Census by RCEM Scotland shows a shortage of key senior decision-making clinicians and a workforce below adequate staffing levels
A census of the Emergency Medicine workforce in Scotland by the Royal College of Emergency has found shortages of key senior decision-makers, and a workforce that is below adequate staffing levels to deliver the best and most effective care to patients.
When asked for immediate staffing needs, Emergency Departments across Scotland reported they needed an increase of:
25% in consultants
45% in Advanced Clinical Practitioners/Advanced Nursing Practitioners/Physician Associates
16% in Emergency Nurse Practitioners
22% in Higher Specialist Trainees/Non-consultant Senior Decision-Makers
21% in Junior Doctors
RCEM analysis shows that to resolve the shortages of senior decision-makers and to achieve adequate staffing and aspirational staffing levels by 2026 the current workforce in Scotland needs a total of 405 more health care staff broken down as:
113 more consultants
74 more Higher Specialist Trainees/Non-consultant Senior Decision-Makers
38 more Advanced Clinical Practitioners/Advanced Nursing Practitioners/Physician Associates
180 more Junior Doctors
RCEM’s Scotland workforce census consisted of a 64-question survey and was sent to Emergency Department Clinical Leads across Scotland.
Responses were received from 24 Emergency Departments, including all 20 consultant-led Emergency Departments, one Minor Injury Unit, and three Remote and Rural Hospitals.
Commenting on RCEM’s Scotland workforce census, Dr John Thomson, Vice President (Scotland) of the Royal College of Emergency Medicine, said: “The census clearly shows that the Emergency Medicine workforce in Scotland is not adequately staffed to deliver the highest quality patient care.
“This has led to an increase in intense pressures on the existing workforce and is very likely to be a contributing factor to the continued deterioration in performance.
“We have always been proud of Scotland’s performance in Emergency Medicine, ensuring quick and effective care that outperformed the rest of the United Kingdom. But, even before the pandemic, the increase in demand put severe pressure on staff, and departments began to struggle to meet the four-hour access standard, but more seriously began to struggle to deliver appropriate treatment to patients, resulting in more delays and longer stays.
“The pandemic certainly exacerbated these issues and now there are some major challenges that face Emergency Medicine in Scotland. Emergency Medicine can be relentless; a service delivered 24 hours a day, seven days a week, will always take its toll, and the pandemic has highlighted the severe burnout that Emergency Medicine staff, especially face.
“Departments must be staffed with a workforce trained and qualified in Emergency Medicine. Shortages in senior decision-making staff groups can lead to Emergency Departments over-depending on junior staff. The census shows that we need considerable expansion of funded consultant and senior decision-maker posts in order to prioritise patient safety and quality of care.
“We managed to survive the first two waves of pandemic with an insufficient workforce, but now these existing staff are facing burnout and exhaustion – with some clinicians reporting they are planning on retiring early. This census clearly shows that we must act and address these problems without delay.
“The Scottish Government must work with the specialty to devise an adequate workforce plan for the emergency care system, taking into account population needs and rising demand on the service. Plans must ensure sustainable and fulfilling careers for all staff, allowing for the delivery of quick, safe, and effective care for patients.
“Without a sufficient workforce plan that addresses the findings of the census, it is likely that there will be continued deterioration in Emergency Department performance and rates of burnout will continue to increase amongst Emergency Medicine staff.”
Moments after the Prime Minister called to ask me to become Health and Social Care Secretary last Saturday night, I spoke to my teenage daughter in the kitchen (writes UK Health Secretary SAJID JAVID).
‘You won’t have much to sort out then, dad,’ she said sarcastically.
When I came back to Westminster on Sunday morning, I found the biggest in-tray I’ve had at any department – and I’ve run 5.
I’ve spent the last year working with Harvard University on how governments can learn from this pandemic and be better prepared for future challenges, now I’m the one faced with so many of those tough choices.
I feel both the heavy responsibility and urgency that comes with this job.
My first video call on vaccine progress had to be at the same time as the England-Germany match. It was all going well until JVT (Jonathan Van-Tam, the Deputy Chief Medical Officer for England) suddenly took off his headphones because he didn’t want to hear the score before he watched a recording of the match.
It was an honour to start the meeting by thanking the team who have delivered the rollout, including everyone in the NHS, the Vaccines Taskforce and the officials in my department.
Amid the endless policy memos and reams of data, I see 2 immediate challenges. The first is how we restore our freedoms and learn to live with (coronavirus) COVID-19. The second is to tackle the NHS backlog – something that we know is going to get far worse before it gets better.
We are on track for 19 July and we have to be honest with people about the fact that we cannot eliminate COVID-19.
We also need to be clear that cases are going to rise significantly. I know many people will be cautious about the easing of restrictions – that’s completely understandable. But no date we choose will ever come without risk, so we have to take a broad and balanced view. We are going to have to learn to accept the existence of COVID-19 and find ways to cope with it – just as we already do with flu.
The economic arguments for opening up are well known, but for me, the health arguments are equally compelling. The pandemic has hit some groups disproportionately hard.
Rules that we have had to put in place have caused a shocking rise in domestic violence and a terrible impact on so many people’s mental health. All the progress we have made is thanks to the sacrifices of the British people – and our phenomenal vaccine programme.
The jabs are working. The latest data from the Office for National Statistics shows that 8 in 10 UK adults have the COVID-19 antibodies that help the body fight the disease. The implications of this are huge.
Tragically, the last time we had 28,000 new cases of COVID-19 in a day, we saw about 500 people die each day. On Friday, we had almost 28,000 cases a day, but 24 times fewer people lost their lives.
There will always be the possibility that we have to deal with dangerous new variants that evade the vaccine but I encourage everyone to get their jabs now if they haven’t already done so. It is the single biggest contribution you can make to this national effort.
We have many other crucial health challenges that we need to confront. We protected the NHS to make sure it was there for everyone who needed care. The steps we took saved countless lives but also led to the build-up of a vast ‘elective’ backlog – checks, appointments and treatments for all the less urgent, but often just as important, health issues.
Because of the pandemic, we estimate that about 7 million fewer people than normal came forward for healthcare. Even if only some of that demand returns, we will see enormous pressure on the NHS.
To help meet this demand, build a better NHS and bust the backlog, we need to build on the changes we’ve all embraced through the pandemic, such as using NHS 111 to direct patients to the most appropriate setting to receive care, expanding the use of our pharmacies and encouraging more people to use the NHS app.
We have to keep doing all of that, and more.
Of course, if you are feeling unwell, you need to come forward. The NHS is always there for you – and now in many different ways.
We’re putting record levels of funding into the NHS. In March, we committed a further £7 billion of funding – including £1 billion to begin tackling the elective backlog and about £500 million for mental health services and investment in staff.
And we’re bringing so many more talented colleagues into the workforce. We have record numbers employed in the NHS, with more than 58,300 more staff in hospital and community health services since March last year, including over 5,600 more doctors and 10,800 nurses.
We’re also embracing technology to help staff spend less time on paperwork and more on patients.
It’s time to build on the spirit of innovation we’ve all embraced and use it for the other challenges we face: from finally fixing social care and putting it on a sustainable footing, to tackling the health inequalities that the pandemic has brought to the fore.
I’m determined we get that right.
There’s a lot of work ahead, but if we hold on to the spirit that has seen us through these difficult days, we will have a country that is not just freer, but healthier, too.
Prime Minister Boris Johnson is likely to confirm later today that all COVID restrictions will be lifted in England from 19th July, so-called ‘Freedom Day’, despite a rising number of COVID cases.
Scotland is more cautious, with a tentative date of 9th August, and Wales and Northern Ireland have yet to make any decision on further relaxation on restrictions.
Scotland’s Test and Protect contact tracing staff are to prioritise phone calls to high risk cases to ensure the system delivers maximum benefit as Coronavirus (COVID-19) case numbers increase.
SMS text messages will now be used more extensively for low risk index cases, with direct telephone calls continuing to be used for the most high risk cases.
All individuals are being encouraged to complete the digital contact tracing form, allowing contact tracers to consider where a case is high risk and should receive a phone call. This approach will allow capacity to be focused on the cases most likely to lead to further transmission of the virus.
Additional measures to maximise overall capacity across health boards are being implemented, including supporting ongoing recruitment processes in local contact tracing teams to ensure they can continue to meet agreed staffing deployment requirements, alongside additional surge workforce capacity being brought online in the National Contact Tracing Centre over the coming days.
Health Secretary Humza Yousaf said: “At a time when we are facing a record high number of positive cases, our Test and Protect system has continued to operate well and, meeting our proxy measure, the World Health Organisation criteria of closing 80% of close contacts within 72 hours.
“But the third wave of cases means that the Test and Protect system is now contacting record numbers of people each day.
“The shift in approach we are taking will mean more text messages going out and people getting online to report contacts and find information.
“This is a sensible and practical approach which will allow us to focus our contacting tracing efforts on the most high risk cases and prevent further spread of the virus.
“Contact tracers will continue to phone many of those who have tested positive but there will be a focus on more complex, high risk cases. We continue to look holistically at the system to ensure its resilience, including supporting ongoing local recruitment and flexing additional workforce capacity within the National Contact Tracing Centre.
“It’s really important that people who are contacted by Test and Protect continue to self-isolate for 10 days.
“Our Test and Protect staff are doing fantastic work under significant pressure and we should all be thankful for their efforts throughout this pandemic.
“I would encourage anyone who has a smartphone to download the Protect Scotland App – if you test positive, you will receive a code that can be entered into the app, providing isolation notifications to people you have been in contact with.”
Daily case numbers reached a record 4,234 in Scotland this week, although the success of the vaccination roll-out has limited the number of people getting seriously ill and being admitted to hospital.
The star-studded film is released today ahead of the NHS’s 73rd birthday celebrating the success of the vaccination programme to support the easing of restrictions
Everyone aged 18 and over is eligible to get a vaccine and people are urged to get their second doses
Celebrities including Jim Broadbent and David Walliams have joined forces to encourage everyone to get their coronavirus (COVID-19) vaccines in a new uplifting film released today.
Set to the toe-tapping tune The Rhythm of Life, written by Cy Coleman and Dorothy Fields, from the 1966 classic musical, Sweet Charity, and donated by the Cy Coleman estate, the heart-warming film will celebrate the success of the vaccination programme in supporting the easing of restrictions as outlined in the roadmap.
Conceived and directed by Josie Rourke, the former artistic director of the Donmar Warehouse, the short film, written by Rourke and James Graham, is being released ahead of the NHS’s 73rd birthday.
It first sees Jim Broadbent enter an empty theatre before a star-studded cast of David Walliams, Asa Butterfield, Colin Salmon, Derek Jacobi, Don Warrington, Nicola Roberts, Russel Tovey, Sandra Marvin and West End dancers – dressed in iconic NHS blue – take to the stage to passionately perform the song
In-between the dancing, Asa Butterfield calls on viewers to “get that vaccine”, Don Warrington advocates “I’ve had mine!” and Jim Broadbent delivers the final “just get that vaccine” concluding plea to encourage people to play their part in getting us back to the ‘rhythm of life’.
The film was produced by Charles Finch and Peregrine Kitchener-Fellowes at Standalone Pictures.
Comedian, writer and actor David Walliams said: “The NHS has done an absolutely fantastic job rolling out COVID-19 vaccines at such speed and, as we do in the film, I want to implore everyone to get their vaccine when called, so we can get back to the all-singing, all-dancing, rhythm of life that we love.“
Actor Jim Broadbent said: “The film gave us the chance to show our appreciation and celebration for the vaccine roll-out in the best way we know how.
“Thank you to the millions who have already received their vaccinations and please ‘just get your vaccine’ to the rest. Vaccines are helping us get back to everything we love and every industry – including the arts – couldn’t be more grateful to each and every person for getting their vaccine.”
The film follows the launch of a national campaign urging people to get their vaccine and join the millions of people who have already received their jabs, as ‘every vaccination gives us hope’.
Health and Social Care Secretary Sajid Javid said: “Vaccines save lives so it is fantastic to see some of our most beloved stars in entertainment back the vital vaccination roll-out, which is helping this country fight this pandemic.
“The evidence is clear: the vaccine is the best way to help protect yourself and your loved ones, so if you get the call do not delay in booking your appointment as we do everything we can to get back to normal life.”
Vaccinated people are far less likely to get COVID-19 with symptoms and even more unlikely to get serious COVID-19, to be admitted to hospital, or to die from it and there is growing evidence that they are less likely to pass the virus to others.
In June, the Prime Minister announced that second doses for all over 40s will be accelerated by reducing the dosing interval from 12 weeks to 8 weeks.
The move follows advice from the independent experts at the Joint Committee on Vaccination and Immunisation (JCVI), which has considered the latest available evidence and has recommended reducing the dosing interval to counter the threat of new variants of concern.
Vaccines Minister Nadhim Zahawi said: “I’m extremely humbled every day when I see how many people are booking and receiving their jabs, joining the millions of adults who have already received theirs, as the country continues to play its part in helping us defeat this virus.
“Vaccines have prevented an estimated 7.2 million infections and 27,000 deaths in England alone, and each vaccine delivered is another step forward in helping us get out of this pandemic as we fight it together, side by side.”
Latest modelling analysis from Public Health England (PHE) and Cambridge University’s MRC Biostatistics Unit suggests that the COVID-19 vaccination programme has so far prevented an estimated 7.2 million infections and 27,000 deaths in England alone.
Culture Secretary Oliver Dowden said: “Vaccines are saving lives, protecting the NHS and will ensure we get bums back on seats safely. Every adult in the country can now get their jab.
“Thank you to all these stars for getting the message out. Let’s get them back on stage by finishing the job with the vaccine roll-out.”
ONS polling also shows the UK continues to top the list of nations where people are willing to have a COVID-19 vaccine or have already been vaccinated and ONS data published on 2 July shows that more than 9 in 10 (96%) adults reported positive sentiment towards the vaccine.
Vaccines are available free of charge and from thousands of vaccine centres, GP practices and pharmacies.
The British Medical Association is urging the Government to keep some targeted measures to control the spread of Covid-19 in place after 19 July in England, amid a continued worrying rise in case numbers.
Weekly cases in England are up 74% on the previous seven days, while the number of people admitted to hospitals in England with Covid-19 has risen by 55% over the last week.
The 19th of July – in just over two weeks’ time – is the earliest time the Government has said it will consider removing all legal restrictions, however both the Prime Minister and the new Health and Social Care Secretary have indicated that some measures could stay beyond this date – something the BMA says is crucial to stop spiralling case numbers having a devastating impact on people’s health, the NHS, the economy and education.
The BMA says these measures and support should include:
Ongoing requirements to wear a mask in enclosed public spaces, such as public transport, shops, healthcare settings and in communal areas in educational settings, where adequate ventilation and distancing are often not possible.
Significantly improved public messaging and education, emphasising that while the virus continues to circulate, practising social distancing and meeting outdoors or in well-ventilated spaces – and wearing masks when this is not possible – remains the best way to reduce risk of infection and keep yourself safe.
Greater guidance and support for businesses and educational settings to create sustainable, Covid-secure environments, as well as enforcement of standards.
Emphasis on the importance of good ventilation, including setting legal standards. Financial and other support for businesses and educational settings must be made available to implement these requirements ahead of the autumn and winter period, when respiratory viruses spread more easily and buildings must be kept warm, limiting options for natural ventilation.
Dr Chaand Nagpaul, BMA council chair, said: “As case numbers continue to rise at an alarming rate due to the rapid transmission of the Delta variant and an increase in people mixing with one another, it makes no sense to remove restrictions in their entirety in just over two weeks’ time.
“The promise was to make decisions based on data and not dates, and while we were pleased to see the Government react to data in delaying the easing on 21 June last month, ministers must not now simply disregard the most recent, damning, numbers by rushing into meeting their new 19th July deadline.
“It’s not a binary decision of ‘all or nothing’, and the sensible, cautious measures that we are proposing, will be vital in minimising not just the impact of rising case numbers on people’s individual health and the health service, but also wider damage to the economy and society, caused by even further waves, new variants and lockdowns.
“We have made excellent progress with both the vaccination campaign and individual action from people across the country over the last 18 months, and the Government must absolutely not throw this away at this critical juncture.
“While the vaccination programme continues at pace, a significant proportion of people remain either unvaccinated or partially vaccinated. This is on top of those who cannot receive the jab or the small number for whom immunisation will be ineffective.
“Neither will all those vaccinated by 19th July be properly protected given it takes about two weeks after the second dose to confer maximum immunity. This means we are still some way from protecting enough of the population from this devastating illness to control the spread.
“Meanwhile although hospitalisations remain relatively low in comparison to the steep rise in cases, the numbers are increasing at pace, with twice as many Covid patients in beds and on ventilators than this time last month.
“This is a particular worry for doctors and their colleagues who are faced with a record backlog of care put on hold by the first waves of the pandemic, and in which even modest increases in hospital admissions will undermine treating the 5 million patients currently on waiting lists.
“Even if people aren’t getting admitted to hospital at the same rate, spiralling levels of community transmission provides a fertile ground for new, potentially vaccine-resistant variants to develop.
“Also worrying is evidence that one in 10 people suffer longer-term impacts of long-Covid after even a mild infection, with an estimated 2 million people in England having lived with long-lasting symptoms. These factors could have serious consequences for the NHS and public health teams as well as business, education and wider society – therefore stemming the spread of the virus in the community with a series of manageable, targeted measures must be the priority right now.
“Everyone appreciates the efforts and sacrifices we have all made so far to suppress the spread of the virus, and it would be tragic if we were to undo this good work now. We are not asking for a full delay on 19th July, rather a series of sensible, targeted measures that will help prevent transmission of the virus while having a minimal impact on people’s daily lives.
“Our appeal is to both the Government to keep appropriate measures in place, and to the public to continue acting in a careful, responsible manner – giving other people space, wearing face coverings in areas where physical distancing isn’t possible and recognising that the virus won’t simply stop posing a serious danger in two weeks’ time.”
Scotland’s First Minister Nicola Sturgeon insisted yesterday that Scotland’s so-called ‘Freedom Day’is still on track for August, despite a huge surge in coronavirus cases that threatens to pile further pressure on hospitals and health services struggling to cope.
She urged people to get vaccinated at yesterday’s Coronavirus media briefing:
Good afternoon. Thanks for joining Jason and I. There are a few issues I want to cover today – including some important information about vaccinations.
But I will start with a summary of today’s statistics.
The total number of positive cases reported yesterday was 3,823.
That is 10.8% of all of the tests carried out.
The total number of confirmed cases now stands at 289,279.
There are 285 people currently in hospital – which is 10 more than yesterday.
And 19 people are in intensive care, which is 3 more than yesterday.
Unfortunately 4 deaths were reported in the past 24 hours, and that takes the total number of deaths under our daily definition, is now 7,726.
As always, my condolences are with everyone who has been bereaved.
Let me also briefly update on the vaccination programme.
As of this morning, 3,831,770 people have received a first dose of the vaccine.
That’s an increase of 15,519 since yesterday.
In addition, 14,622 people got a second dose yesterday. That brings the total number of second doses to 2,737,347. Now today’s vaccine numbers actually take us across quite a significant milestone. More than 60% of those eligible for the vaccine have now had both doses, but as of today, more than 50% of the entire population is now fully vaccinated. That is an important milestone and one that will be increasing our levels of protection against this virus.
I have a couple of points that I want to cover before I reflect on the overall course of the pandemic, and stress some of our key public health messages, which are of particular importance given the high number of cases that are being reported right now.
The first is to confirm that further funding for Covid matters is being made available to health boards today.
Almost £380 million is being allocated to help with additional costs this year – including for the vaccination programme, the test and protect system, and personal and protective equipment.
This is on top of the £1.7 billion for Covid which was allocated last year to Health Boards and Health and Social Care Partnerships.
Further funding will of course be made available as necessary over the course of the year.
Although we hope we are in the process of emerging from the pandemic, we can see from the situation at the moment, that Covid will continue to place pressures on our health and care services – so we will continue to ensure that they have all the funding that they need to respond to those pressures.
The second point I want to cover relates to vaccination. Getting vaccinated is probably the single most important thing any of us can do right now.
That’s why I strongly welcome a joint statement that has been issued this morning by business organisations and the Scottish Government. It urges people to get vaccinated – and also urges employers to encourage and support employees to get vaccinated.
The statement recognizes that a successful vaccination programme is crucial obviously for our public health, but if it protects our public health then it will always also be good for the economy. So anything employers can do to support people to get vaccinated, will be beneficial for them, as well as for their workers.
That said, the Government has the primary responsibility for ensuring that the vaccination programme is effective – and we are working with health boards to make sure it is as accessible as possible.
I am therefore pleased to confirm today that from Monday, all mainland health boards will offer drop-in vaccination centres for all adults.
These centres will be able to provide first doses to anyone over the age of 18 who has not had a first dose yet. They will also be open for second doses to anyone who had their first dose 8 or more weeks ago, and has not yet had their second dose.
So if you haven’t had a first dose yet – or if you are now due for a second dose – from Monday, you’ll be able to visit a drop-in centre in order to get one. And let me stress, you can do this even if you have had a letter giving you an appointment, or if you have missed an appointment. If you’d rather turn up next week to drop in, you can do that even if you’ve had an appointment scheduled for a week or two from now.
Two health boards – Greater Glasgow and Clyde, and Lothian – will also be providing mobile vaccination units as drop-in centres in some areas, and that is about helping, effectively, to take vaccine to people where we perhaps think there has been particular challenges with uptake.
Information about the drop-in vaccination centres in your health board area, will be available online, so I would encourage you to check this out over the weekend. You can also find out more through the NHS Inform website, or by following your health board area on social media.
Appointments of course will still be scheduled, so if it does suit you better to wait for a scheduled appointment, and you find that more convenient, that is fine.
Everyone in Scotland who is over 18 should now have received an appointment date for a first jag. If you haven’t, then you can turn up at a drop-in clinic – but you can also self-register on the NHS Inform site and get an appointment scheduled.
You can also use the NHS Inform website to rearrange the time or location of your appointment if you need to.
Basically, what we are trying to do is make it as easy and as accessible for as many as possible, so you can turn up from next week to a drop-in centre, you can keep your scheduled appointment, you can rearrange your scheduled appointment. Any of these ways is going to be possible because we want as many people getting these jags as possible.
The importance our vaccination programme is especially evident now. We are continuing to deal with a surge in new cases, heavily driven by the dominance of the Delta variant of the virus.
Vaccination is the reason that surge in cases has not led to the re-imposition of a strict lockdown – as it would have done at any earlier stage in the pandemic.
But now, the vaccines are doing much of the work that lockdown measures previously had to do.
We’ve discussed quite a lot recently the fact that vaccination is weakening the link between new cases, and serious health harms.
For example the proportion of people who get Covid, who now require hospital treatment, fell from around 13% in January, to 3% at the start of June. We continue to monitor that very closely.
All of that is positive.
But – and this is quite a significant but that I’m very deliberately injecting at this stage – all of us do still need to play a part, over and above getting vaccinated to make sure we get through this next period as safely as possible.
The rise in cases is a reminder that we still need to be cautious.
This variant of the virus is spreading quickly, and it is still potentially dangerous.
No vaccine is 100% effective. But these ones are very effective – after two doses. So even if you still get the virus, your chances of becoming very ill with it are much reduced.
That should give assurance to people – especially those who are older or living with other health conditions. I know many of you in particular will be worried right now as you see cases continuing to spike.
I want to assure you that we are not complacent about this. Our priority is to extend vaccine coverage as quickly as possible. That is our best line of protection.
But we are also encouraging renewed caution on behalf of the population while we do so.
Because our biggest vulnerability just now is that there are still, notwithstanding the success of the programme, a lot of people who do not yet have the protection of both doses.
That is why we are making it easier for people to get vaccinated. We are vaccinating as quickly as supplies – and also the clinical advice on timing of second doses – allows us to do.
While we do this, our collective priority must be to do all we can to slow the virus down. That really matters.
The fact is if cases continue to rise as they have been doing, then – despite the effectiveness of the vaccine – we will see pressure build on the NHS. And of course a lot of people being unwell.
Even if only 3% of cases need hospital care now – compared to 13% at the start of the year – on the case numbers we are seeing just now, that will still be a lot of people ending up in hospital.
We should also remember, many people who get Covid but don’t end up in hospital – including many younger people – could still suffer health harms such as long Covid.
I know everyone is tired of hearing this, but I must say again as we do see, we hope, the end point to restrictions in sight, for now we must be careful, especially for these next few weeks while we continue to get the protection from vaccination extended as far as possible.
There are three key things in particular that we all need to do just now.
Firstly – as I have said, vaccination is what will get us out of this.
So make sure that you get vaccinated when you are invited to do so, or turn up next week to a drop-in clinic and get vaccinated then. Just to remind everybody, that applies to all adults who haven’t had a first dose yet. Even if you’ve missed an appointment, don’t worry about that, you can turn up and get your first dose now. And if you’ve had your first dose 8 weeks or more ago, you can turn up to get your second dose at one of these drop-in centres.
Vaccination is how we protect ourselves and it is how we get out of this, so please make sure you’re playing your part by getting both jags as soon as it is possible for you to do so.
Second, please use the opportunities to get tested regularly – this is especially important if you are planning to visit somewhere or visit somebody. Take a lateral flow test before you go just to give that added bit of reassurance.
Free lateral flow tests are available through the NHS inform website.
You can have them sent to you in the post. You can also now collect them from local and regional test sites, or from community pharmacies.
And of course if you test positive through one of these lateral flow devices – or if you have symptoms of the virus – please make sure that you self-isolate, and book a PCR test as quickly as possible. That’s vitally important.
And finally, continue to follow the key rules where you live and all the basic but really important public health advice – for example on physical distancing, hand-washing and face coverings.
Stay outdoors as much as you can if you’re meeting other people.
And if you are meeting people indoors, which in limited numbers is now allowed, please stick to the limits on group sizes, and open the windows. Make sure you’re washing your hands and surfaces, and keeping the room as ventilated as possible.
That still applies, of course, if you are watching the football or the tennis.
If you’re planning to watch the quarter finals of the Euros this weekend, please remember the indoor gathering limits and remember all of the advice that helps keep that environment as risk free as it’s possible to do.
So these are the things that we need to continue to observe right now.
Get vaccinated, get tested and follow the guidance, and where applicable follow the rules.
We are all utterly sick of this. I do believe, just as I have said up until now, that we are seeing the end in sight. But whether we get to that end point, though vaccination, safely or whether we get to it with lots of pressure on our NHS, lots more people getting this virus, comes down to how all of us behave and how successful we are in slowing down the virus while the vaccines get ahead and ultimately win the race for us.
So thank you very much for your continued patience, thank you for your continued observance of all of this, and please for these next few weeks let’s all stick with it to get us through this.
Council Leaders have urged people to take care and carry out regular testing as COVID cases remain high in the Capital.
The appeal follows yesterday’s announcement by the First Minister, in which she called for “renewed care and vigilance” at this critical moment. This week, Edinburgh and the Lothians recorded the highest number of COVID cases in Scotland.
In response to the high numbers, several community test centres have opened around the city over recent weeks. Free COVID tests are on offer for people who don’t display any symptoms, aiming to break the chain of transmission by catching asymptomatic cases which could still be infectious.
Council Leader Adam McVey said: “The city is beginning to open up, returning a sense of normality to our daily lives, but we really must continue to take care by continuing to wash hands and using sanitiser regularly and physical distancing when out enjoying all our city and its businesses has to offer.
“With the weather still getting better, continuing to meet up with friends and family outdoors where possible can help drive the numbers down and keep the freedoms we’re starting to enjoy again.
“Regular testing is vital too if we are to catch and isolate cases, and I would urge everyone to make use of community test centres and order your free home testing kits to check if you could have COVID even if you don’t have symptoms.”
Depute Leader Cammy Day said: “Over the last 15 months we’ve all worked really hard to minimise the impact of the COVID virus, and I’d like to thank everyone for their patience during this time.
“That’s why it’s crucial that we don’t let our guard down now so I would encourage everyone to take up their vaccination when offered. We need to keep following the rules put in place for good reason, as well as getting tested when possible, to reduce the rising case rate and to ensure we can enjoy a more ‘normal’ summer.”
Walk-up mobile testing unit, Heart of Midlothian Football Club, Wheatfield stand accessed via Wheatfield Street/Place, until Sunday, 11 July
Drive though mobile testing unit at Hibernian Football Club, in the car park behind the east stand accessed off Albion Place/Hawkhill Place until Sunday, 11 July
McDonald Road Library until Saturday, 3 July – test pick-up available
Wester Hailes Library until Saturday, 3 July – test pick-up available
Fountainbridge Library from Monday, 5 July to Saturday, 10 July – test pick-up available
Drumbrae Library Hub from Monday, 5 July to Saturday, 10 July – test pick-up available
As pandemic restrictions begin to ease people in Scotland are encouraged to join over 30,000 others who have already turned to Scotland’s Service Directory in 2021 as a convenient way to find support services for health and wellbeing at their fingertips.
Scotland’s Services Directory has been developed by NHS 24 in association with Macmillan Cancer Support and health and care charity The Alliance. The online directory offers contact details for local, quality-assured, health and care services across all regions in Scotland. Every Health and Social Care Partnership has a number of services listed.
Scotland’s Service Directory is available on NHSinform.scot providing easy access on a wide range of health and wellbeing groups and services, including how to stay active, cancer services, dementia support, social activities for mental health, and money advice. NHS services are also listed.
A national campaign promoting the Directory will run over summer.
Edinburgh Pentlands MSP, Gordon MacDonald, is urging everyone aged 18 and over, who has not received a first coronavirus (COVID-19)vaccination appointment or has missed their first dose for any reason, to sign up to the self registration portal from Monday (28 June 2021).
The portal will be open from 8am on Monday 28 June until the initial vaccination programme ends in September. The online system, which was used successfully to encourage unpaid carers and 18-29 year olds to come forward, will be available to every adult in Scotland. Those who sign up will receive a text or email with details of their appointment which they can change if the time or location is unsuitable.
SNP MSP, Gordon MacDonald said: “The roll-out and high take up of the vaccine has been brilliant. I thank everyone who have worked so hard on to make it the success that it is and every single person who has went along to their appointment.
“This new portal will make sure that as many adults as possible in Scotland receive the vaccine as quickly as possible – no matter if you’ve just arrived in Scotland, are not registered with a GP or you don’t have an up-to-date home address.
“It’s clear from the evidence that vaccination is helping protect people from serious health harms and it is vaccine which offers us the best route out of this pandemic.
“I urge everyone to take the opportunity to protect themselves, their families and their community by getting the vaccine – and help us all get closer to normality as soon, and as safely, as possible.”
Open this weekend – vaccine clinics for anyone over 40 – 1st doses, 2nd for those at least 8 weeks since first AZ vaccine at Pennywell All Care, Conan Doyle Practice, Sighthill Practice – just turn up you do not need to be registered with a GP.
