Scotland’s vaccination programme has now delivered second doses of the coronavirus (COVID-19) vaccine to more than half of care home residents.
In total, 17,258 care home residents (58% of residents in older adult care homes and 54% of residents in all care homes) have received the second dose which offers longer lasting protection.
Supplies of vaccines were specifically deployed in order that second doses could be delivered on time to these cohorts, who are among those at greatest risk from coronavirus (COVID-19).
For the population as a whole 1,743,869 have received their first dose, and 114,081 have been given their second dose. Invitations are now being issued to all groups in phase one of the roll-out and subject to supply, the programme remains on track to offer first doses to all over 50 year olds, unpaid carers and those with particular underlying health conditions by the middle of April.
Heath Secretary Jeane Freeman said: “I am pleased to see that more than half of care home residents have received their second doses, giving them longer lasting protection.
“I want to thank all those who have taken up their offer of a vaccination – the high take up in these settings has contributed to a reduction in outbreaks of the virus in care homes.
“Alongside other protections in place, vaccination has also helped to enable the resumption of indoor visiting, reuniting families with their loved ones.
“Scotland’s COVID-19 vaccination programme continues to deliver at pace, which is down to the enormous efforts of our vaccination teams and I want to thank everyone who is working tirelessly to make this a success.
“The vaccination programme is one of three key ways we are working to beat this virus, along with our expanded testing programme to identify cases and break chains of transmission and the important lockdown restrictions everyone in Scotland must follow. All these measures work to greatest effect when they work together.”
Three cases of a COVID-19 Variant of Concern first identified in Manaus, Brazil, have been identified in Scotland.
Following their return to North East Scotland from Brazil, via Paris and London, three Scottish residents entered self-isolation and then subsequently tested positive for Coronavirus (COVID-19). These individuals then self-isolated for the required period of 10 days.
The tests were completed in early February and passed to the UK’s advanced sequencing capabilities programme which detected this new variant. Due to the potential concerns around this variant other passengers on the flight used by the three individuals from London to Aberdeen are being contacted. These three cases are not connected to three cases also identified in England.
Health protection teams, including local clinicians, have assessed each case and their contacts, and are arranging protective measures for this small number of potentially exposed individuals.
To provide an extra layer of safety, teams are ensuring people who could have been infected by these first line contacts are also isolated and tested. This is to ensure all possible precautions are taken as we learn more about this particular variant.
Clinical and trial data continues to be assessed to examine how this new variant may respond to current COVID-19 vaccines.
Health Secretary Jeane Freeman said: “The identification of this new variant is a concern but we are taking every possible precaution. We have identified these cases thanks to our use of advanced sequencing capabilities which means we are finding more variants and mutations than many other countries and are therefore able to take action quickly.
“This new variant demonstrates how serious Covid is and reinforces the need to minimise the spread of the virus. We would encourage everyone across the country to adhere to the necessary public health restrictions by staying at home except for essential purposes as this is the single best way of staying safe and stopping the spread of this virus. It is now also illegal for anyone to travel to or from Scotland unless it is for an essential reason.
“The Covid vaccination programme is one of three key ways we are working to beat this virus, along with our expanded testing programme to identify cases and break chains of transmission, and the important lockdown restrictions everyone in Scotland must follow.
“These three strands – following expert advice and guidance to suppress the virus, using our expanded testing programme to identify cases and break chains of transmission and rolling out vaccination as fast as supplies allow – are the three critical actions that will see us move, step by step, to protect the public, save lives and a brighter year ahead.”
As a precautionary measure and to provide further insights, samples from any passenger on the London to Aberdeen flight who subsequently tested positive or was symptomatic are being urgently sequenced to determine whether any had acquired the new variant. Those on the flight from London to Aberdeen will be contacted.
Public Health England has also identified three cases of the variant in England but these are not linked to the three cases in Scotland. Scotland and England are working together to ensure that a consistent UK approach is taken to managing such incidents.
This variant has been designated ‘of concern’ as it shares some important mutations with the variant first identified in South Africa (B.1.351), such as E484K and N501Y. There is some data to suggest that this variant may be more likely to cause Covid-19 infections in people who have been vaccinated or who had been infected with one of the earlier strains of “wild-type” Covid-19.
The P1 “Brazilian” variant is a descendent of B.1.1.28 and was first detected in Japan but is most closely associated with the second wave epidemic in Manauas, Brazil. This variant has been designated ‘of concern’ as it shares some important mutations with the variant first identified in South Africa (B.1.351), such as E484K and N501Y.
It is possible that this variant may respond less well to current vaccines but at this time there is a high degree of uncertainty and we await clinical and trial data is awaited to understand this better.
Genomic sequencing of Scottish samples is undertaken as part of a UK programme. This programme continues to develop ensure faster turnaround times.
Dr Susan Hopkins, PHE strategic response director for COVID-19 and NHS Test and Trace Medical Advisor, said: “We have identified these cases thanks to the UK’s advanced sequencing capabilities which means we are finding more variants and mutations than many other countries and are therefore able to take action quickly.
“The important thing to remember is that COVID-19, no matter what variant it is, spreads in the same way. That means the measures to stop it spreading do not change. Stay at home and if you do need to go out for essential reasons, cover your nose and mouth, wash your hands thoroughly and keep your distance.”
Sixteen frontline charities have formed a new partnership to encourage those with long-term health conditions and their carers to get the COVID-19 vaccine.
Sixteen charities will work together to help save lives through the vaccine roll out
Those with underlying health conditions and adult carers in cohort 6 encouraged to take up the jab
Organisations will help promote access to important advice and information on vaccines
Organisations including The British Heart Foundation, Macmillan Cancer Support and Mencap are joining with the government and NHS to promote vaccine uptake among those the charities support every day.
Since 15 February those in cohort 6 – people with certain underlying health conditions and their carers – have been receiving invites from their GP practice to come forward for life saving vaccinations to protect them from COVID-19.
Working with the government on the UK’s largest ever medical deployment, the charities will use the combined strength of their networks to reassure people with long-term health conditions about the safety and effectiveness of the vaccine.
Health and Social Care Secretary Matt Hancock said: “The incredible success of our vaccination programme has only been possible by working in partnership with the NHS, health and care professionals, local partners and our volunteers.
“Having the support of the charities who work every day to support the very people we are reaching out to in cohort 6 is a great boost for the rollout which continues to show what we can achieve when we pull together as one.
“Their help, encouragement and links with communities next in line for the jab will help make sure everyone can get access to the life-saving protection the vaccine provides and help protect those with underlying conditions and their carers.”
The organisations which have signed up so far to become members of the coalition are:
African Caribbean Leukaemia Trust (ACLT)
Asthma UK
British Heart Foundation
British Liver Trust
British Lung Foundation
Cancer Research UK
Carers UK
Diabetes UK
Epilepsy Action
Kidney Care UK
Lupus UK
MacMillan Cancer Support
Mencap
MS Society
Sickle Cell Society
Terrence Higgins Trust
These charities support those included in priority vaccination categories, including cohort 6 which covers individuals aged 16 to 64 with certain long-term conditions identified by the Joint Committee on Vaccination and Immunisation as being at higher clinical risk from COVID-19.
These conditions include chronic respiratory, heart, kidney, liver disease and neurological conditions, including MS and epilepsy, vascular disease, diabetes mellitus, immunosuppression, asplenia or dysfunction of the spleen, morbid obesity, severe mental illness, as well as sickle cell, lupus and those on GP learning disability registers.
Following the government meeting its target of offering a first dose vaccine to the top four priority groups by 15 February, all those in cohort 6 are now eligible to get the jab and should be receiving their invitation for their first dose.
Minister for Vaccines, Nadhim Zahawi, said: “The vaccine is our way out of this pandemic and offers the chance to protect yourself and others – that’s why it’s vital that people get their jab when called to come forward.
“The rollout is a truly UK wide effort which is why having the support of these fantastic and trusted charities as we work to ensure everyone eligible gets their vaccine is so important.
“I would like to thank them all for backing this life-saving campaign and offering their expertise and assistance to support the largest medical deployment in British history.”
Cohort 6 also includes carers who are eligible for a carer’s allowance, or those who are the sole or primary carer of an elderly or disabled person who is at increased risk of COVID-19 mortality and therefore clinically vulnerable.
The charities will support the campaign by sharing content across their channels, including a new campaign video featuring people in cohort 6 getting their jab, and putting forward both those who represent the charities and those the charities work with to encourage others to take up the vaccine.
Chris Askew OBE, Chief Executive of Diabetes UK, said: “We are incredibly proud to be working with other leading voices in the charity sector to encourage people to get their COVID-19 vaccine.
“People with diabetes have been disproportionately affected by the pandemic and have a higher risk of becoming seriously ill if they develop coronavirus.
“For people living with diabetes, the best protection against coronavirus is to get the vaccine and take whichever vaccine you are offered.”
People in group 6 who are at higher clinical risk from coronavirus and have not already been contacted will be invited for a vaccine by their local GP team.
Co-Founder and Chief Executive of ACLT, Orin Lewis, said: “The ACLT feels compelled to ensure we do all we can to guarantee any decisions made regarding the COVID-19 vaccine, is done with knowledge of the verified facts and the science behind the vaccine.
“Far too many lives have already been lost, however now there is a real opportunity for positive change especially on behalf of patients with immunosuppression systems linked to stem cell, blood and organ related disorders.
“We feel extremely passionately people should seriously consider protecting themselves, their loved ones and society at large.
When they do make that decision, they need to ensure it’s an informed one based upon verified facts and not myths, fears and taboos.”
Sixteen charities have already joined the campaign and more are welcome to help boost the vaccine drive and save lives.
One and a half million people have had their first dose
Scotland’s vaccination programme has delivered first doses of the coronavirus (COVID-19) vaccine to a third (33.4%) of those eligible – more than 1.5 million people (1,515,980).
In addition, the roll-out among those aged 65-69 has already exceeded the 80% take up rate set out in the deployment plan and currently stands at 85% (255,266). This group is due to be completed by the end of February. Vaccinations are now also being delivered to people with underlying health conditions and unpaid carers – the next group on the Joint Committee for Vaccination and Immunisation priority list.
Meanwhile, second doses of the vaccine are being given to residents in care homes and the staff who care for them. Frontline Health and Social Care workers are also receiving their second injections.
Supplies of vaccines were held back in order that these second doses could be delivered on time to these cohorts.
Older residents in care homes are among those at greatest risk from the virus and the programme has exceeded the initial target for this group with 31,218 receiving their first dose – the figure for the staff who care for them is 96%. For all care homes the total is 98% of residents and 83% of staff.
The high take up of vaccinations and the improving picture in terms of care home outbreaks has helped contribute to the restart of routine indoor visiting of care home residents by relatives, friends and carers from this week.
Heath Secretary Jeane Freeman said: “A third of those eligible for the COVID-19 vaccination in Scotland have now received their first dose – that is one and a half million people in the groups which were prioritised to address 99 per cent of preventable deaths associated with COVID-19.
“Scotland’s COVID-19 vaccination programme continues to deliver at pace, which is down to the enormous efforts of our vaccination teams. I would like to thank everyone who is working tirelessly to make this a success, and also every individual who has taken up their offer of a vaccine.
“I am pleased to see care home residents and those who look after them receiving their second doses, as well as NHS frontline staff. These are crucial as they provide longer lasting protection against the virus.
“The high take up of the vaccine in these settings has contributed to a reduction in outbreaks of the virus in care homes and helped to enable the forthcoming resumption of weekly routine visits, meaning families can be reunited with their relatives in care.
“The vaccination programme is one of three key ways we are working to beat this virus, along with our expanded testing programme to identify cases and break chains of transmission and the important lockdown restrictions everyone in Scotland must follow. All these measures work to greatest effect when they work together.”
UK Government publishes four-step roadmap to ease restrictions across England and provide a route back to a more normal way of life
Each step to be assessed against four tests before restrictions ease, starting with the return of schools on 8 March
PM is clear that the decision on each stage will be based on data not dates, and government will move cautiously to keep infection rates under control
The Prime Minister has announced the government’s roadmap to ‘cautiously ease’ lockdown restrictions in England.
In a statement to parliament this afternoon he paid tribute to the extraordinary success of the UK’s vaccination programme and the resolve of the British public in following the lockdown restrictions, which has helped to cut infection rates and reduce the spread of the virus.
He also set out the latest vaccine efficacy data, with Public Health England finding that one dose of the Pfizer-BioNTech vaccine reduces hospitalisations and deaths by at least 75%. Analysis of the AstraZeneca vaccine efficacy continues, with promising early results.
Supported by the increased protection offered by these vaccines, the government is able to slowly and cautiously begin to ease restrictions in all areas across England at the same time, guided at all stages by data, not dates.
The roadmap, which has now been published on gov.uk, outlines four steps for easing restrictions. Before proceeding to the next step, the Government will examine the data to assess the impact of previous steps.
This assessment will be based on four tests:
The vaccine deployment programme continues successfully.
Evidence shows vaccines are sufficiently effective in reducing hospitalisations and deaths in those vaccinated.
Infection rates do not risk a surge in hospitalisations which would put unsustainable pressure on the NHS.
Our assessment of the risks is not fundamentally changed by new Variants of Concern.
There will be a minimum of five weeks between each step: four weeks for the data to reflect changes in restrictions; followed by seven days’ notice of the restrictions to be eased.
The Chief Medical Officer and the Chief Scientific Adviser have made clear that this will give adequate time to assess the impact of each step and reduce the risk of having to re-impose restrictions at a later date.
As the Prime Minister said, getting children back into school has been the top priority, and so from 8 March all children and students will return to face to face education in schools and college.
By this point, everyone in the top four vaccine priority cohorts – as determined by the independent JCVI – will have received the first dose of their vaccine and developed the necessary protection from it.
Also from this date:
Wraparound childcare and other supervised children’s activities can resume where they enable parents to work, seek work, attend education, seek medical care or attend a support group
Care home residents will be allowed one regular visitor provided they are tested and wear PPE
The Stay at Home requirement will remain, but people can leave home for recreation outdoors such as a coffee or picnic with their household or support bubble, or with one person outside their household
Some university students on practical courses will be able to return to face to face learning
As part of step one, there will be further limited changes from 29 March, the week in which most schools will break up for Easter. Outdoor gatherings of either 6 people or 2 households will be allowed, providing greater flexibility for families to see each other. This includes in private gardens.
Outdoor sports facilities, such as tennis and basketball courts, will be allowed to reopen, and people can take part in formally organised outdoor sports.
At this point, the Stay at Home order will end, although many lockdown restrictions will remain.
For example, you should continue to work from home where possible, and overseas travel remains banned, aside for a small number of reasons.
The subsequent steps are set out as follows:
Step 2, no earlier than 12 April:
Non-essential retail, personal care premises, such as hairdressers and nail salons, and public buildings, such as libraries and community centres, will reopen.
Most outdoor attractions and settings, including zoos, and theme parks, will also reopen although wider social contact rules will apply in these settings to prevent indoor mixing between different households. Drive-in cinemas and drive-in performances will also be permitted.
Indoor leisure facilities, such as gyms and swimming pools, will also reopen – but only for use by people on their own or with their household.
Hospitality venues can serve people outdoors only. There will be no need for customers to order a substantial meal with alcohol, and no curfew – although customers must order, eat and drink while seated.
Self-contained accommodation, such as holiday lets, where indoor facilities are not shared with other households, can also reopen.
Funerals can continue with up to 30 people, and the numbers able to attend weddings, receptions and commemorative events such as wakes will rise to 15 (from 6).
Step 3, no earlier than 17 May:
Outdoors, most social contact rules will be lifted – although gatherings of over 30 people will remain illegal.
Outdoor performances such as outdoor cinemas, outdoor theatres and outdoor cinemas can reopen.. Indoors, the rule of 6 or 2 households will apply – although we will keep under review whether it is safe to increase this.
Indoor hospitality, entertainment venues such as cinemas and soft play areas, the rest of the accommodation sector, and indoor adult group sports and exercise classes will also reopen.
Larger performances and sporting events in indoor venues with a capacity of 1,000 people or half-full (whichever is lower) will also be allowed, as will those in outdoor venues with a capacity of 4000 people or half-full (whichever is lower).
In the largest outdoor seated venues where crowds can spread out, up to 10,000 people will be able to attend (or a quarter-full, whichever is lower).
Up to 30 people will be able to attend weddings, receptions and wakes, as well as funerals. Other life events that will be permitted include bar mitzvahs and christenings.
Step 4, no earlier than 21 June:
It is hoped all legal limits on social contact can be removed.
We hope to reopen nightclubs, and lift restrictions on large events and performances that apply in Step 3.
This will also guide decisions on whether all limits can be removed on weddings and other life events.
In the meantime, the vaccination programme continues at pace, with the announcement of a new target to offer a first dose of the vaccine to every adult by the end of July.
The government hopes that the increased protection offered by vaccines will gradually replace the restrictions, with the roadmap published today providing the principles of the transition.
MPs will have an opportunity to vote on the regulations that will enable this roadmap in Parliament in the coming weeks.
We continue to work closely with the Devolved Administrations as we have throughout the pandemic. They are setting out approaches for easing for Scotland, Wales and Northern Ireland.
People with underlying health conditions and unpaid carers are beginning to receive coronavirus (COVID-19) vaccinations. Priority group 6 is one of the largest on the Joint Committee on Vaccination and Immunisation (JCVI) list.
The first to be invited will be people who have conditions which are included on both the JCVI priority list and the flu vaccine list. Although there is some overlap, the two lists are not exactly the same. They will be invited at the same time as unpaid carers who receive carers’ benefits or who have been identified by GPs.
Carers who do not receive carers benefits, and who have not been identified by GPs, will be asked to come forward to register for their vaccine at a later date through an online portal or the national helpline. Work is also ongoing to identify people with underlying conditions who are not on the modified flu vaccine list, and they will be invited shortly.
Anyone aged 70 or over who has not yet been invited for their vaccine should visit nhsinform.scot for further advice, or call the national helpline on 0800 030 8013.
Health Secretary Jeane Freeman said: “As we move through the JCVI priority list, we will continue to maximise the number of vaccinations depending on available supply.
“Although a small number of people in group 6 will already have been invited in some parts of Scotland, we are now able to begin to roll out these invites more widely. Boards will begin to send the invites as their supply levels allow, and once they have completed a good proportion of 65-69-year-olds.
“This is one of the largest group of people on the priority list, so please be patient. It may take several weeks to get through the whole cohort. The age range of people in this cohort can be as young as 16 and their underlying condition may not be obvious to the outside world.
“I would stress that the offer at this time is based on a clinical judgment so we would strongly encourage people of all ages to take up this offer should it come.
“As a result of the high uptake in the last few weeks and a lower supply of vaccine than we had originally anticipated, we have had to adjust the number of appointments in the past week, and for the foreseeable future.
“We must also ensure we have enough vaccine for second doses when they are due as this provides longer lasting protection against the virus. All of this will mean that some of our vaccination centres may be less busy in the next couple of weeks.
“The vaccination programme is one of three key ways we are working to beat this virus, along with our expanded testing programme to identify cases and break chains of transmission and the important lockdown restrictions everyone in Scotland must follow.
“All these measures work to greatest effect when they work together.”
A new report by leading face mask brand SmartCover reveals reusable face masks have soared in online popularity during the latest lockdown.
The analysis of online news and social media sentiment in the UK highlights that the public’s engagement with reusable face mask topics online has increased significantly in the last three months, compared to the previous period.
Reusable vs. disposable debate
While both reusable and disposable face mask-related topics are trending, the SmartCover analysis reveals that during the third government-imposed lockdown, the total number of reusable face mask mentions were almost double disposable mask related ones.
Sentiment analysis of online news and social media indicates a reluctant attitude towards disposable masks, with only 8% of total mentions positive, compared to 61% of positive sentiment mentions for reusable face masks.
Top hashtags and emojis reveal increased awareness on single-use
The social listening analysis reveals the top hashtags and emojis used in the UK in relation to reusable and disposable face masks. The “face with medical mask” emoji was the top result with 25% of mentions, while the “folded hands” emoji, another top result (5%), is an indicator that people are encouraging the use of reusable masks.
The “grinning squinting face” was the most used with disposable mask terms, with 40% of total mentions, equally popular as the “pleading face” emoji, which grew in popularity as people started encouraging each other to consider reusables.
The study highlights a general increase in the public’s consciousness about the downsides of single-use masks, with some of the most popular hashtags identified – #choosetoreuse, #ecofriendly, #washable or #reusebeatssingleuse touching on environmental concerns. Of the top ten most used emojis with disposable face mask terms, 90% were in a negative context.
Twitter leading platform for reusable face mask support
Engagement on reusable face mask terms increased over 2,000 times in the last three months, compared to the previous period. Twitter has been largely responsible for this increase, with 75% of mentions coming from the social media platform, followed by newspapers and online news, at 11% and 7%, respectively.
Matteo Grassi, CEO of Viceroy Group, parent company to SmartCover, said: “We’re seeing increased interest in reusable face masks, and it’s encouraging to see the UK public’s activism in this respect and their awareness on the environmental impact of single-use face masks.
“We hope more people consider the reusable alternative where possible, always making sure that safety certifications are being met.”
With P1 – P3 children and some senior pupils going back to school next week, Deputy First Minister appealed to parents to play their part in making the return a success when he led yesterday’s press briefing:
Mr Swinney said: “As you know, Monday will see children returning to early learning and childcare, and to primaries 1 to 3. In addition, a very limited number of senior phase students will return to secondary school, for essential work which is required for national qualifications, and which can only be done within school.
I want to take this opportunity to thank all those who are working hard to prepare for this return – that of course includes teachers, childcare providers, school staff and school leaders. Your efforts are hugely appreciated by me and by the Scottish Government.
This partial return of education is an important milestone. And there are two specific points I want to make about it today.
The first point concerns testing in schools.
As senior phase pupils, teachers and school staff start to return, we will be making at-home lateral flow tests available to them, twice a week.
Pilot testing programmes have been running in a small number of schools, in recent weeks. And we are using what we’ve learned from this, to roll the programme out across the country.
As part of that, we have been working closely with the UK Government to get test kits into schools. This process has obviously been affected by the severe weather that we’ve experienced in recent days.
However, I can confirm that around 2,500 schools have now received testing kits. And we expect any remaining schools will receive their allocations either today or early in next week.
On Tuesday, we issued comprehensive testing guidance to schools and to local authorities.
And we are working with YoungScot to provide online information and support for senior phase pupils who want to take part in the testing programme.
This first phase of testing will include childcare staff based in schools. We are currently working through the practical arrangements for rolling out testing to childcare staff working in other types of nursery settings. And we will provide further details on those arrangements very soon.
Testing in schools is entirely voluntary – but I would encourage staff and pupils to take the tests, if you are offered them. The use of testing is a very important addition to the other safety mitigations which are already in place.
Of course, the evidence suggests that the key risk in re‑opening schools isn’t transmission within schools and nurseries – but the greater contact it leads to, among the adult population.
That brings me to the second point that I would like to make this afternoon. Parents and carers also have a really important role to play, in making the return of education a success.
For example, if you have been working from home up until now, please continue to do so – even if your children are back at school or nursery. Your employer has a legal obligation to support you in doing that.
Don’t use this return as an opportunity to meet up with other parents or friends.
And as a general rule, if you find that you are meeting up with more people than you were before, once your children have returned to school, then think about why that is. All of us should be minimizing our social contacts right now.
In addition, when you are out of the house – at the schools gates for example – please remember to follow the FACTS advice.
For all of us, that advice is perhaps more important now than ever before. We’re now dealing with a much more transmissible form of the virus. So we need to respond accordingly – by making it even more difficult for the virus to spread.
That’s why the Scottish Government is launching a new campaign – to highlight the importance of the FACTS advice and all of the other rules and guidelines. It emphasises the need for all of us to stay on our guard, even as our vaccination programme is rolled out.
So I want to take this opportunity to quickly run through the five golden rules of FACTS – and why they’re so important:
The first is face coverings. In enclosed spaces, face coverings help to protect you, and those around you. And remember, ahead of next week, face coverings should be worn by parents and carers, when collecting or dropping off your children from school.
Avoid crowded places. Covid thrives in a crowd. So by avoiding these kinds of situations, you minimize the chance of spreading the virus.
Clean hands and surfaces – good hand hygiene and regular cleaning remain really important. If you are leaving the house, take hand sanitizer with you – or use it wherever it is provided.
Two metre distancing from members of other households. You should always physically distance from other households. Again, that’s maybe especially important to remember as some schoolchildren return. For parents and carers, for example, you should remember to physically distance when you are walking to school or nursery, and when you’re dropping off or collecting your children.
And finally self-isolate and book a test if you have symptoms. That is how we identify cases – and stop the spread. If you are identified as a close contact of someone who has Covid, you also need to book a test, and to self-isolate for ten days.
By following each of these points, we can help to make this initial return of education a success. And we can help to keep each other safe, as the vaccination programme does its work.
However, I want to emphasise that the basic rule at the moment remains the same. Right now, all of us should be staying at home.
In any level 4 area – that of course includes all of mainland Scotland – you must only leave the house for essential purposes.
You cannot meet up with other households indoors.
And if you meet up with someone outdoors, you can only meet with one other person from one other household.
These restrictions are really difficult – and I don’t underestimate that for a moment. But crucially, they are working.
Case numbers are coming down – so too are hospital admissions.
We need to see that trend continue – and so it’s vital that we continue to stick with the restrictions.
That is how we keep the virus under control.
And it’s how we give ourselves the best chance of returning – more quickly – to some form of normality.
So please continue to do the right thing.
Stay at home, protect the National Health Service and save lives.
And my thanks go once again, to everyone who is doing that.
Routine indoor visiting of care home residents by relatives, friends and carers can resume from early March with care providers supporting residents to have up to two designated visitors each and one visit a week for each visitor, the Scottish Government has announced.
With a wide range of protections now in place against COVID-19 for care home residents, it is has been decided meaningful contact should be made easier for the wellbeing of residents and their loved ones.
The most recent of these protections is the COVID vaccine with more than 99.9% of older care home residents and 92% of staff now vaccinated with first dose.
Additionally, the national picture of coronavirus outbreaks in care homes is improving. NRS data shows that deaths from coronavirus in care homes have fallen by 62% in the last three weeks and the balance is now in favour of allowing contact to resume.
Guidelines to be published on Wednesday 24 February will support care providers to resume visiting for up to two designated visitors per resident.
Every time someone goes into a care home it is a COVID risk. But we are acutely conscious that continued restriction of contact for residents with relatives can contribute to loneliness and isolation and worsening physical and mental health. With the range of protections in place against COVID, the bigger risk now is the continued separation of residents from loved ones.
Visitors will need to wear face coverings and any PPE requested by the care home, and are strongly encouraged to take a COVID test on-site. While visiting may sometimes still be restricted, for example in the event of an outbreak at a care home, the expectation will now be that homes will facilitate regular weekly contact as long as certain safety conditions are met. We will then work to continue to gradually increase the frequency and duration of contact.
Health Secretary Jeanne Freeman said: “The decisions regarding restrictions on visiting for care home residents have been some of the most difficult we have faced and I have the greatest sympathy for those who have been unable to see relatives and loved ones in person for so long.
“Care home staff have worked tirelessly throughout the pandemic to support continued contact between residents and their loved ones but these restrictions have been hugely challenging for them, as well as for care home staff and colleagues.
“We deeply regret the deaths and other harm caused by coronavirus in our care homes, but we also recognise the harm caused to the wellbeing of residents and families as a result of an inability to see those they love.
“We must remain vigilant about the risks but with multiple layers of protection now in place the balance is in favour of allowing visits. Everyone, including visitors, has a responsibility to ensure that visits take place as safely as possible by continuing to follow safety advice.
“The additional protection in place includes infection prevention and control measures (IPC); personal protective equipment (PPE) in care homes and testing of staff and visiting professionals to care homes, which have developed processes and protocols for safer indoor visiting to take place.
“The guidance we are publishing sets out an expectation that providers will put in place arrangements to enable regular visits to resume from early March and from the discussions I have had with providers, I now expect all care homes to have embraced this guidance by mid-March.”
Cathie Russell of Care Home Relatives Scotland said: “We look forward to working with care home providers, public health and oversight teams to ensure that the new guidance allows residents to enjoy meaningful contact with their closest relatives and friends once more.
“It has been a very difficult year. The deepest ties of love are important and we can never thrive without them.”
Donald MacAskill, chief executive of Scottish Care, said: “The COVID pandemic has presented frontline care home staff and managers with many challenges but undoubtedly the hardest has been keeping residents apart from family and friends.
“We have now reached a very different place and with a range of COVID-19 protections in place, including vaccination and testing, combined with the use of PPE and IPC, we are at a stage where we can re-introduce safer indoor visiting to Scotland’s care homes. This day has been long-awaited and we understand that it will be an emotional time for many.
“Scottish Care is committed to supporting staff and managers, residents and family, to make sure that these guidelines succeed in their aim of reconnecting individuals.
“We commit to working together to overcome any challenges and difficulties we might face and to support those who may still be anxious and fearful, so that together we can ensure that a painful period of separation can be replaced by greater togetherness.”
Gabe Docherty, on behalf of Scottish Directors of Public Health, said: “There’s not been a day when these very human considerations haven’t weighed on the minds of my colleagues and I as we’ve endeavoured to safely negotiate all the challenges COVID has presented.
“It is always been the focus of Directors of Public Health to reinstate visiting as soon as there was evidence that the risks of doing so were greatly reduced. So I warmly welcome and wholeheartedly endorse the approach – and all that it means for care home residents, their families and Care Home staff.”
Councillor Stuart Currie, Health and Social Care Spokesman for the Convention of Scottish Local Authorities, said: “Local Government welcomes the forthcoming guidance on resuming meaningful contact for care home residents and recognises the impact that restrictions have had on residents, their families and friends and care home staff.
“This guidance supports all parts of the system to ensure that meaningful contact is undertaken safely with a number of safety and protection measures in place.”
The Scootish annnouncement follows a statement from the UK Government earlier this morning that every care home resident in England will be allowed one regular indoor visitor from 8 March.
A total of 786,427 people have now received their first Coronavirus (COVID-19) vaccination in Scotland, including 93% of over-80s living in the community.
Some 99% of older adult care home residents have received a first dose, along with 89% of staff in older adult care homes. A total of 272,365 frontline health and social care workers have also been vaccinated, exceeding the initial target of 230,000 staff provided by health boards.
This week, following the opening of new mass vaccination centres, including the Edinburgh International Conference Centre and Aberdeen’s P&J LIVE at TECA, there has been a 49% increase in the number of vaccinations carried out compared with the previous week.
Health Secretary Jeane Freeman said: “Scotland’s COVID-19 vaccination programme is now delivering ahead of our expectations, thanks to the enormous efforts of our vaccination teams. I would like to thank everyone who is working tirelessly to make this a success, and also every individual who has taken up their offer of a vaccine.
“Our aim is to vaccinate as many people as possible with both their first and second doses. The vaccine deployment plan was predicated on an uptake of at least 80% in each cohort – though so far we are significantly exceeding that for care home residents and staff, frontline healthcare staff, and over 80-year-olds in the community. If you are aged over 80 but have not yet received your invite, you should contact your GP surgery so they can assist.
“We hope to see a significant drop in the disease due to the vaccination programme, however this will take a number of months to evaluate fully. In the shorter term, we are monitoring the uptake rate but we also have a comprehensive surveillance system in place to monitor outcome of vaccine efficacy and disease reduction.
“Each health board is working hard to get the vaccine into people’s arms as quickly as possible, and everyone eligible will be offered the vaccine as we work our way through the priority groups.”
