NHS Lothian: Stick with safety precautions to stay COVID-19 safe

NHS Lothian has urged people not to give up on vital COVID-19 safety precautions as Scotland enters a new phase of the pandemic.

Dona Milne, Director of Public Health and Health Policy, NHS Lothian, said that while fewer people were becoming seriously ill from the disease, the number of new cases in Lothian have reached levels last seen during the last lockdown.

And she warned that the stringent use of safety precautions – face masks, handwashing and social distancing – with vaccination and increased community testing – was still vital to get a grip on the virus.

Dona said: “The last time our numbers of infections were so high was in January when we were all living under stay at home restrictions as part of the national lockdown.  Covid hasn’t gone away and can still cause serious illness. It is critical we remember that.

“Thankfully fewer people are becoming seriously unwell – but that is only down to the success of the vaccination programme. It is not because of a reduction in the threat that COVID-19 poses to us all.

“We know that 1 in 3 people who have Covid do not show symptoms of the virus but can still transmit it, so we should all be testing ourselves twice a week to keep ourselves, family and communities safe. 

“Those test results help us to target an area before the virus really takes hold, causing a surge in cases. The earlier a trend is identified, the more effective the measures, such as increased vaccination, will be. In turn, this will then help to reduce the chances of more region-wide or national restrictions.”

At the moment, around 203 per 100,000 people in Lothian are testing positive for the virus, with around 200 new cases every day of mostly younger adults and school aged children. 

Dona added: “As the restrictions begin to ease and the list of things we can do begins to increase, it’s tempting to think that it’s safe. The virus is still around us and it doesn’t mean that these things can be done without face masks, handwashing and social distancing. We cannot afford to return to normal just because we want it so badly. Lives may depend on it.

“We know that the weather is better and people want to get together and mix with friends, especially outdoors. As our worlds open up these things are allowed, and as we know outside is always safer, but we still need to think about maintaining our distance and wearing face masks when we can’t. 

“The problem is that people are dropping their guard when they are inside and out and especially if alcohol is involved. If you are indoors, you must keep numbers to a minimum and ensure good ventilation.”

Over the last three weeks, the specialist health protection team in Lothian has dealt with scores of separate situations in a number of settings such as hospitality events, weddings, workplaces, a beach party and schools.

There were more than 5549 positive cases, which generated more than 20,861 contacts.Fortunately, the number of people testing positive are not having such a serious impact on the NHS because so many people over the age of 40 are either fully vaccinated or about to undergo their second dose.

However, Dona urged people not to give in and to stick with the restrictions for a bit longer to give the vaccination programme more time to vaccinate more people and provide vital protection for younger adults.

So far, a total of 974,843 doses of the vaccine have been administered in clinics across NHS Lothian and the vaccination programme is working as fast as the vaccine supply allows. Drop-in clinics for the over 40s have also been launched at all the of the mass vaccination sites, except Lowland, to provide a first or second jab and more protection to as many people as possible.

Dona added: “It would be unthinkable to have come this far and to throw away all of our good work now. We must continue to live within the restrictions for a bit longer to give us a little more time to vaccinate more people and give them the protection they need. 

“Everyone living and working in Lothian has done really well so far and I would thank them for all of their efforts so far. I would ask everyone just to stick with it for a bit longer. Please continue to follow the safety precautions, keep your vaccination appointment, maintain regular testing and self-isolate if required.”

2,999 new cases of COVID-19 were reported in Scotand yesterday – the highest ever daily figure.

Capital clubs combine to show Covid the red card

Mobile testing units for people without Covid symptoms are running at both Heart of Midlothian and Hibernian Football Clubs as cases continue to rise in the Capital.

The community testing centres are aimed at breaking the chain of transmission in areas where case numbers remain stubbornly high by tracing cases which haven’t produced any symptoms but could still be infectious.

Council Leaders today praised both football clubs for their role in helping stop the spread of the virus in their communities.

Council Leader Adam McVey said:Just yesterday the First Minister advised that the aim is to move all parts of Scotland into Level Zero by 19 July, which is very positive news.

“We want to do everything we can to get case numbers down in Edinburgh as quickly as possible so that we can achieve that goal and enjoy fewer restrictions on our daily lives, so it’s crucial we find out where cases are – and isolate them.

“I’m delighted that both Hibs and Hearts are working closely with us and the Scottish Ambulance Service on community testing and I’d like to thank both clubs for their support and dedication to their communities’ wellbeing.”

Depute Council Leader Cammy Day said:As things continue to open up, it’s vital we all test ourselves regularly to check we’re not carrying the virus and unwittingly putting our loved ones and community at risk.

“It’s important to remember you can still get infected even if you’re double-vaccinated, and about 1 in 3 cases won’t show any symptoms. Well done and thank you to both our much-loved clubs for teaming up with us to show Covid the red card in Edinburgh.

The drive through testing centre at the rear of the East Stand at Easter Road opened on Tuesday 22 June.

Greg McEwan, Head of Marketing and Brand Partnerships at Hibernian Football Club, said: “Hibernian are pleased to be able to partner up with the City of Edinburgh Council in their efforts to curb the virus with a pop-up testing site at the Stadium.

“Easter Road Stadium is a prominent venue within the community and indeed Edinburgh so it’s a pleasure to offer our facilities.”

Meanwhile, a mobile testing unit has been operating beside the Wheatfield Stand at Tynecastle since last week.

Ann Park, Director for Communities and Partnershipes at Heart of Midlothian Football Club, said: “Heart of Midlothian encourage everyone to take up the offer of regular community testing and are delighted to help the continued fight against COVID-19 by hosting the mobile testing centre at Tynecastle.

“If we all get tested regularly we are able to then take the necessary action to stop the spread of the virus. If you live in the local area please drop in and do your bit to help stop the spread.”

Mobile testing units offering free PCR tests are currently available at:

  • Walk up mobile testing unit, Heart of Midlothian Football Club, Wheatfield Stand accessed via Wheatfield Street/Place, from Thursday 17 to Sunday 27 June, 10am to 6pm
  • Drive though mobile testing unit at Hibernian Football Club, in the car park behind the East Stand accessed off Albion Place/Hawkhill Place from Tuesday 22 June to Monday 28 June,  9.30am to 4.30pm
  • Walk up mobile testing unit, North West Locality office, 8 West Pilton Gardens until Sunday 27 June, 10am to 6pm – test pick-up available

Free Covid tests are also available without appointments at the following libraries:

  • McDonald Road Library from Monday 14 June to Saturday 3 July (closed Sunday 27 June) 9am to 6pm – test pick-up available
  • Gilmerton Library from Monday 21 June to Saturday 3 July 9am to 6pm – test pick-up available
  • Wester Hailes Library from Monday 21 June to Saturday 3 July 9am to 6pm – test pick-up available

NHS Lothian: right care, right place for minor injuries

If you have a minor injury please call 111 free to be referred to the right service.

They will arrange an appointment if you need to attend hospital. Or, if appropriate, they can schedule an appointment for a confidential assessment by video call with a Nurse practitioner.

Save A Life for Scotland: Ensuring more people can use defibrillators and CPR to save lives

With increased awareness over the weekend on how CPR and defibrillators can save lives, the Scottish Ambulance Service is working with Save a Life for Scotland (SALFS) to ensure more people know what to do when they witness someone suffering a cardiac arrest.

There are crucial elements required to save a life when someone is in cardiac arrest, and which we refer to as the ‘Chain of Survival’. The first of these steps is to ensure that people can identify when a cardiac arrest is happening, and there is a defibrillator in the community.

This is followed by early cardiopulmonary resuscitation (CPR) and defibrillation to restart the heart; timely hospital care, and appropriate aftercare. 

Pauline Howie, Chief Executive of the Scottish Ambulance Service, says: “Working with the Save a Life for Scotland (SALFS) campaign and other partners, we want to increase the survivability rates of those who go into cardiac arrest in Scotland.

“Cardiac arrest can affect anyone, of any age at any time or place. It’s vital that we can encourage people to feel more comfortable in calling 999 and to deliver bystander CPR and defibrillation if witnessing an out-of-hospital cardiac arrest. 

“Over the last five years, the Save a Life for Scotland (SALFS) partnership has equipped over 640,000 people with CPR skills, and the survival rate after an out of hospital cardiac arrest has doubled to one in ten people.

“This is really significant progress, but there are even higher rates of survival achievable that we are working towards with the refreshed Out of Hospital Cardiac Arrest Strategy. The Scottish Ambulance Service will also be working with schools so that we can equip all school children with the skills to be able to perform CPR.” 

Dr Gareth Clegg, University of Edinburgh, Chair of the Delivery Group for Scotland’s Out-of-Hospital Cardiac Arrest Strategy says: “After a cardiac arrest every second counts. Calling 999 for help, starting chest compression CPR and using a defibrillator as soon as possible is the way to save lives.

“Scotland’s national plan to increase survival after cardiac arrest aims to double the number of cases where a defib is applied by the public – even before an ambulance arrives at the scene. Studies show that using a defibrillator within three minutes of collapse, along with starting CPR, can greatly increase chances of survival.”

Lisa MacInnes, Director of Save a life for Scotland, says: “Every year around 3,500 people in Scotland of all ages suffer a cardiac arrest at home or within the community.

“Save a Life for Scotland is a campaign which aims to increase the chance of survival by encouraging more people to learn about CPR and defibrillators. The simple message of the campaign is that everybody in Scotland has got the power to save lives in their own hands.”

Information on defibrillators: 

There are around 4000 public-access defibrillators registered in Scotland and we have a system where people can add their own defibrillators to our database. You can find their locations here: Registering your Automated External Defibrillator (scottishambulance.com)

Defibrillators are designed to be used by members of the public who have not received any training. They provide audible instructions and sometimes visual prompts on a screen, and because they will not allow a shock to be given unless it is needed, it is extremely unlikely that it will do any harm to the person who has collapsed.

Information on identifying cardiac arrests:

To help people identify when someone is suffering a cardiac arrest, it’s important to recognise the difference between a cardiac arrest and a heart attack. A cardiac arrest occurs when someone’s heart stops beating. Because there is no blood flow to the brain, they will suddenly lose consciousness and will stop breathing or stop breathing normally.  

A heart attack is where there is a sudden interruption to the blood supply to part of the heart muscle. It is likely to cause chest pain and without treatment will result in permanent damage to the heart.

The heart is still sending blood around the body and the person remains conscious and is still breathing. Both are medical emergencies, and you should call 999, but a cardiac arrest is much more serious.

To Find out more about CPR and defibrillators, visit the Scottish Ambulance Service website – Cardiac Arrest (scottishambulance.com) 

Visit savealife.scot to learn more about what organisations are doing across Scotland to save more lives. 

Covid Vaccination Programme: More than thirty million Britons now have fullest protection

  • More than 30 million people in the UK have been vaccinated with a second dose of the COVID-19 vaccine, giving them the fullest possible protection
  • More than 79% of people in the UK now vaccinated with a single dose
  • Public urged to come forward for second doses to help protect against the threat of new variants

41,830,546 people across the UK have now been vaccinated with a first dose (79.4%), while 30,204,738 people have had both doses (57.3%).

New analysis by Public Health England (PHE) shows for the first time that 2 doses of COVID-19 vaccines are highly effective against hospitalisation from the Delta (B.1.61.2) variant. The analysis suggests the Pfizer/BioNTech vaccine is 96% effective and the Oxford/AstraZeneca vaccine is 92% effective against hospitalisation after both doses.

The UK government met its target of offering a vaccine to the most vulnerable by 15 April and is on track to offer a first dose to all adults by 19 July, 2 weeks earlier than planned. NHS England has today extended the offer of a vaccine to everyone over the age of 23.

By 19 July, all those aged 50 and over and the clinically extremely vulnerable will have been offered their second dose.

Health and Social Care Secretary Matt Hancock said: “Second doses are increasingly vital, so this is an incredibly important milestone. Day after day, our vaccination programme reaches new heights. With over 30 million people across the UK now receiving a second dose, we are giving the fullest possible protection to our loved ones in the face of new variants.

“The strength of the union has never been clearer than in the UK vaccination effort. All 4 corners of this country have pulled together for one common purpose – to get the jab and fight this virus.

“I want to pay tribute to everyone right across the country who has answered our call to arms and rolled up their sleeves to get the jab. I encourage everyone over 23 to come forward and get the jab.”

The vaccination programme is weakening the link between cases and hospitalisations, but the latest evidence shows that 2 doses are needed to provide effective protection against the Delta variant.

To ensure people have the strongest possible protection against COVID-19, second doses for all over 40s will be accelerated by reducing the dosing interval from 12 weeks to 8 weeks. All over 40s who received a first dose by mid-May will be offered a second dose by 19 July.

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.

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

Vaccines Minister Nadhim Zahawi said: “I am delighted that we have reached another poignant milestone in our vaccines programme, with over 30 million people receiving the fullest possible protection from this virus.

“In the space of 6 months, the UK has made history after not only deploying a licensed vaccine to the first person in the world, Margaret Keenan, but also to tens of millions of others in the largest vaccination programme in our history.

“I encourage everyone to come forward for the vaccine, and for the crucial second dose when the offer comes. It could save your life and protect your loved ones.”

UK Government Minister for Scotland Iain Stewart said: The UK government is supplying vaccines for people in all parts of the United Kingdom and this milestone is further welcome evidence of how effectively we are pulling together to protect ourselves and our community.

“With 30 million people across the UK already having had their second doses, I encourage everyone in Scotland to come forward when the offer comes to get their second vaccination and maximum protection from the virus.”

Vaccinated people are far less likely to get COVID-19 with symptoms. Vaccinated people are 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.

Data from PHE’s real-world study shows the vaccines are already having a significant impact in the UK, reducing hospitalisations and deaths, saving 14,000 lives and preventing 42,000 hospitalisations in England.

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

ONS data published on 9 June shows that more than 9 in 10 (94%) adults reported positive sentiment towards the vaccine.

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

COVID recovery: Easing on hold as Johnson presses pause button

Prime Minister: “We must learn to live with COVID”

  • Step 4 of England’s Roadmap paused for four weeks while vaccination programme is accelerated following significant rise in more transmissible variant
  • Second dose brought forward to 8 weeks for over 40s to provide strongest protection against Delta variant sooner
  • Restrictions to be lifted on weddings and wakes on 21 June

Step 4 will be delayed by up to four weeks in England and the vaccination programme accelerated to respond to the rapid spread of the Delta variant, the Prime Minister confirmed yesterday.

Scotland’s First Minister will give an update on Scotland’s plans later today. At present it’s planned that Scotland would move to Level 0 on 28 June, but concerns over rising numbers of the Delta variant make it likely that the date will be put back.

By 19 July, all adults in England will have been offered a first dose and around two thirds of all adults will have been offered two doses of the vaccine.

Data suggests that the Delta variant is between 40% and 80% more transmissible than the Alpha variant and is rapidly driving up case numbers.

There are currently around 8,000 cases a day, the highest since the end of February, and these are increasing by around 64% each week.

Hospitalisations are starting to rise, with the average number of people admitted to hospital increasing in England by 50% per week, and 61% per week in the North-West.

Our successful vaccination programme is weakening the link between cases and hospitalisations, but the latest evidence shows that two doses are needed to provide effective protection against the Delta variant.

The Roadmap has always been led by data and not dates, and the government’s four tests have not been met. In order to offer two vaccine doses to more people, prevent thousands of unnecessary deaths and protect the NHS, Step 4 will be delayed by up to four weeks to Monday 19 July. If the data rapidly improves this could be brought forward to 5 July.

The four tests are:

  • 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

Two vaccine doses have now been shown to be highly effective in reducing hospitalisation from the Delta variant, with the latest PHE data suggesting this could be up to 96% for Pfizer-BioNTech and 92% for the Oxford-AstraZeneca vaccine.

All adults aged 18 and over will now be offered a first dose by 19 July, 2 weeks earlier than planned. All adults aged 23 and 24 will be able to book their first dose from tomorrow (15 June).

By 19 July, all those aged over 50 and the clinically extremely vulnerable will have been offered their second dose, and those second doses will have taken effect.

Second doses for all over 40s will be accelerated by reducing the dosing interval from 12 weeks to 8 weeks. All over 40s who received a first dose by mid-May will be offered a second dose by 19 July.

The school holidays in England begin at the end of July, further reducing transmission among the younger age groups. Step 3 restrictions will continue in their current format with the following exceptions implemented from 21 June. No restrictions will be reimposed.

The 30-person limit will be lifted for weddings and wakes. There will be no set limit on the number of attendees, but venues must adhere to covid secure guidance, maintain social distancing and provide table service. All weddings in private settings, such as gardens, must have completed a covid risk assessment to ascertain how many guests they can host safely.

Event pilots will continue, including some Euro 2020 matches, Wimbledon, and some arts and music performances. Attendees will show proof of vaccination or a recent negative test.

Care home residents will no longer need to isolate if they leave their residence. Exceptions will include high risk visits including overnight stays in hospital.

Cases are expected to continue rising due to the transmissibility of the Delta variant, but with the acceleration of the vaccination programme hospitalisations are expected to stabilise.

Additional support is available for areas with high cases rates of the Delta variant, including surge testing, isolation support, and efforts to maximise vaccination uptake.

Prime Minister Boris Johnson made a statement at a press conference last night:

The Rt Hon Boris Johnson MP

When we set out on our roadmap to freedom a few months ago, we were determined to make progress that was cautious but irreversible. And step by step – thanks to the enormous efforts of the British people and the spectacular vaccine roll-out we now have one of the most open economies and societies in this part of the world.

And as we have always known and as the February roadmap explicitly predicted – this opening up has inevitably been accompanied by more infection and more hospitalisation. Because we must be clear that we cannot simply eliminate Covid – we must learn to live with it. And with every day that goes by we are better protected by the vaccines and we are better able to live with the disease.

Vaccination greatly reduces transmission and two doses provide a very high degree of protection against serious illness and death. But there are still millions of younger adults who have not been vaccinated and sadly a proportion of the elderly and vulnerable may still succumb even if they have had two jabs.

And that is why we are so concerned by the Delta variant that is now spreading faster than the third wave predicted in the February roadmap. We’re seeing cases growing by about 64 per cent per week, and in the worst affected areas, it’s doubling every week.

And the average number of people being admitted to hospital in England has increased by 50 per cent week on week, and by 61 per cent in the North West, which may be the shape of things to come. Because we know the remorseless logic of exponential growth and even if the link between infection and hospitalisation has been weakened it has not been severed.

And even if the link between hospitalisation and death has also been weakened, I’m afraid numbers in intensive care, in ICU are also rising. And so we have faced a very difficult choice. We can simply keep going with all of step 4 on June 21st even though there is a real possibility that the virus will outrun the vaccines and that thousands more deaths would ensue that could otherwise have been avoided.

Or else we can give our NHS a few more crucial weeks to get those remaining jabs into the arms of those who need them. And since today I cannot say that we have met all four tests for proceeding with step four, I do think it is sensible to wait just a little longer.

By Monday 19th July we will aim to have double jabbed around two thirds of the adult population including everyone over 50, all the vulnerable, all the frontline health and care workers and everyone over 40 who received their first dose by mid-May. And to do this we will now accelerate the 2nd jabs for those over 40 – just as we did for the vulnerable groups – so they get maximum protection as fast as possible.

And we will bring forward our target to give every adult in this country a first dose by 19th July that is including young people over the age of 18 with 23 and 24 year olds invited to book jabs from tomorrow – so we reduce the risk of transmission among groups that mix the most.

And to give the NHS that extra time we will hold off step 4 openings until July 19th except for weddings that can still go ahead with more than 30 guests provided social distancing remains in place and the same will apply to wakes. And we will continue the pilot events – such as Euro2020 and some theatrical performances.

We will monitor the position every day and if after 2 weeks we have concluded that the risk has diminished then we reserve the possibility of proceeding to Step 4 and full opening sooner.

As things stand – and on the basis of the evidence I can see right now – I am confident we will not need any more than 4 weeks and we won’t need to go beyond July 19th. It is unmistakably clear the vaccines are working and the sheer scale of the vaccine roll-out has made our position incomparably better than in previous waves.

But now is the time to ease off the accelerator because by being cautious now we have the chance – in the next four weeks – to save many thousands of lives by vaccinating millions more people.

And once the adults of this country have been overwhelmingly vaccinated, which is what we can achieve in a short space of time, we will be in a far stronger position to keep hospitalisations down, to live with this disease, and to complete our cautious but irreversible roadmap to freedom.

Scotland’s First Minister will give an update on Scotland’s plans later today. At present it’s planned that Scotland would move to Level 0 on 28 June, but concerns over rising numbers of the Delta variant make it likely that the date will be put back.

Health inequalities and the recovery from COVID-19

The impact of the COVID-19 pandemic has not been felt evenly across Scotland. Some people have been much more likely to get ill or die from COVID-19, and others have been disproportionately affected by the measures taken to control the virus (write ALEX PRIESTLY, Researcher and LIZZY BURGESS, Senior Researcher, Health and Social Care).

This blog looks briefly at health inequality in Scotland before the pandemic, how the virus has had an uneven impact, and what could be done during the recovery to address these differences in health across the nation. For a more detailed look at the effects of COVID-19 on health inequality, check out the SPICe research briefing Health Inequality and COVID-19 in Scotland.

What are health inequalities?

Health inequalities are “avoidable and unjust differences in people’s health across the population and between specific population groups”. Many people think they are unjust and avoidable as they are caused by societal and economic factors known as the ‘social determinants of health’.

Which groups are affected by these inequalities?

People living in deprived areas, people with physical and learning disabilities, people belonging to ethnic minority groups and unemployed people are just some groups who are more likely to have worse health than the rest of the population. This list is not exhaustive, and where people fit into more than one of these groups, the effects can be compounded. This is known as intersectionality – a word used to describe the “interconnected nature of social categorisations such as race, class, and gender, creating interdependent systems of discrimination or disadvantage”.

What’s health inequality like in Scotland?

Before the COVID-19 pandemic, health inequalities were very marked for some groups in Scotland.

In 2019, healthy life expectancy, the length of time someone can expect to live in good health, was 26 years shorter for men and 22 years shorter for women living in the most deprived parts of Scotland compared to those in the least deprived.  

In the most deprived areas, the premature death rate was over four times greater than in the least deprived areas.

People living in more deprived areas have lower levels of wellbeing than those living in less deprived areas. The hospital admission rate for heart attack is also higher for those living in deprived areas, more than twice that of those living in the least deprived areas.

Cancer incidence is also more common in the most deprived areas of Scotland. Public Health Scotland found mortality rates for all cancers combined are 74% higher in the most deprived compared with the least deprived areas.

How uneven has the impact of COVID-19 been?

Early in the pandemic, some politicians and commentators referred to COVID-19 as “a great leveller” which would affect everyone equally. It has become clear that this is not the case. A few examples are outlined below, but many more groups have been affected particularly badly.

Research during the first wave of COVID-19 infection found that people with learning disabilities were twice as likely to test positive for COVID-19, twice as likely to be hospitalised, and three times as likely to die from COVID-19 than the general population.

Those living in the most deprived areas were more than twice as likely to be admitted to hospital, and twice as likely to die from COVID-19.

People from ethnic minority backgrounds have also been disproportionately affected. National Records of Scotland analysed deaths from COVID-19 in the first wave of infection in 2020, and found that people of South Asian background were twice as likely to die compared to white people. When Public Health Scotland analysed data looking at the second wave of infection, they found that people of South Asian background were three times more likely to die or be hospitalised than white people.

The figure below shows how the impact of COVID-19 has varied by area of deprivation.

Here we’ve only looked at direct health harms. Indirect harms, such as longer waiting times for treatmentcancer screening programmes being paused, and worsening mental health, resulting from the restrictions to control the virus, rather than the virus itself, have also disproportionately affected some groups more than others. You can find out more about the indirect health harms in the SPICe research briefing Health Inequality and COVID-19 in Scotland.

How could we address health inequality as we recover from the pandemic?

So we’ve seen that some groups mentioned above (and many others) were more likely to experience poor health before COVID-19, and have suffered more than the general population during COVID-19. How will we ensure that these groups are not left behind as we recover from COVID-19?

The Institute of Health Equity published ‘Build Back Fairer: the COVID-19 Marmot Review’ in December 2020. This report makes recommendations for England, but many of them are relevant in Scotland too, looking at factors like employment, housing, previous health conditions and ethnicity.

Looking specifically at Scotland, the Scottish Government set up the Social Renewal Advisory Board to make proposals for how to renew Scotland after the pandemic. Its report “If not now, when?” looks at how income could be distributed more fairly and how everyone should have access to basic rights and services.

The Mental Health Foundation, has looked at how the COVID-19 recovery can address worsening mental health in Scotland. Its manifesto outlines building a ‘wellbeing society’, where the causes of poor mental health are addressed highlighting the importance of prevention.

Most organisations who have looked at the COVID-19 recovery’s impact on health inequality agree that it needs to focus on addressing the fundamental causes of differences in people’s health across the population, rather than just dealing with the symptoms.

To find out more check out the SPICe research briefing Health Inequality and COVID-19 in Scotland.

Alex Priestly, Researcher and Lizzy Burgess, Senior Researcher, Health and Social Care

Rapid test kits rolled out to pharmacies

Community pharmacies across Scotland are extending access to rapid coronavirus (COVID-19) testing kits for people without COVID-19 symptoms.

The expansion, which began yesterday (Wednesday 9 June) is aimed at encouraging further uptake of testing among people with no symptoms and finding cases which would otherwise go undetected.

It builds on current efforts in place to improve access to rapid lateral flow devices (LFDs) for people without COVID-19 symptoms, by making it easier for people without access to digital services.

Free packs are available to be collected from participating pharmacies, with each containing seven devices which can provide results in around 30 minutes.

People with symptoms of COVID-19 should not enter pharmacies to collect self-test kits or use a LFD and must instead self-isolate immediately and book a PCR test at NHS Inform.

Heath Secretary Humza Yousaf said: “Testing has a vital role to play as we move safely out of lockdown and this rollout of testing kits to pharmacies for the public to drop in and pick up helps build on our strategy to tackle COVID-19.

“It would be a mistake to think that the successful delivery of the vaccination programme means testing becomes less important. The evidence suggests vaccination provides strong protection, but does not yet guarantee you can’t still get the virus and pass it on.

“Around one in three people with COVID-19 do not show any symptoms and rapid lateral flow testing is already helping us identify new cases. The ability to quickly identify new outbreaks and put appropriate measures in place will remain at the heart of our strategy to help break chains of transmission.

“Regular, rapid testing is already available to people in a wide range of settings, including schools and communities where rates remain high and everyone should access testing regularly.”

People can find out which pharmacies are taking part by going to NHS inform, following a link and entering their postcode.

Anyone with symptoms, such as a cough, fever or loss of taste or smell should self-isolate immediately and book a PCR (polymarese chain reaction) test.

Rapid LFD test kits, which can be used from home for people to test themselves twice-weekly, are already available for pick-up without an appointment from many local walk-in, or drive-through test sites, or by ordering online, or by phone.

Professor Harry McQuillan from Community Pharmacy Scotland said: “The community pharmacy network across Scotland provides access to NHS services close to people’s homes at the heart of our communities.

“This distribution service further enhances the ongoing testing programme and builds upon the community pharmacy teams role in supporting Scotland’s public health response to the Covid-19 pandemic.”

SNP MSP for Edinburgh Pentlands, Gordon MacDonald, has praised pharmacies across the city for helping to rollout rapid coronavirus (COVID-19) testing kits for people without COVID-19 symptoms.

The expansion which began yesterday (Wednesday 9 June) is aimed at encouraging further uptake of testing among people with no symptoms and finding cases which would otherwise go undetected.

This is building on current efforts to improve access to rapid lateral flow devices for people without COVID-19 symptoms, by making it easier for people without access to digital services.

Among the many pharmacies who have voluntarily signed up to participate in the expansion are Colinton Pharmacy, MacKinnon Pharmacy, Lloyds Pharmacy Wester Hailes, Lloyds Pharmacy Calder Road, Gate 55 Sighthill Road, Colinton Mains Pharmacy, Lindsay and Gilmour Chemist Juniper Green, Calder Pharmacy, Oxgangs Pharmacy and Boots Pharmacy Buckstone Terrace.

SNP MSP for Edinburgh Pentlands, Gordon MacDonald said: “This is very welcome news and I am sure will be a source of great help to so many people across the city.

“Rapid lateral flow testing is already helping to pick up news case so all efforts to increase LFDs will help even more. This, in turn, helps to identify new outbreaks and put in place mitigating measures to reduce transmission as quickly as possible.

“I would like to thank all the community pharmacies across Edinburgh Pentlands, and right across the city, who are participating in this rollout. Community pharmacies have, and continue to, play a key role in supporting Scotland’s public health response to the Covid-19 pandemic by providing access to NHS services close to people’s homes and lives.”

There are 1,258 community pharmacies across Scotland that are eligible to sign up for the service. Participation is voluntary and it is for pharmacy owners to opt-in to provide the service.

Coronavirus cases on the rise: ‘Edinburgh is the new Glasgow’

Alex Cole-Hamilton challenges First Minister over disparity in Covid response

Liberal Democrat Heath Spokesperson Alex Cole-Hamilton has challenged the First Minister as to why Edinburgh residents have not been offered the same access to surge testing that Glasgow residents were, despite the rise in cases.

Edinburgh now has more cases per 100,000 of the population than Glasgow and several schools within the city have reported outbreaks.

Despite confirming yesterday that walk-in clinics will be provided for over 40s who have yet to receive their first dose of the Covid-19 vaccine or anyone of any age waiting more than 10 weeks for their second astrazeneca dose, door to door surge testing, which has been available in areas of Glasgow for weeks is still not available in Edinburgh.

The First Minister was clearly dissatisfied with Mr Cole-Hamilton’s question, failing to answer and accusing him of “trying to divide and set people against each other.”

Mr Cole Hamilton commented: “It is really disappointing to see the First Minister refuse to engage constructively on such a vital issue. The Health Secretary used the exact words ‘Edinburgh is the new Glasgow’ in a discussion I had with him last week. On that basis it is not unreasonable that I would seek the same level of action for my constituents as people in Glasgow saw.

“I have welcomed the announcement that walk-in vaccination centres will now be available to those over 40 but it is not enough. As well as surge testing, we need to provide walk in centres for those aged 18 and over who are yet to receive their first dose of this vaccine.

“My first responsibility is to my constituents, and I will never apologise for using my place in Parliament to fight for their best interests.”