City council leaders urge caution as COVID cases continue to climb

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.”

Community test centres are open for people with no COVID-19 symptoms:

  • 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

Find out more about Council services during the pandemic on the Council website.

Read more about the daily COVID vaccination uptake online.

Support Service details at your fingertips with NHSinform

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.

MSP encourages over-18s to register for vaccine via portal

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.” 

Self-registration portal: www.nhsinform.scot/vaccineregistration

And a reminder about Surge Vaccination Clinics open this weekend:

Surge vax clinics this weekend at Pennywell All Care Centre

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.

@EdinburghHSCP

#NorthEdinburgh

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.