagged helps us take a step back to normality. And of course the converse of that is true, for as long as there remains a proportion of eligible people who have not had the vaccine that leaves us with a vulnerability against the virus.

So we must keep at it.

Although around 90% of all adults have taken up the offer of the first dose, so far amongst 30 – 39 year olds that is only 81% and in the 18 – 29 year old age group it is 70%.

So I want to stress again today and we will keep stressing this that if you are 18 or over, and if you haven’t yet had a first dose, then you can still get it. In fact, we really, really want you to get the first dose of vaccine.

You can access that by registering online, through NHS inform but remember you don’t have to register – you’re also able to simply turn up at one of the drop-in vaccination centres that are now operational across all mainland health board areas.

Covid is – and this is something we should always be thankful for – is less of a threat to younger people than to older people – but that doesn’t mean it poses no threat at all to young people.  

Some young people do need hospital care when they get the virus, some young people will even end up in intensive care and of course, as we know, young people can get long Covid which we still don’t fully understand the implications of.

Vaccination will help protect you from those risks– but it will also help you protect other people.

So please – get vaccinated as soon as you possibly can. If you know somebody in a younger age group in your own family that hasn’t had the vaccine yet, please encourage them to do so. There’s lots of information on the NHS Inform website, not just about how to get the vaccine but about the vaccine itself. It is a safe vaccine so please get it or encourage those you know who haven’t done so already to get it.  

It’s the single most important thing any of us can do right now to give protection to ourselves but also protect others and of course to help all of us collectively get back to more normality.

Obviously, we want to extend the protection of the vaccine as far as we can.

To that end, the advice yesterday from the Joint Committee on Vaccination and Immunisation on the vaccination of 12 to 17 year olds is important and I want to spend just a couple of minutes talking about that.

At this stage – given that it considers the risk of 12 to 17 year olds falling seriously ill from Covid to be very low – the JCVI is not recommending that we vaccinate all young people in that 12 to 17 year olds age group.

Now, the Scottish Government has always followed the advice of the JCVI – for good reason. You’ll have heard me talk about that before in different contexts including recently that eight week interval between first and second doses.

But I am acutely aware that some other countries are vaccinating younger teenagers and I certainly consider it to be extremely important that this is not ruled out here.

So to that end, the Chief Medical Officer is writing to the JCVI asking that the benefit of vaccinating all 12-17 year olds is kept under close and ongoing review – and that it takes account of all available data from countries already doing this. I think that it is really important if there is a benefit to be got from vaccinating younger teenagers then it’s really important that we make sure younger people don’t lose out on that.

In the meantime though and most immediately, we intend to get on with implementing what the JCVI is recommending – and it is recommending that vaccine should be offered to specific groups of 12 to 17 year olds.

Vaccination is already available to 16 and 17 year olds at higher risk of falling seriously ill and they will continue to be eligible.

But in addition, the JCVI is advising that 12 to 15 year olds should be eligible for vaccination if they have Down’s Syndrome; severe neuro-disabilities; or underlying conditions that mean their immune systems are suppressed.

In addition, it advises vaccination for 12 to 15 year olds with severe learning disabilities; with profound and multiple learning disabilities; or who are on the learning disability register. 

Finally, vaccination is recommended for 12 to 17 year olds who are household contacts of people with suppressed immune systems. And in that latter case that is less about the protection of the young person and more about the protection of somebody they may live with.

We will shortly provide details of our operational plans to vaccinate these groups of young people as quickly as possible.

And of course in light of what I said earlier about this advice being kept under review, we will make sure that we are prepared to go further as soon as that is recommended. If indeed that is recommended.

The final point on vaccination I want to stress is that if you are currently 17 years old but if you are due to turn 18 on or before 31 October this year, you are now eligible for vaccination as part of this year’s programme.

You can self-register again through the portal on NHS Inform or go to a drop in centre.

So, I want to just emphasise this point today, if you or indeed if you know somebody in this category, if you are due to turn 18 before the end of October, register for an appointment or go to a drop-in centre, and get your vaccination as soon as possible.

Finally, today, I want to return briefly to the need for all of us to continue to treat this virus seriously and follow all of the rules and advice still in place.

We did take a further very welcome step back to normality yesterday with the next step in what is a careful and gradual easing of restrictions.

Full details of what that means are on the Government’s website.

These rules are more relaxed, considerably more relaxed than the ones we’ve all had to live with in the first part of the year.

But – as I mentioned at the start – case levels are still high and Covid is still dangerous.

So I want to comment more today on the things – in addition of course to that vital imperative of vaccination – that it is important for us still to do so that we are individually and collectively reducing the risk.

Because of vaccination, we are undoubtedly in a much better position than we were last year, or even at the start of this year. But we can’t abandon caution altogether or at least we will be foolish if we do that. We all still have a role to play, in helping to protect ourselves and each other.

Firstly, although the limits have increased slightly as of yesterday, the limit on the number of friends and family who can meet together – 8 people from 4 households indoors and 15 from 15 households outdoors – is still really important because that limits the number of households the virus might spread to as the result of one social occasion.

Face coverings also remain important – and a really good way for all of us to help protect each other – and of course they continue to be a legal requirement in certain settings here in Scotland and indeed that requirement to wear face coverings in some settings is likely to remain in force for some time to come.

Also, please test yourself regularly, particularly if you are planning to visit somebody, or go to an event or perhaps if you’re planning to spend a few days on holiday in a different part of the country.

Free lateral flow tests can be obtained through NHS inform. You can get them sent to you by post but you can also collect them from testing centres and local pharmacies.

Remember If you test positive through one of these devices – or indeed if you have symptoms of the virus – then you should self-isolate, and book a PCR test as quickly as possible.

And, lastly, because it remains really important, please keep following all the basic hygiene measures.

Meet other people outdoors as much as possible and particularly while the weather is as good as it is right now. It’s a really good opportunity to stay outdoors and minimise the risk of transmission that bit more.

As I said a moment ago, stick to the limits on group sizes, and if you are meeting indoors, open windows and keep rooms well ventilated. 

And please remember physical distancing, hand-washing, face coverings as I’ve just said – all of these measures are as important now as they have been throughout.

And if all of us do these things, then I hope we will see cases continue to fall in the days and weeks to come and if that happens then that creates the conditions we hope for a further easing of the remaining restrictions over the next few weeks.

My thanks again to everybody for all of your cooperation and all of the sacrifices you continue to make. It doesn’t get any easier but it remains really important so my thanks to everyone.

RCEM: ‘It is absolutely essential that masks are worn by everyone in A&Es’

Dr Katherine Henderson, President of the Royal College of Emergency Medicine has stated that it is absolutely essential that patients and visitors in Emergency Departments continue to protect themselves and others with face masks, hand washing and social distancing.

Dr Katherine Henderson said: “While restrictions have been eased, it is absolutely essential that we continue to keep everyone safe in hospital settings and in Emergency Departments. Patients and visitors must therefore expect to wear a mask and maintain social distancing.

“Emergency Departments regularly see vulnerable patients. We must do all we can to keep those patients safe, but also to ensure that these patients feel safe coming to the hospital and the Emergency Department if, and when, they need help.

“We ask patients and visitors to kindly respect and co-operate with this guidance and help to keep everyone safe. Staff will not tolerate any abuse whatsoever. They absolutely do not deserve it, but it is a sad reality that we are already hearing and seeing abusive behaviour towards staff. It is clear these measures will help protect the most vulnerable patients, so it is right that all patients and visitors follow them.

“Staff will request all patients and visitors to put a mask on when in an Emergency Department and they will not be engaging in any debate on the guidance.

“It is a matter of public health and infection prevention control to keep all our patients safe.”

Lateral Flow Testing Kits available at Volunteer Edinburgh

Now that Covid-19 restrictions are easing, you may be thinking about re-starting services and face-to-face volunteering activities.  Lateral Flow Devices (LFDs) are one of the measures you can put in place to help you resume services safely and with confidence (writes Volunteer Edinburgh Chief Officer PAUL WILSON).

Volunteer Edinburgh is a “distribution centre” for LFDs for small or local voluntary organisations or community groups. 

If you would like some testing kits to distribute to your staff, volunteers or service users  these are available for collection from the Volunteer Edinburgh office at 222 Leith Walk  between 10am and 4pm, Monday to Friday. 

While we are not operating an appointment system for collection it would be much appreciated if you could call us on 0131 225 0630 to let us know roughly what time you will be coming: as we only have limited staff in the office this will ensure that someone is available to help you when you arrive.

For information on how to use the LFDs please see the Scottish Government guidance HERE and for information on testing, vaccinations and self-isolation support please click HERE

 

Paul J WilsonChief Officer

‘Test to Release’: England’s frontline health and care staff can work rather than self-isolate

Frontline NHS and social care staff can attend work rather than self-isolate with testing mitigations in exceptional circumstances under updated guidance announced this morning.

From today (Monday 19 July), double vaccinated frontline NHS and social care staff in England who have been told to self-isolate will be permitted to attend work in exceptional circumstances and replaced by testing mitigations.

This will include staff who have been contacted as a close contact of a case of COVID-19 by NHS Test and Trace, or advised to self-isolate by the NHS Covid-19 app.

This measure is being introduced to alleviate pressure on NHS and social care services and will be contingent on staff members only working after having a negative PCR test and also taking daily negative lateral flow tests for a minimum of seven days, and up to 10 days or completion of the identified self-isolation period.

This measure is being introduced to alleviate pressure on NHS and social care services and will be contingent on staff members only working after having a negative PCR test and daily negative lateral flow tests.

The government is clear the change applies only to frontline NHS and social care staff where their absence may lead to a significant risk of harm.

The decision to allow NHS and social care staff to attend work after being told to self-isolate should be made on a case-by-case basis, and only after a risk assessment by the organisation’s management.

This must be authorised by the organisation’s local Director of Infection Prevention and Control, the lead professional for health protection, or the Director of Public Health relevant to the organisation.

Health Secretary Sajid Javid said: “As we learn to live with this virus, it’s important that we ensure frontline staff can keep providing the best possible care and support to people up and down the country.

“The government has backed healthcare services at every turn through this global pandemic and these new rules will fortify our collective defences against this awful virus, by allowing fully vaccinated frontline NHS and social care staff to continue to work when needed.”

Careful consideration should be given by local NHS and social care organisations to the risk of onward transmission compared to the risk to delivery of critical services.

Staff who are permitted to attend work will remain under a legal duty to self-isolate as a close contact when not at work, but will be considered to have a ‘reasonable excuse’ under the Self-Isolation regulations to leave self-isolation to attend work where their absence could result in harm. They will continue to receive self-isolation reminders.

UK Health Security Agency Chief Executive, Jenny Harries, said: “With the number of cases continuing to rise, it is imperative that we do everything we can to manage this virus and support our NHS and social care services under the strain of increased demand and sustained pressure.

“We have provided specific guidance to NHS and social care settings for circumstances where there is a significant risk to health or safety resulting from staff absence or a critical service cannot run.

“This measure only applies to double vaccinated staff, who will only be able to attend work after testing negative on PCR and daily lateral flow tests, and following a risk assessment and the supervision of the health service.”

In order to mitigate the increased risk associated with attending work, the following mitigations must be implemented:

  • The staff member should be fully vaccinated, defined as having received both doses of an MHRA approved vaccination, with 14 days having elapsed since the final dose.
  • The staff member should undertake a PCR test and should self-isolate until they receive the result. They should only attend work if this result is negative.
  • They should undertake daily LFD tests prior to starting work each day. Test results should be reported to NHS Test and Trace via the web portal and to their duty manager. Any staff member who has a positive LFD test during this period should not attend work and should arrange a PCR test as soon as possible.
  • If the staff member develops any COVID symptoms, they should stay at home and immediately arrange a PCR test.
  • Staff working during this 10-day period should comply with all relevant infection control precautions and PPE should be properly worn throughout the day. Any breaches should be reported immediately to their line manager.
  • The staff member should not work with clinically extremely vulnerable patients or residents, as determined by the organisation.

Existing guidance will be updated by Public Health England today (Monday 19 July), and shared with NHS trusts and relevant social care organisations across England.

These changes apply in England only. The Scottish Government will announce any changes to exisiting arrangements, if necessary, in due course.

Biggest flu programme in history to roll out for winter 2021

Free seasonal flu vaccine to be made available for over 35 million people this year

  • Millions more people could benefit from a free flu vaccine this year, as the Health and Social Care Secretary Sajid Javid announces the most comprehensive flu vaccination programme in UK history today
  • School programme expanded to provide flu vaccine to all secondary school pupils up to Year 11
  • Expanded programme follows record 19 million seasonal flu jabs administered in winter 2020

From September 2021, providers will offer the flu vaccine to over 35 million people during the upcoming winter season, including all secondary school students up to Year 11 for the first time. This builds on the success of last year’s expanded flu programme, which saw a record number of people get their jab.

Last year, 4 in 5 (80.9%) people aged 65 and over in England received their flu vaccine – exceeding the World Health Organization uptake ambition of 75%.

Working with the NHS, the government is preparing to deliver the expanded flu programme alongside any booster programme for COVID-19 vaccines as part of wider autumn and winter planning, which centres around protecting as many lives as possible.

During the 2021/22 season, which starts in September, the flu jab will be available to:

  • all children aged two and three on 31 August 2021
  • all children in primary school and all children in school Years 7 to 11 in secondary school
  • those aged six months to under 50 years in clinical risk groups
  • pregnant women
  • those aged 50 years and over
  • unpaid carers
  • close contacts of immunocompromised individuals
  • frontline health and adult social care staff

Health and Social Care Secretary, Sajid Javid, said: Flu can be a serious illness and we want to build a wall of protection by immunising a record number of people.

“With the nation getting closer to normal life, we must learn to live with COVID-19 alongside other viruses and we’re offering the free flu jab to millions more people to help keep them safe this winter.

“The phenomenal scale of the COVID-19 vaccination programme is a clear demonstration of the positive impact vaccination can make and I encourage all those eligible to get their flu jab when called forward.”

The enlarged flu drive will build on last year’s expanded flu programme, where flu vaccinations opened up to 50 to 64-year-olds and year 7 pupils for the first time, with the aim of offering protection to as many eligible people as possible.

For frontline healthcare workers and two and three-year olds, the highest ever recorded levels of flu vaccine uptake were also achieved last year. This year, all frontline health and social care workers will be offered the flu vaccination again to ensure they, and the people they care for, are protected.

Eligible groups are urged to get their free vaccine every year and to protect themselves and the most vulnerable people in society ahead of the winter.

As a result of non-pharmaceutical interventions in place for COVID-19 – such as mask-wearing, physical and social distancing, and restricted international travel – flu levels were lower than expected across the world in 2020/21.

It is possible there will be higher levels of flu this winter, with more of the population susceptible given the low levels last season. The flu vaccine offers the best available protection against the virus and the public can reduce the spread of flu and other winter bugs by regularly washing hands, throwing away used tissues and practising good hygiene.

Alongside this flu drive, the government is preparing for a booster programme of COVID-19 vaccines and the Joint Committee on Vaccination (JCVI) and Immunisation has published interim advice on who would be prioritised for a possible third vaccine from September 2021.

The booster programme – which would be designed to ensure millions of people most vulnerable to COVID-19 continue to have the protection they need ahead of the winter and against new variants – will be informed by the JCVI’s final advice expected later this summer based on the very latest scientific data.

The Department of Health and Social Care, NHS England and Improvement, and Public Health England have today issued the 2021/22 annual flu letter to providers, setting out plans for this year’s expanded programme. This blueprint will ensure GP practices, pharmacies and school-based providers are mobilised to begin administering flu vaccines from September.

Dr Yvonne Doyle, Medical Director at Public Health England, said: “The flu vaccine is safe, effective and protects millions of people each year from what can be a devastating illness.

“Last winter, flu activity was extremely low, but this is no reason for complacency as it means less people have built up a defence against the virus. Combined with the likelihood that COVID-19 will still be circulating, this makes the coming flu season highly unpredictable.

“We will be preparing for a challenging winter by expanding our world-leading flu vaccination programme to over 35 million people, saving more lives and limiting the impact on the NHS and social care.”

Dr Nikita Kanani, NHS medical director for primary care, said: “NHS staff across England vaccinated record numbers of people against flu last year – a potentially fatal illness – and they continue to pull out all the stops to deliver the biggest and most successful NHS Covid-19 vaccination programme in health history, protecting their patients and communities.

“Getting your free flu vaccine if you are eligible as well as keeping up good habits like regularly washing your hands could help save your life, so please do come forward when you are invited to give you and your loved ones vital protection this winter.”

The childhood flu programme aims to protect children and contain the spread of the virus to babies and vulnerable adults they may be in contact with. The nasal spray vaccine is offered to 2 and 3-year-olds and children in primary school and Year 7 and, for the first time this year, secondary school aged children up to Year 11.