Test and Protect vital to containing spread of COVID-19

Following the ongoing coronavirus (COVID-19) outbreak in Aberdeen, people are reminded of the importance of self-isolation to control the spread of the virus.

Once a positive case is identified, contact tracers will call all of their close contacts and advise them to self-isolate for 14 days.

Calls from contact tracers will come from one number – 0800 0308 012 – and the identity of the positive case will not be disclosed.

Interim Chief Medical Officer Gregor Smith said: “Test and Protect is vital to help us suppress the virus and identify any local outbreaks like the one in Aberdeen.

“It is crucial that people who are identified as close contacts of a positive index case follow the advice given by the contact tracer and self-isolate for 14 days.

“If you are a contact of a positive case you must still self-isolate even if you get a negative test result. A negative result is not a substitute for self-isolating as people can be asymptomatic and test positive at a later date.

“Self-isolation, as part of the Test and Protect system, will help us contain the spread of the virus and help us move out of lockdown.”

Test and Protect was rolled out across Scotland on 28 May 2020.

People with any of the following symptoms should self-isolate and book a test at nhsinform.scot/test-and-protect or call 0800 028 2816 if they are unable to access the online service:

  • a high temperature or fever
  • a new continuous cough 
  • a loss of, or change in sense of smell or taste

More Scots to get free flu jab

Vaccine programme expanded to protect those most at risk during COVID-19 pandemic

Social care workers, people over 55 and household members of those who are shielding will all be eligible for the free seasonal flu vaccine.  The Scottish Government will look to extend to those aged 50-54, if vaccine supplies allow.

This winter, to protect those most at risk from concurrent infection of COVID-19 and flu, the government is expanding the vaccination programme to new groups and increasing capacity to vaccinate more people than ever before.

Groups who will continue to be eligible for the free flu vaccine include: those aged 65 and over, those with underlying health conditions, pregnant women, children aged between two and five, primary school children, health care workers and young and unpaid carers. 

Health Secretary Jeane Freeman said: “The seasonal flu vaccination programme helps to protect the most vulnerable and alleviate pressure on the NHS. This will be more important than ever this year, in light of the COVID-19 pandemic.

“That’s why this flu season, we are extending free eligibility to social care workers who provide direct care, household members of individuals who are shielding, all those aged 55 and over, and those aged 50-54 if vaccine supplies allow.

“We want to reassure those who may now feel anxious about leaving home to get vaccinated. Getting the seasonal flu vaccine, especially when you have free eligibility, is one of the ways that you can support the NHS whilst protecting yourself and others this winter.

“If you think you are eligible for the vaccine, please visit NHS Inform, and if you receive a letter inviting you to get a vaccine, please follow the instructions.”

Interim Chief Medical Officer Gregor Smith said: “Social care workers often come into contact with those most vulnerable to the seasonal flu, and vaccinating them will help to protect them whilst also providing indirect protection to the people they care for.

“Individuals who are shielding have already been identified as being at a high risk from COVID-19, and this risk is heightened should they contract the virus and seasonal flu at the same time.

“Similarly, vaccinating 55-64 year olds – as well as those aged 50-54 if vaccine supplies allow – will help to protect an age group who are vulnerable to both COVID-19 and the seasonal flu, helping to lower the risk of people getting concurrent cases of both viruses.

Karen Hedge, National Director at Scottish Care said: “Scottish Care welcomes the announcement that social care workers will be able to access free flu jabs.

“This is something we have been in dialogue with the Scottish Government about for some time, and we consider this move to be a real step forward in recognising the critical role of skilled and valuable care staff, protecting both them and also those they support.”

Drug Deaths Taskforce marks first year

Almost £4 million has been allocated by the Drug Deaths Taskforce to projects to support its work reducing harm and deaths. 

The taskforce has announced the Scottish Government funding for research and front-line services to help tackle the drug deaths public health emergency over the next year: 

  • £1 million for 10 research projects examining different approaches to tackling the public health emergency
  • £3 million for Scotland’s Alcohol and Drug Partnerships to deliver on the six evidence-based strategies set out by the Taskforce to reduce drug deaths and drug harms

The taskforce, which has now been operating for a year, also launched a new website to inform stakeholders, service providers, people who use drugs and their families on their work. 

In addition, a new strategy to tackle stigma will encourage a more informed and compassionate approach towards people who use drugs and their families. Over its first year it has gathered evidence which shows stigma is one of the main factors preventing people from seeking treatment. 

Public Health Minister Joe FitzPatrick said: “I want to thank Professor Catriona Matheson and all the members of Scotland’s Drug Deaths Taskforce for their hard work in its first year.

“This is not a problem with a quick solution and I know they have spent many hours gathering evidence about the true extent of this emergency and developing and implementing strategies to tackle it. This funding will enable it to act using what it has learned from individuals’ lived experiences.

“I’ve travelled all over the country meeting as many people who use drugs and service providers as possible and I have been told repeatedly that stigma is a real barrier to people accessing treatment. 

“Stigma can come from many sources, but most damaging is self-stigma where people believe they are not worthy of support. It is costing lives every day in Scotland and I believe this new strategy will help us tackle what is undoubtedly one of the biggest challenges we face.”

Professor Catriona Matheson, Chair of the Drug Deaths Taskforce, said: “Since the taskforce first met in September 2019, we have been urgently reviewing evidence of what can best address Scotland’s unique challenge, and putting that evidence in action. 

“The Annual Report details our progress in identifying critical lines of enquiry and actions to take us forward. The taskforce recognises that we all need to get away from a search for a mythical, single, magic bullet and towards a programme of implemented strategies that not only works but engenders a new level of trust, sharing and collaboration in Scotland’s key agencies. We believe in positive, sustainable change.”

The full report and Stigma Strategy are available on the new Drug Deaths Taskforce website.

Scots encouraged to follow crucial steps to control coronavirus

The role NHS Scotland Test and Protect plays in containing future coronavirus outbreaks has been highlighted, as new research suggests people know their actions count.

With the vast majority (89 per cent) of people believing it necessary to follow the Scottish Government’s guidelines if the country is to get out of lockdown, NHS Lothian has reminded people of three things they need to do to help suppress the virus as restrictions ease:

1:  Self-isolate and book a test immediately if you have coronavirus symptoms: a new, persistent cough, high temperature or loss or change in taste or smell.

2:  If the test result is positive, you’ll be contacted by a member of the NHS team and asked to provide them with the names of people you’ve been in close contact with as they may be at risk.

3:  If you’re contacted by NHS Scotland to say you’ve been in close contact with someone that has the virus, isolate for 14 days.  Following this advice is crucial as it can take 14 days for symptoms to develop, and the virus can be passed on during this time.

The research, released as the nation moves through phase 3 of the route map, shows that the majority of people in Scotland (92 per cent) see the role individuals have in suppressing coronavirus as important.

However, with one in ten (12 per cent) saying they are less likely to follow guidelines if others aren’t following them, NHS Lothian yesterday encouraged people to stick with it over the coming weeks and months to protect themselves, their loved ones and keep their community safe.

Professor Alison McCallum, Director of Public Health, NHS Lothian said: “Test and Protect is key to breaking the chains of coronavirus transmission, protecting the progress we’ve made and helping to save lives. 

“If you have symptoms, please self-isolate, get tested and share details of those you’ve come into close contact with.  If you have been in close contact with someone who has tested positive and are asked to self-isolate by the NHS, it’s essential you follow that advice.  Support to self-isolate is there if you need it.

“For this to work, we need everyone’s help. If you have symptoms, we’re asking you to self-isolate, get tested and share details of those you’ve come into close contact with. If you have been in close contact with someone who has tested positive and are asked to self-isolate by the NHS, it’s important to follow that advice. 

“These three steps, along with following the FACTS guidelines, shows people you care about others, sets a good example, will help keep the virus under control and will allow us to continue to emerge from lockdown.”

People can book a test at nhsinform.scot/test-and-protect or call 0800 028 2816 if they can’t get online.

The website provides information on additional support available. If you need to self-isolate and can’t get the help you need from family, friends or online, you can call the National Assistance Helpline on 0800 111 4000. Local help is there for you behind that national number.

To reduce the risk of catching or spreading coronavirus, or being asked to isolate, remember FACTS – Face coverings, Avoid crowded places, Clean hands and surfaces regularly, Two-metre physical distancing and Self-isolate and book a test immediately if you have coronavirus symptoms.

Anxiety advice for people who have been shielding

Tips to help people in the Lothians who have been shielding cope with next steps out of lockdown have been highlighted, following shielding guidance being paused.

As part of the Clear Your Head campaign, the Scottish Government’s Principal Medical Officer acknowledged the challenges facing those who have lived with the most severe restrictions over the last four months, offering practical advice to help deal with feelings of fear and uncertainty.

These include:

·       Build things back up gradually, doing a little more every few days.

·       Try to maintain a healthy lifestyle and routine.

·       Focus on the things you can control such as complying with physical distancing and wearing face coverings.

·       Return to the things that you enjoy as soon as possible.

·       Don’t let a bad day or experience set you back – try again, maybe in a few days.

In addition, the Clear Your Head website – clearyourhead.scot – provides a range of tips and sources of advice to help people look after their mental health over the coming weeks and months as they adapt and adjust.

Principal Medical Officer for Mental Health Dr Alastair Cook said: “Whilst some of those who have been shielding may be looking forward to a return work, activity and increased social contact, many will have experienced a loss of confidence arising from the natural fear and anxiety the pandemic has generated. 

“Feelings of anxiety are normal and to be expected, but there are things you can do that will help. 

“Build things back up slowly and focus on the things you are in control of. Try not to get anxious or frustrated by others that do things differently, as your frustration will impact on you more than it does them. Sometimes things won’t go to plan and you may experience more anxiety in a situation than expected. This is normal and it’s important not to blame yourself for a setback or let it stop you trying to return to activity.

“Take things a day at a time and remember that help is available if you need it. Be kind to yourself, and reach out if you need to talk to someone about how you’re feeling.”

For practical tips, visit clearyourhead.scot.

EIJB cuts: candidate writes to Ben McPherson

Katrina Faccenda, Scottish Labour’s prospective candidate for Edinburgh North and Leith in next May’s Holyrood elections, has written to Public Finance Mnister (and local MSP) Ben McPherson over cuts to Edinburgh Integration Joint Board’s budget.

She explained: “Today I have written to Ben Macpherson MSP regarding the proposed cuts to services currently provided through the Edinburgh Integrated Joint Board.  Urgent action is needed and as the Minister for Public Finance and Migration, I think Ben must speak up on behalf of his constituents.

“I am incredibly concerned about the effects of more austerity-driven cuts In the Edinburgh Northern and Leith constituency where underfunding of local government has already had a devastating impact and there are already too many living in poverty and struggling with health inequality.”

The letter reads:

“Dear Ben,

I am Katrina Faccenda, prospective Labour MSP candidate for Edinburgh Northern & Leith.

Like many of Edinburgh’s citizens,  I felt the latest round of cuts to health and social care services in the city was really the final straw.(I refer to the Phase Zero cuts agreed by the EIJB (Edinburgh Integration Joint Board)).

The EIJB members confirmed that they are upset about the changes which will have a significant negative impact on Edinburgh’s most vulnerable residents.

Do you, as Edinburgh Northern and Leith’s representative in the Scottish Parliament, share my concern that these cuts will adversely affect people in the constituency? 

Even before coronavirus, three wards in this constituency were reported to have child poverty levels higher than 30% (Edinburgh Poverty Commission Interim Report, Sept 2019)

You have stated that you are ‘ focused on being a passionate voice in the Scottish Parliament for local communities and for positive change’. (parliament.scot, Current Members, Personal Information) As the Minister responsible for Public Finance how do you plan to protect the community from such reductions in vital services?

Best Regards

Katrina”

Game Changer? Roll-out of two new rapid coronavirus tests

Millions of new rapid coronavirus tests will be rolled out across NHS hospitals, care homes and labs from next week.

  • Both tests will be able to detect COVID-19 and other winter viruses in just 90 minutes
  • New tests will hugely increase testing capacity ahead of winter, delivering fast results that will help to break chains of transmission quickly

Millions of ground-breaking rapid coronavirus tests will be rolled out to hospitals, care homes and labs across the UK to increase testing capacity ahead of winter. The tests will enable clinicians and NHS Test and Trace to quickly advise on the best course of action to stop the spread of the virus.

Two new tests – both able to detect the virus in just 90 minutes – will be made available to NHS hospitals, care homes and labs. The 2 tests will be able to detect both COVID-19 and other winter viruses such as flu and respiratory syncytial virus (RSV). The tests do not require a trained health professional to operate them, meaning they can be rolled out in more non-clinical settings.

This will help to further strengthen the coronavirus response this winter, arming both clinicians and NHS Test and Trace with the ability to distinguish between COVID-19 cases, which have specific self-isolation requirements, and other winter viruses.

Health Secretary Matt Hancock said: “We’re using the most innovative technologies available to tackle coronavirus. Millions of new rapid coronavirus tests will provide on-the-spot results in under 90 minutes, helping us to break chains of transmission quickly.

“The fact these tests can detect flu as well as COVID-19 will be hugely beneficial as we head into winter, so patients can follow the right advice to protect themselves and others.

“I am hugely grateful for the excellent work done by DnaNudge and Oxford Nanopore to push forward these life-saving innovations in coronavirus testing.”

A new test that uses DNA to detect the virus will be rolled out across NHS hospitals from September, with 5,000 DNA machines, supplied by DnaNudge, to provide 5.8 million tests in the coming months.

Separately, 450,000 90-minute LamPORE swab tests will also be available across adult care setting and laboratories from next week, supplied by Oxford Nanopore.

DNA testing for coronavirus

5,000 DNA ‘Nudgebox’ machines, supplied by DnaNudge, will be rolled out across NHS hospitals in the UK to analyse DNA in nose swabs, providing a positive or negative result for COVID-19 in 90 minutes, at the point of care. The machines will process up to 15 tests on the spot each day without the need for a laboratory.

The DNA COVID-19 test machines are currently operating in 8 London hospitals:

  • St Mary’s Hospital in Paddington
  • Charing Cross Hospital
  • West Middlesex University Hospital
  • Chelsea and Westminster Hospital
  • Royal Hospital Chelsea
  • Queen Charlotte’s and Chelsea Maternity Hospital
  • the Renal Transplant Centre at Hammersmith Hospital
  • the Tower Hamlets Centre for Mental Health at Mile End Hospital

The machines are located in cancer wards, A&E and maternity wards to protect those most at risk.

The government is signing contracts with more companies to produce machines for DNA coronavirus testing.

Rapid LamPORE tests

The new rapid LamPORE test will be able to process swab and saliva samples to detect the presence of COVID-19 in 60 to 90 minutes.

The new test has the same sensitivity as the widely used PCR swab test, but can be used to process swabs in labs, as well as on-location through ‘pop up’ labs. The desktop GridION machine can process up to 15,000 tests a day, or the palm-sized MinION can process up to 2,000 tests a day for deployment in a near-community ‘pop-up’ lab.

450,000 of the new LamPORE tests will be available from next week across adult care settings, NHS laboratories and lighthouse laboratories, with millions more tests to be rolled out later in the year.

Details of positive test results will be shared with NHS Test and Trace, so close contacts can self-isolate in line with guidance.

Regius Professor Chris Toumazou FRS, CEO and co-founder of DnaNudge and founder of the Institute of Biomedical Engineering at Imperial College London, commented: “The DnaNudge team worked with incredible speed and skill during the peak of the pandemic to deliver this highly accurate, rapid COVID-19 test, which requires absolutely no laboratory or pipettes and can be deployed anywhere with a direct sample-to-result in around just over an hour.

“We have been able to successfully adapt our in-store consumer DNA testing technology – which identifies genetic risks for chronic conditions related to obesity and type 2 diabetes – and validate it for detecting COVID-19 with gold-standard accuracy.

“We are extremely proud to be playing such a pivotal role in supporting the national effort on testing, as this major contract award signifies. With the ability to test not only for COVID-19 but also FluA, FluB and RSV on the same single COVID-19 Nudge cartridge, our multiplex test offers a vital solution to protect the NHS as we head into the flu season.”

Gordon Sanghera, CEO of Oxford Nanopore, said: “We are honoured to be playing a part in fighting COVID-19 in the UK, and preparing the country for the winter virus season. Ever since we founded Oxford Nanopore, our mission has been to create disruptive, high performance technology that has a profound, positive impact on society.

“LamPORE has the potential to deliver a highly effective and, crucially, accessible global testing solution, not only for COVID-19 but for a range of other pathogens. We are delighted to be working with the UK government to support and empower our communities to effectively manage testing at a national and localised level.”

Self-isolation period extended to 10 days across the UK

The self-isolation period has been extended to 10 days for those in the community who have coronavirus (COVID-19) symptoms or a positive test result.

In symptomatic people COVID-19 is most infectious just before, and for the first few days after symptoms begin. It is very important people with symptoms self-isolate and get a test, which will allow contact tracing.

Evidence, although still limited, has strengthened and shows that people with COVID-19 who are mildly ill and are recovering have a low but real possibility of infectiousness between 7 and 9 days after illness onset.

We have considered how best to target interventions to reduce risk to the general population and consider that at this point in the epidemic, with widespread and rapid testing available and considering the relaxation of other measures, it is now the correct balance of risk to extend the self-isolation period from 7 to 10 days for those in the community who have symptoms or a positive test result.

This will help provide additional protection to others in the community. This is particularly important to protect those who have been shielding and in advance of the autumn and winter when we may see increased community transmission.

Chief Medical Officer for England, Professor Chris Whitty

Chief Medical Officer for Northern Ireland, Dr Michael McBride

Chief Medical Officer for Scotland, Dr Gregor Smith

Chief Medical Officer for Wales, Dr Frank Atherton

SCHOOLS GO BACK ON 11th AUGUST

‘Significant steps back to a less-restricted way of life’

Schools will return from 11th August, First Minister Nicola Sturgeon has confirmed. Ms Sturgeon said she expects all pupils to be back in class full time from 18 August “at the very latest”.

Guidance issued to councils said children should ‘return to school as quickly and as safely as possible’.

Children will return to schools full-time from August 11, with quick access to testing for all those who are symptomatic, and a targeted, enhanced surveillance programme to highlight any impact on pupils and staff.

The First Minister has also announced the return to schools will be supported with an additional £30 million to recruit new teachers. This brings the total additional Scottish Government investment in the teaching profession to £75 million, enough to recruit up to 1,400 new teachers. This funding will help address learning loss and ensure much-needed resilience in our schools as we recover from coronavirus (COVID-19).

On top of £20 million of funding previously committed, a further £30 million will also be available as part of a £50 million education recovery fund for local authorities. This will support cleaning, facilities management, school transport and other practical issues that are vital in ensuring a safe return to school.

The First Minister told Parliament: “In many ways, Scotland is in a better position in relation to COVID than I would have dared hope a few weeks ago. But this position is fragile.

“If we are not careful now, then in two or three weeks we could easily be facing some of the issues here in Scotland that we are currently seeing around the world.

“The two changes I have announced – on schools and shielding – are very significant, and we need to see if there has been any impact from changes that have already taken place. It is important, in particular, that we allow the impact of re-opening our schools to be assessed before we proceed with further major changes.

“Caution remains essential. We want to open up society and the economy as soon as we safely can, but we do not want to have to re-impose restrictions. That start-stop pattern seen in other countries is potentially more harmful to the economy, and our health and wellbeing.

“Do not drop your guard now. Every single time one of us breaches the rules, we give the virus a chance to spread. If we allow complacency to creep in now, it will – without exaggeration – be deadly.”

The STUC has called for the Government and local authorities to heed the advice of teachers and the whole education workforce to ensure that schools are safe environments for pupils and staff.

STUC Deputy General Secretary Dave Moxham said: “Schools re-opening full-time is an enormous step which requires continuing suppression of the virus across communities, the full implementation of safety guidance and a proactive testing regime. We support the call of education unions to ensure that smaller class groupings are the norm with sufficient resources ploughed into schools to ensure this can happen.

“Despite the correct decision not to move into Phase 4, it is vital that we recognise that school re-opening coincides with a wider return to work under phase 3 and that pressures on school and public transport must be carefully monitored.

“Government and local authorities will need to listen carefully to staff across the whole school community as they strive to maintain a safe environment, allay the fears of pupils and parents and provide a positive education experience in these abnormal times.”

Councillor Stephen McCabe, COSLA Children and Young People Spokesperson and Co-chair of the Education Recovery Group said:  “The guidance published today was a truly collaborative effort between local authorities, the Scottish Government, trade unions and parent organisations.

“The overriding priority for everyone involved is to ensure a safe return to education for our children and young people. At the same time, we have been extremely conscious of the impact that not being in school has on children, young people and families.

“The guidance is designed to give clear direction to all of those in local authorities preparing for the return to school. There are many issues to consider including arrangements for cleaning, school transport, testing and surveillance. Local authority staff have been working over the summer to make preparations not only for a full return but for the contingency of blended learning.

“Now that guidance has been finalised the hard work of school staff – cleaners, janitors, catering staff, teachers, support staff and youth workers –  will be focussed on making sure that our children and young people get the very best from their education in what will be a very different environment from what they were used to before the pandemic.”

Councillor Gail Macgregor COSLA Resources Spokesperson added:  “We welcome the additional funding that has been provided by the Scottish Government and this will allow local authorities to move forward on preparations for a full return to school in August.

“Safety is the key priority in returning and we have always been clear that any request for funding is on that basis. As we move through the school year additional costs are likely to be incurred by local authorities.

“We look forward to working with the Scottish Government as we see these costs emerge. It is our expectation that Scottish Government will provide additional funding to meet evidenced and reasonable costs.

“I would like to thank all council staff for the exceptional work they are doing as they continue their preparations for the safe return to school for our children and young people.”

Responding to the First Minister’s announcement that schools will return full time from August 11th, the EIS has warned against complacency and called for more to be done to ensure that schools are safe environments for pupils and staff.

Commenting following the announcement, EIS General Secretary Larry Flanagan said, “The decision of the Scottish Government to reopen schools with a full pupil return is predicated on the current successful suppression of the virus but as we are seeing in parts of Europe, that situation can change quite quickly.

“Even with full implementation of the guidelines and its mitigations, many teachers and parents will be understandably nervous about a return to the classroom.

“The EIS believes more could be done to reassure school communities around safety if smaller classes were introduced as the norm, employing the many unemployed teachers currently seeking work. The additional funding announced is welcome, therefore, but this needs to translate into smaller class grouping to support physical distancing amongst pupils.”

Mr Flanagan continued: “Smaller classes would also provide real extra support to pupils, who we know will have suffered emotionally as well as educationally as a result of lockdown. Reopening schools is only the start of education recovery.”

He went on: “The EIS will be insistent that the broader mitigations proposed are implemented rigorously, particularly physical distancing between staff and pupils, which will have significant pedagogical implications.”

“It certainly will not be ‘business as normal’. We will be seeking, also, further reassurances from the Scottish Government on proactive testing and monitoring of the school estate.”

Eileen Prior, Executive Director of Connect (formerly the Scottish Parent Teacher Council), said: “We know how hard it has been for many, many families, particularly for those facing multiple pressures. So this announcement will be the light at the end of the tunnel for the majority of parents.

“Our recent survey report, reflecting the views of nearly 8000 parents, showed that most parents want their children to get all the social and educational benefits of nursery and school. 

“However, parents also told us they are anxious: parents need clear information. We’re calling on the Scottish Government to help schools and parents with an education programme about COVID-19, to make sure we are all able to work together to support young people as they go back to school with a positive attitude and agreed, shared approaches to help our children and young people be healthy and happy.

“We’d like to see a communication plan in every school, so parents know what to expect in the event of a local lock down – how communication between school and home will take place, whether and how school work at home can happen.

“Putting together the plan must involve parents.'”

Lothian MSP Miles Briggs said: “This is very welcome news for parents, teachers and most importantly school pupils, who will be able to return to school mid-August.

“What is vital now is that the return of schools is managed effectively and teachers are provided full support to implement protocols for reopening schools.

“Even though lockdown rules are easing, it is vital that we don’t become complacent, and continue to social distance wherever possible, to reduce the risk of Covid-19 spreading.”

Care Homes were ‘thrown to the wolves’

The UK Government’s “slow, inconsistent, and at times negligent approach” to social care in the Covid-19 pandemic has exposed the “tragic impact of  years of inattention, funding cuts and delayed reforms”, leaving the sector as a “poor relation” that has suffered badly in the pandemic.

The Public Accounts Commons Select Committee is demanding from Government a “3-point plan” by September, ahead of the second wave, covering health, the economy & procurement of medical supplies and equipment.

This was illustrated early on by the “appalling error” committed when 25,000 patients were discharged from hospitals into care homes without ensuring all were first tested for COVID-19 – even after there was clear evidence of asymptomatic transmission of the virus. 

Thanks to the commitment of thousands of staff and volunteers and by postponing a large amount of planned work, the NHS was – just – able to weather the “severe and immense” challenges to health and social care services in England and meet overall demand for COVID-19 treatment during the pandemic’s April peak – “unfortunately, it has been a very different story for adult social care”.

The Committee is particularly concerned about staff in health and social care “who have endured the strain and trauma of responding to COVID-19 for many months” and who are now expected to “cope with future peaks and also deal with the enormous backlogs that have built up”.

Failure to protect staff by providing adequate PPE has hit staff morale and confidence, while a lack of timely testing led to increased stress and absence. These same staff will be called upon in the event of a second peak and the NHS will need extra staff to deal with the backlog of treatment.

As well as its calls for a “second wave ready” plan, for health and the economy, the Committee expects an account to be provided in September of the spending under “policies designed to create additional capacity quickly” which – while necessary, especially in the haste the Government was acting in – have resulted in “a lack of transparency about costs and value for money”.

Meg Hillier MP, Chair of the Committee, said: “The failure to provide adequate PPE or testing to the millions of staff and volunteers who risked their lives to help us through the first peak of the crisis is a sad, low moment in our national response.

“Our care homes were effectively thrown to the wolves, and the virus has ravaged some of them.

“Vulnerable people surviving the first wave have been isolated for months, in the absence of a functional tracing and containment system. Yet there were bold and ambitious claims made by ministers about the roll out of test, track and trace that don’t match the reality.

“The deaths of people in care homes devastated many, many families. They and we don’t have time for promises and slogans, or exercises in blame. We weren’t prepared for the first wave. Putting all else aside, Government must use the narrow window we have now to plan for a second wave. Lives depend upon getting our response right.”