Tag: public health

Briggs: NHS Lothian Covid-19 funding fears

In May, the NHS Lothian Local Mobilisation Plan (LMP) forecast additional costs of £149.8m associated with the COVID-19 response across the Board and four HSCPs (health and social care partnerships). Of this, £71m is anticipated in the four months to the end of July.

Scottish Conservative Health Spokesperson, Miles Briggs, said: “NHS Lothian was facing significant financial challenges before Covid-19 struck and now these financial challenges are even greater.

“SNP Ministers must ensure that health boards are properly funded to deliver essential health services during this public health crisis and have appropriate measures in place.

“The poor management of NHS Boards by consecutive SNP Health Secretaries has meant that NHS Scotland was not in as strong a position as we should have been to deal with this crisis.

“Waiting times for operations are going to be longer in all health boards and I do not have confidence that SNP Ministers will be able get on top of these long treatment waiting times.”

Care for Carers

Care for Carers package needed to support mental health of 3 million NHS and care staff

Dr Rosena Allin-Khan MP, Labour’s Shadow Mental Health Minister has called for a shake-up of mental health support to ensure that, for the first time ever, 3.1 million NHS and care workers get the same fast-tracked help and advice.

Labour has designed a new four-stage Care for Carers package to cover all NHS and social care staff in England, including contracted workers such as porters, cleaners and support staff who are doing vital and often distressing work during the coronavirus pandemic and are more likely to be low paid and on insecure contracts.

The package, staffed by paid professionals, includes:

1.   A new national hotline available 24 hours a day, seven days a week

2.   Follow-up support, including specialist assessments and referrals

3.   Intervention and treatment, including specialised PTSD support

4.   Follow-up and sign-posted to external services, such as alcohol and addiction services

Current support available is inadequate because it does not cover private sector staff doing NHS and social care work, and there are long waiting lists and significant regional variations. In some areas, nurses can wait for a year for an appointment. The current Covid-19 support hotline offers emotional support and signposting, but does not lead on to psychological therapies.

Labour is also calling for the Government to appoint a new independent national wellbeing guardian to coordinate and oversee the support, and to hold the Government and NHS employers to account.

The watchdog would work with unions, NHS Trusts, local authorities and care providers to ensure all staff know how to access the scheme and give them the confidence that their wellbeing was being championed and protected.

The pandemic has exacerbated an already grim picture for staff mental health. Almost five million working days were lost to poor mental health in 2019; stress is estimated to account for over 30% of NHS staff absence at a cost of up to £400 million a year; the BMA says 41% of doctors suffer with depression, anxiety, stress and other mental health conditions relating to their work; and more than half of carers say they are emotionally exhausted, according to the IPPR.

Dr Rosena Allin-Khan said: “Even before the pandemic hit, the case for investing in this kind of support was clear. Coronavirus has exacerbated the existing crisis in mental health.

“Many NHS and social care staff have been scared of going to work, and they have lost patients and colleagues. It has been heartbreaking to witness the toll this virus has taken on staff mental health.

“Current support is not good enough, and without a tailored, fast-tracked service for staff who have faced death and despair every day for over three months, our frontline heroes will continue to be failed.

“We need to care for our carers. It is time for the Government to give back to those who have sacrificed so much to keep our loved ones safe. Unless our staff are protected, they cannot continue their vital work of keeping us all safe.”

Unite, the UK and Ireland’s largest union, has welcomed Labour’s demands to provide fast-tracked mental health services for three million NHS and care workers.

The union said Labour’s plans would provide ‘much needed support’ for the mental wellbeing of health and care staff who have faced increased pressures and distress during the pandemic.

Unite national officer Jacalyn Williams said: “These plans would create much needed support for the mental health of NHS and care staff who have faced the brunt of the worst impacts of the pandemic day after day.

“Having lost patients and colleagues, and with the threat of the virus to themselves and their loved ones ever present, it is no surprise that the mental health of staff in the health and social care sector has suffered.

“After years of service cuts, staff shortages and increased workloads, there was already a mental health crisis amongst health and social care workers, but the pandemic has made the situation a lot worse.

“Unite welcomes Labour’s proposals and calls on the government to implement them as soon as possible.”

Commenting on Labour’s plans for a mental health package for NHS and care staff, UNISON assistant general secretary Christina McAnea said: “Health and care staff have been working under huge pressures over the past few months, while most of us have been safe at home.

“Fears about falling ill, passing the virus on to loved ones or those they care for, and working without adequate safety kit have only added to the stress.

“Even before the pandemic hit, overworked staff were suffering with their mental health. The Covid crisis will only have heightened these problems.

“Health and care workers who’ve been up against it since March, need time off to recharge their batteries and support to help them cope with what they’ve been through.

“A one-size-fits-all approach of occupational health assistance won’t work. Support must be much more tailored to suit individual needs than is currently the case.

“The government needs to get much better at looking after all of those who do so much to look after all of us.”

Lockdown in Leicester

STATEMENT TO PARLIAMENT: Last night Health and Social Care Secretary Matt Hancock announced local measures to deal with the coronavirus (COVID-19) outbreak in Leicester.

Mr Speaker, with permission, I would like to make a statement on local action to tackle coronavirus.

The impact of coronavirus has been deeply felt.

And yet thanks to the extraordinary action that this country has taken, it is now in decline at a national level.

The number of positive new cases is now below 1,000 a day and the number of recorded deaths yesterday is 25.

I am pleased to report there were no deaths in Scotland for the fourth consecutive day and that there is currently nobody in intensive care with coronavirus in Northern Ireland.

So we have been able, carefully, to ease the national restrictions.

And alongside the easing of these national restrictions, we have increasingly taken local action.

In May, we shut Weston Hospital to new admissions after a cluster of cases there.

Earlier this month, we closed 2 GP surgeries in Enfield and a meat processing factory in Kirklees.

And the Welsh Government has closed factories in Anglesey and Wrexham.

We have put in place a system to tie together local and national action, based on insight provided by the Joint Biosecurity Centre, working closely with Public Health England and the NHS.

Analysis is based on 3 levels of spread.

Individual cases are identified and managed by NHS Test and Trace.

When many cases are found in 1 setting, be it a care home for instance, a factory, or a hospital, that is classified as a cluster, and that will be dealt with largely by the local Director of Public Health, who has statutory powers to close individual organisations.

When Public Health England or the new JBC identifies clusters that are linked to one another, that is defined as an outbreak and a range of local and national actions may be needed.

Decisions are taken through our Local Action Committee Command structure. It works as follows.

If PHE or the JBC spots a problem that needs attention or the local Director of Public Health reports up a problem through the Regional Health Protection Teams, then the outbreak is assessed at the daily Local Action Committee Bronze meeting.

Issues of concern are raised to the Local Action Committee Silver meeting, which is chaired by the Chief Medical Officer.

And problems requiring ministerial attention are then raised to the Local Action Committee Gold meeting.

Yesterday, I chaired an emergency Local Action Committee Gold meeting specifically to deal with the outbreak in Leicester. Unfortunately, while cases in most parts of the country have fallen since the peak, in Leicester they have continued to rise.

The 7-day infection rate in Leicester is 135 cases per 100,000 people, which is 3 times higher than the next highest city.

Leicester accounts for around 10% of all positive cases in the country over the past week.

And admissions to hospital are between 6 and 10 per day rather than around 1 a day at other trusts.

Over the past fortnight, we have already taken action to protect people in Leicester.

We deployed 4 mobile testing units and extra capacity at the regional test site.

We provided thousands of home testing kits and extra public health capacity to boost the local team.

This afternoon, I held a further meeting with local leaders, with Public Health England, the JBC, the Local Resilience Forum and my clinical advisers, followed by a meeting of the cross-government Covid Operations Committee, chaired by the Prime Minister.

We have agreed further measures to tackle the outbreak in Leicester.

First, in addition to the mobile testing units that I mentioned earlier, we will send further testing capability, including opening a walk-in centre.

Anyone in Leicester with symptoms must come forward for a test.

Second, we will give extra funding to Leicester and Leicestershire councils to support them to enhance their communications and ensure those communications are translated into all locally relevant languages.

Third, through the councils, we will ensure support is available for those who have to self-isolate.

Fourth, we will work with the workplaces that have seen clusters of cases to implement more stringently the COVID-secure workplaces.

Given the growing outbreak in Leicester, we cannot recommend that the easing of the national lockdown, set to take place on the 4 July, happens in Leicester.

Having taken clinical advice on the actions necessary, and discussed them with the local team in Leicester and Leicestershire, we have made some difficult but important decisions.

We have decided that from tomorrow non-essential retail will have to close.

And, as children have been particularly impacted by this outbreak, schools will also need to close from Thursday, staying open for vulnerable children and children of critical workers as they did throughout

Unfortunately, the clinical advice is that the relaxation of shielding measures due on the 6 July cannot now take place in Leicester.

We recommend to people in Leicester, stay at home as much as you can and we recommend against all but essential travel to, from and within Leicester.

We will monitor closely adherence to social distancing rules and will take further steps if that is what’s necessary.

The more people following the rules, the faster we will get control of this virus and get Leicester back to normal.

We will keep all of these local measures under review and we will not keep them in place any longer than is necessary.

We will review whether we can release any measures in 2 weeks’ time.

These Leicester-specific measures will apply not just to the city of Leicester, but also to the surrounding conurbation, including for example, Oadby, Birstall and Glenfield.

I know that this is a worrying time for people living in Leicester and I want you to know that you have our full support.

We do not take these decisions lightly, but with the interests of the people of Leicester in our hearts.

I want everyone in Leicester to know that we have taken every one of these decisions to protect them from this terrible virus. We must control this virus. We must keep people safe.

These actions are also profoundly in the national interest too because it’s in everyone’s interests that we control the virus as locally as possible.

Local action like this is an important tool in our armoury to deal with outbreaks while we get the country back on its feet.

Mr Speaker, we said that we do whatever it takes to defeat this virus.

And we said that local action would be an increasingly important part of our plan.

The virus thrives on social contact, and we know that reducing social contact controls its spread.

So precise and targeted actions like these will give the virus nowhere to hide and help us defeat this invisible killer.

I commend this statement to the House.

First Minister: remember the FACTS

Statement given by the First Minister Nicola Sturgeon at the media briefing in St Andrew’s House on Monday 22 June:

Good afternoon, and welcome to today’s briefing. I want to start by giving the usual update on the COVID-19 statistics.

An additional 14 positive cases were confirmed yesterday – that takes the total now in Scotland to 18,170.

A total of 867 patients are currently in hospital with the virus either confirmed or suspected. That is 66 more than yesterday, but the increase is all in suspected cases. The number of confirmed cases has reduced by 3.

A total of 15 people last night were in intensive care with confirmed or suspected COVID-19. That is 1 fewer than yesterday.

Since 5 March, a total of 3,978 patients who had tested positive and needed hospital treatment have now been discharged.

And in the last 24 hours, I’m pleased to say that no deaths were registered of a patient confirmed through a test as having COVID-19. That figure is of course extremely welcome, but we must bear in mind that fewer deaths tend to be registered on Sundays.

The total number of deaths in Scotland – under that measurement of people confirmed by a test as having the virus – is therefore still 2,472.

I want to send my deepest condolences to everyone behind these statistics who has lost a loved one as a result of this illness.

I also want to express my thanks once again to our health and care workers, and indeed to all our key workers – the entire country is grateful to you for everything you are doing.

Our progress in suppressing this virus continues to be good as these statistics bear out – though we must not be complacent.

That progress, however, does allow us to consider now whether and to what extent we can give more clarity in terms of indicative dates for the next steps in our routemap out of lockdown – and, as a heads up today, I intend to set out more detail on that later this week.

However, as we do so, we must remember, all of us, that the virus hasn’t gone away. There are already countries – China and Germany for example – that are right now dealing with spikes in cases as a result of significant outbreaks.

And health officials in South Korea have said today that they think the country is now experiencing a second wave.

So I know that when numbers of cases and deaths here are continuing to fall, it’s very tempting for all of us to think it’s all over and we should just now quickly get back to normal.

We are trying to get back to normal and we want to do that as quickly as possible, but let me reiterate my strong view that acting recklessly now would be a serious mistake – we must continue to be cautious and all of us must continue to adhere strictly to the public health advice.

That will help us continue progress and avoid a resurgence of the virus now – and it will also hopefully put us in a stronger position ahead of the winter months to come.

So please stick to the rules – and when you are out and about, as all of us are able to be more now, remember FACTS:

  • Face coverings in enclosed spaces – these are mandatory from today on public transport
  • Avoid crowded places, even outdoors
  • Clean your hands regularly, as well as surfaces
  • Maintain two metres distance from people in other households
  • Self-isolate and book a test immediately if you have COVID symptoms

Today’s news conference is  following a slightly different format from usual. I’ve got one significant item that I want to update you on today and it relates to the economy.

Once I have finished my remarks, I’m going to hand over to Benny Higgins, who joins me today. Benny is the chair of our Advisory Group on Economic Recovery.

The Scottish Government appointed the advisory group back in April, to provide recommendations on how best to restore the economy to sustainable and inclusive growth as we bring the Covid pandemic under greater control.

We did so because we knew then, that the pandemic and what we had to do to tackle it would cause significant economic harm. Our initial focus has had to be on protecting people’s lives, and on providing immediate lifeline support to keep businesses afloat and people employed.

But as the pandemic does comes under more control, our efforts must increasingly focus on how our economy recovers and renews itself for the long term.

I am very grateful to Benny and the advisory group members for their efforts. I’m also grateful to all of the businesses, business organisations and others who engaged so fully in the group’s work – and to Lord Robert Smith who facilitated much of that business engagement.

The advisory group’s report, which I have received today, includes 25 substantial recommendations. These are wide-ranging in scope – alongside areas such as investment, employment and skills, they cover areas such as the relationship between government and business, the future of the care sector, the importance of culture,  and the role of the third sector.

The Scottish Government will produce a detailed response to the report before the end of July, so I will not comment in detail today on all 25 of the report’s recommendations – although Benny will expand on some of its key points.

What I do want to do this morning, however, is be very clear that the Scottish Government sees the report as a serious and substantive piece of work – and that we agree with its basic principles.

Many of its themes – for example the importance of education, employment and tackling inequalities – are clearly going to be critical to our economic recovery. The report is also very strong in highlighting the regional dimension to growth.

And its specific recommendations are significant and constructive. For example the importance of digital infrastructure investment has been emphasised once again by this crisis, and is rightly a major issue in the report.

In addition, the Scottish Government agrees with the advisory group about the importance of working with the UK Government, so that our fiscal framework has enough flexibility to enable us to support investment for recovery.

We also support the advisory group’s prioritisation of a green recovery, and its recognition of the vital importance of the new Scottish National Investment Bank.

And the report’s recommendations for youth employment and a Jobs Guarantee – including the essential contribution that business can make- are potentially very significant, as we seek to ensure that young people get the opportunities they deserve in the wake of this pandemic.

Finally, the report highlights the fact that Scotland’s economic recovery must be a collaborative partnership.

The recommendations in this report are not just for the Scottish Government, though many of them of course are.  They are for the business sector, the third sector, our higher and further education sector and the UK government as well.

The Scottish Government already works well with these organisations in many areas – but the Covid crisis has reinforced the crucial importance of those relationships, and of ensuring that recovery is a true partnership effort.

Above all else, the report is clear-sighted about the scale – the vast scale – of the challenge that our economy faces as we come out of this crisis.

However it sets out practical measures, founded on values, which can help us to address that challenge.

It provides recommendations which can help us to help businesses and individuals get back on their feet.

And in doing so, I think it potentially lays the foundations for a much more resilient, more sustainable and fairer economy in the years to come. I therefore warmly welcome it, and once again want to thank everyone who has contributed to it and particularly Benny for chairing the group.

towards-robust-resilient-wellbeing-economy-scotland

I’m going to hand over to Benny in a moment or two, but I want to end by reiterating our key public health messages. If we want to get into a recovery phase, it is crucial that we continue efforts to suppress this virus.

Since Friday, any household has been able to meet with up to two other households – but let me remind you those meetings right now must be outdoors unless you have formed an extended household group. You should only go indoors to use the toilet, or to get through to a garden, and you should clean any surfaces you touch as you do that.

I know as I indicated at the outset of my remarks, that when you hear me report relatively low numbers of daily cases, and thankfully reducing numbers of people dying, many might wonder whether these rules still matter.

But it is important to stress that as we start to go out and about more, these rules actually matter more not less. And it is important to remember that COVID-19 has not gone away. It remains highly infectious and highly dangerous.

As I said earlier, we have seen reports in recent days from many other countries of increases in the virus and that should remind us of the risk that it still poses. And it should remind all of us that it doesn’t take much for the virus to take off again. It is only by sticking to the rules that we have made the progress that I report now on a daily basis. By continuing to stick with them, and by suppressing the virus further, we will all be able to move more quickly out of lockdown in the weeks ahead.

That is why the decisions all of us are taking now as individuals more than ever directly affect the health, the wellbeing and indeed the economic prosperity for all of us.

The public health campaign we launched on Friday – Facts – which I’ve already mentioned today summarises the key points you need to remember and apply. So let me end just by reiterating those 5 crucial, key pieces of advice.

  • Face coverings should be worn in enclosed spaces;
  • Avoid crowded places;
  • Clean your hands and hard surfaces regularly;
  • Two metre distancing is important and
  • Self-isolate and book a test – if you have symptoms.

By remembering and abiding by those 5 basic requirements, all of us can stay safe, protect others and we will all save lives.

So please continue to do the right thing, and to stick with these rules. Thank you once again, to everyone who is doing exactly that.

Police: ‘Advice remains – avoid making unnecessary journeys’

Chief Superintendent Sean Scott has reaffirmed the Scottish Government’s message of ‘Stay Safe, Protect Others, Save Lives’ and appeals to the residents of Edinburgh to keep up their excellent level of discipline and compliance as we move into phase 2 of the coronavirus recovery.

Chief Supt. Scott said: “The regulations remain that people should only leave the house for very limited purposes, for example for basic necessities, for exercise or recreation, for medical needs or travelling for work which cannot be done from home.

“The Chief Constable has made it clear that we are asking people to take personal responsibility to do the right thing and remember the purpose of these measures is to aid the collective effort to stay safe, protect others and save lives by preventing the virus from spreading.

“Our officers will continue to engage with the public, explain the legislation and guidance and encourage compliance. We will use enforcement as a last resort only where there is a clear breach of the legislation.

“We recognise that people have made significant sacrifices but we would ask they use their judgement and avoid making unnecessary journeys to areas in the city such as Portobello beach, Holyrood Park, The Pentlands and The Meadows.

“I appreciate that young people may be particularly frustrated at the current situation, but please resist the temptation to gather in large numbers as these measures are in place to protect you too.”

BREAKTHROUGH: World first coronavirus treatment approved for NHS use

  • Ground-breaking coronavirus treatment approved for use across the NHS from today
  • Government-funded UK trial showed drug saved lives by significantly reducing risk of death in hospitalised patients who require oxygen
  • Government ensures drug is available across all NHS healthcare settings and across the whole of the UK with immediate effect

Thousands of lives could be saved in the UK as the government immediately authorises the NHS to use the world’s first coronavirus treatment proven to reduce the risk of death.

Dexamethasone, an anti-inflammatory steriod drug, has been immediately approved to treat all UK hospitalised COVID-19 patients requiring oxygen, including those on ventilators, from today.

The drug has been proven to reduce the risk of death significantly in COVID-19 patients on ventilation by as much as 35% and patients on oxygen by 20%, reducing the total 28-day mortality rate by 17%.

Funded by the UK government, via the National Institute for Health Research (NIHR) and UK Research and Innovation (UKRI), the Oxford University UK RECOVERY trial is the first clinical trial anywhere in the world to show a treatment provides significant impact in reducing patient mortality.

The government has taken action to secure supplies of dexamethasone in the UK, buying additional stocks ahead of time in the event of a positive trial outcome. This means there is already enough treatment for over 200,000 people from stockpiles alone.

Health Secretary Matt Hancock said: “I’m absolutely delighted that today we can announce the world’s first successful clinical trial for a treatment for COVID-19. This astounding breakthrough is testament to the incredible work being done by our scientists behind the scenes.

“From today the standard treatment for COVID-19 will include dexamethasone, helping save thousands of lives while we deal with this terrible virus.

“Guided by the science, the UK is leading the way in the global fight against coronavirus – with the best clinical trials, the best vaccine development and the best immunology research in the world.

“I want to thank the brilliant scientists at Oxford University, the thousands of patients who took part in the study, and my own team, led by Professor Jonathan Van-Tam, who has done such a brilliant job driving this work.”

The drug has also been added to the government’s parallel export list, which bans companies from buying medicines meant for UK patients and selling them on for a higher price in another country. This will protect supply for UK patients by enforcing regulatory action on those who flout the restrictions.

Throughout the pandemic, the government has supported British research with millions of pounds of funding for clinical trials into the most promising and innovative medicines in our fight against this new virus, including £2.1 million for the RECOVERY trial.

This clinical trial is testament to the success we see when government, scientists and the NHS – including 175 NHS trusts across the whole of the UK – work together. With over 177,000 patients enrolled, it’s the largest randomised clinical trial anywhere in the world and will continue to trial other medicines, such as azithromycin and lopinavir-ritonavir.

Deputy Chief Medical Officer, Professor Jonathan Van-Tam, said: “The RECOVERY trial is an outstanding example of the UK leading the world with an impressive study capable of delivering robust answers to critical questions. Although these data have not yet been peer-reviewed.

“The positive findings on dexamethasone follow the disappointing findings on hydroxychloroquine. Together these 2 results illustrate the power of properly conducted clinical trials and the inherent danger of assuming things work without robust data.

“Whilst tempting to do otherwise, it is always better to wait for the evidence. On the dexamethasone findings, this is very encouraging because the signal on reduced mortality applies to many of the patients admitted to hospitals and the drug is comparatively low priced and available worldwide.”

The UK is a world leader in global science and medicine industries. This British trial will now affect the global response to this pandemic.

This breakthrough has only been made possible through the rigour of world-class and world-leading British life-sciences. The government backed British science from the very beginning of this pandemic and today has proven that this was the right call.

The vital information collected by UK researchers will also be used by other countries to reduce mortality rates worldwide.

Prime Minister Boris Johnson welcomed the news at yesterday’s daily press briefing. He said: “I am delighted that the biggest breakthrough yet has been made by a fantastic team of scientists right here in the UK.

“I am not really qualified to announce on this drug and its effects but I will ask Sir Patrick and Professor Horby to say more in a moment.

“But I am so proud of these British scientists, backed by UK Government funding, who have led the first robust clinical trial anywhere in the world to find a coronavirus treatment proven to reduce the risk of death.

“And I am very grateful to the thousands of patients in this country who volunteered for the trials – thank you.

“This drug – dexamethasone – can now be made available across the NHS. And we have taken steps to ensure we have enough supplies, even in the event of a second peak.

“Of course, while the chances of dying from Covid-19 have been significantly reduced by this treatment, they are still far too high. So we must redouble our research efforts and we certainly will.

“But today, there is genuine cause to celebrate a great, British achievement and the benefits it will bring not just in this country but around the world.”

First Test and Protect data published

Breaking the chain of virus transmission

The first set of data from week one of the coronavirus (COVID-19) Test and Protect system has been published.

The data, which will be published weekly, shows:

  • the number of positive index cases from 28 May to 7 June
  • the number of index cases where contact tracing has been completed
  • the number of contact traces

Since Test and Protect was launched, 681 cases have tested positive with 741 contacts traced.

The level of data published will continue to improve once the data is robust and validated.

Cabinet Secretary for Health Jeane Freeman said: “Since 28 May, contact tracers across the country have followed up each new positive test to ensure those who may have come into contact with the virus take steps to isolate. By doing so, we can break the chains of transmission while slowly changing lockdown measures.

“The average number of people traced for each positive case reflects that we are still in phase 1 of lifting lockdown restrictions and people should not be mixing with large numbers of people outside of their own household.

“I would encourage anyone who has symptoms of COVID-19 to come forward as early as possible and get a test immediately to help us supress the spread of the virus.

“Contact tracing is one part of our work to tackle the COVID-19 pandemic. Physical distancing and good hand and cough hygiene continues to play a vital role in helping to minimise the spread of infection.”

20-06-10-covid19-publication_summary

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

The Test and Protect data is published on Public Health Scotland’s website.

FM: Young People – you are not immune

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House on Friday 5 June:

Good afternoon everyone. As you can see, I’m joined today by Iain Livingstone, Chief Constable of Police Scotland and by Professor Jason Leitch, our National Clinical Director.

I’ll start today – as I always do – by updating you on some of the key statistics in relation to COVID-19.

As at 9 o’clock this morning, there have been 15,582 positive cases confirmed – which is an increase of 29 from yesterday.

A total of 995 patients are in hospital with confirmed or suspected COVID-19. That represents a decrease of 26 from yesterday, including a decrease of nine in the number of confirmed cases.

Now as I said yesterday, in relation to the number of people who had their deaths registered in the previous day, we have to be very careful at reading too much into single day figures, but nevertheless I think it is reasonable to point out, that this is the first time since the 30 March, that the number of patients in hospital has been lower than 1,000. So again, a positive indication of the progress that we are making.

A total of 23 people last night were in intensive care with confirmed or suspected COVID-19. That is a decrease of five since yesterday.

I am also able to confirm today that since 5 March, a total of 3,778 patients who had tested positive for the virus have now been able to leave hospital.

In the last 24 hours though, 14 deaths have been registered of patients confirmed through a test as having COVID-19 – that takes the total number of deaths in Scotland, under that measurement, to 2,409.

Now as I always do, I want to stress that these numbers are not just statistics. They are individuals whose loss is being deeply felt by their loved ones. So – once again – I want to send my deepest condolences to everyone who has lost a loved one to this virus.

I also want to express my thanks – as I always do – to our health and care workers.  Your efforts are enormously appreciated – and not just by me and by the Scottish Government, they are appreciated, I know, by everyone in Scotland.

There are – of course – many other frontline and key workers who are helping the country through this crisis and with the Chief Constable here today, I want to take the opportunity to say a special thank you again, to our police officers and staff. They are also working under real pressure at the moment but they are doing an exceptional job for all of us.

There are two items I want to cover today.

The first concerns the economic impact of COVID-19.  I have just come from the Cabinet sub-committee on the economy earlier this morning – where we noted the latest monthly report, from our Chief Economist. 

That document, which was published this morning, provides a summary of Scotland’s key economic statistics.

Among other things, it shows that – in the first half of May – almost 1/5 of businesses in Scotland were temporarily closed and that contributed to more than 750,000 people being furloughed or unable to work as normal.

The report also shows that turnover is down in almost every sector of our economy.

And it contains new modelling, which takes account of the different phases for easing lockdown. On that basis, the report forecasts a more gradual economic recovery – one which might not see us return to pre-crisis levels, for a number of years.

In short, today’s publication confirms the scale of the economic crisis that we now face. In doing that, it further underlines why government action is so important and why it will continue to be so important.

The Scottish Government has already allocated more than £2.3 billion to help businesses and protect jobs.  And of course that’s before we consider important UK-wide measures currently in place – such as the Job Retention scheme.

That kind of support is helping to mitigate some of the economic impact of this crisis.  And it will continue to be vital as our businesses seek to rebuild.

And I want to again today give an assurance that the Scottish Government is determined to everything we can to support that process of rebuilding and recovery.  We will continue to do everything we can to protect your livelihoods.   That’s important in the short-term, but it is also vital to help lay the groundwork, for a sustainable economic recovery.

Of course that recovery will be helped by continued progress against this virus. If we have a set-back in tackling the virus, it will make the re-opening of our economy all the more difficult.

So the second item I want to cover today, is directly related to the first, and it concerns the current lockdown restrictions and particularly how I hope the people will comply with them over this weekend and beyond.

We’re now, of course, at the close of the first full week since we moved into phase 1 of our route map out of lockdown – and eased some of the restrictions.  So far, the vast majority of people have stuck by the new rules.  And I want to take the opportunity again today, to thank all of you who have continued to do the right thing.

However, it’s also clear that – over the past week – not absolutely everyone has done that.  The Chief Constable may say more later about compliance – and how the restrictions will be enforced, if necessary.

For my part, I want to set out very clearly again today, what the current rules are.  And to do that, instead of focussing on what we are now allowed to do, I want to again emphasise what we’re asking everyone not to do because it’s by not doing the things, that we know from the evidence that allows the virus to spread more easily, that we will keep it under control.

So to start, you mustn’t meet people from other households indoors. I know that might be a particular temptation on a weekend like this – when we’re expecting again poor weather. 

But let me be clear, that is extremely high risk. We know –  and we don’t know everything yet about this virus – but we do know that it transmits much more easily between people inside than it does outside.

So if you’re not willing to meet outdoors  – in all likelihood the rain  – please do not meet up with people from other households at all and I cannot emphasise that strongly enough.

I am not exaggerating when I say that if you do meet people from other households indoors, you are putting yourselves and you are putting them at risk of getting the virus of becoming ill with it and potentially dying from it and I would ask you not – please – to take that risk.

However, while the risk of meeting outdoors is lower, it is not absolutely zero  – so that means that if you do meet outdoors, you must not get within 2 metres of members of another household.

You should certainly not be shaking their hands or hugging them, difficult though I know that is and you shouldn’t share food of utensils with people from other households of touch hard surfaces that they may also have touched because again, these are ways in which we know the virus spreads relatively easily.

And were asking that – when two households do meet up – there should be no more than eight people in total in a group. In addition, you should not go more than five miles for recreation and you shouldn’t leave your face uncovered if you are in and enclosed space like a shop and public transport.

Wearing a face covering helps you protect others – and having others wear a face covering – means that they help protect you.

A more general point I want to make is that – even now – you should still be seeing far fewer people than you might normally do.  And you should still be trying to stay at home as much as you possible.

Basically, if you start to feel that your social life is returning to normal – that’s not a good sign right now.

That message applies to everyone – but it’s perhaps particularly relevant to young people. I want, today, to make a special plea to all of you, the young people of Scotland.

Many of you – I know – will be desperate to spend more time with your pals, after weeks of being apart.  You might even think that as young people, you are less likely to become seriously ill as a result of the virus and I know this from speaking to the young people in my own life.

But I want to be very clear – you are not immune from this virus, you can get it and it can be very harmful to you.

But even if you’re not seriously affected yourself, you can still pass it on to other young people.  They might then pass it on to others who are at greater risk from COVID-19 – such as their parents or grandparents.  And that could have really tragic consequences.

So I would urge you – and I know you all know how important this is  –  please don’t just think about your own risk, please think about the risk to your parents and your grandparents and to your friends’ parents and grandparents.

Don’t take risks that you could end up regretting and possibly grieving in the weeks ahead. Please stick to the rules.

Can I also say finally, just a very brief word and a very heartfelt word to those who I know want to make their voices heard this weekend in support of Black Lives Matter.

I want to urge you to make your voices heard. We all feel very strongly about this but I want to ask you, to do so safely.

In normal times, I may well have been planning to join a gathering of support this weekend. But coming together in mass gatherings right now is simply not safe. It poses a real risk to health and it poses a real risk to life.

So I would encourage you to read the statement that was issued yesterday by Kadi Johnson, Sheku Bayoh’s sister, and by Humza Yousaf, Anas Sarwar and Aamer Anwar asking people to protest in different ways.

For example you can make your voice heard online, you can lobby elected representatives, or you can make a donation to anti-racism campaigns but please, please, try to stay within the rules that are there for your own protection and above all please stay safe.

In fact, that’s a message which all of us should heed.  If you’re wondering whether or not it’s okay to do something this weekend, ask yourself if you’ve giving the virus an opportunity to spread.   And if you’re in doubt about whether your plans are within the rules or not, please err on the side of caution.

Above all else, please remember that every single decision we take right now as individuals, will affect the safety and the wellbeing of everyone.

The progress we’ve made against this virus – over these past few weeks – is real and I say that every day because I mean it – and it is as a result of all of us, overwhelmingly, sticking to these rules.  And that kind of collective effort will continue to be vital – as we slow the spread of this virus, even further.

I’m confident that the vast majority of you will continue to play your part.  And I want thank all of you, in advance, for showing that solidarity with each other and for doing exactly that.

FM: Progress – but DO NOT meet people from another household indoors

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House yesterday (Thursday 4 June):

Good afternoon. Thank you very much for joining us for today’s briefing. I want to start with my usual update on the current position in relation to Covid-19.

As at 9 o’clock this morning, there have been 15,553 positive cases confirmed – that is an increase of 49 from yesterday.

A total of 1,021 patients are currently in hospital with either confirmed or suspected Covid-19. That represents a total decrease of 96 from yesterday, including a decrease of 21 in the number of confirmed cases.

A total of 28 people last night were in intensive care with confirmed or suspected Covid 19. That is a decrease of 6 since yesterday.

I am also able to confirm today that since 5 March, a total of 3,758 patients who had tested positive and required hospital treatment for the virus have been able to leave hospital.

And in the last 24 hours, 9 deaths have been registered of patients confirmed through a test as having the virus – that takes the total number of deaths in Scotland, under that measurement, to 2,395.

Now, as I often say, we cannot and indeed we should not read too much into any one day’s figures – and tomorrow’s figure or the next day’s figure may be higher than the one I have just given you – but I think it is still worth noting that yesterday was the first weekday, since 27 March, when the number of deaths registered under our daily measure was in single figures.

I think that demonstrates the progress we are making against this virus, but it also underlines why we all continue to need to comply with the public health guidance, so that we can continue to make this progress and don’t allow it to go into reverse.

But of course 9 deaths is still too many, and thinking of those 9 lives lost reinforces the point I make every day: that these figures are not just statistics; they represent people – unique and irreplaceable individuals – whose loss will have left families shattered and grieving. So I want to send my condolences once again to everyone who has lost a loved one to this virus.

I also want to express my thanks– as I always do – to our health and care workers, for the incredible work you are doing in incredibly challenging circumstances. My thanks goes to each and every one of you. The entire country owes you a debt of gratitude.

I am joined today by the Chief Medical Officer and the Cabinet secretary for Health. The Cabinet Secretary has some information to share about the prioritisation of cancer services, and the Chief Medical Officer will focus on figures which were published yesterday relating to patients in intensive care.

Before they speak, I want to  acknowledge the job losses announced yesterday at Rolls Royce in Inchinnan.  That announcement will have been devastating news for the workforce and their families, at what is already a very anxious time – and unfortunately it may not be the last of its kind in the period ahead. I want to stress that the Scottish Government will do everything we can to secure as good an outcome as we can for those whose jobs are at risk.

Yesterday’s news emphasises a point I have made before – that alongside a public health emergency, we are also now dealing with an economic emergency, on a scale none of us have experienced.

And that requires – and it will get – the attention and focus of the Scottish Government, just as the health emergency has and continues to get.

We have already allocated more than £2.3 billion to help businesses in Scotland through measures such as grants and business rates relief. That is in addition to welcome UK Government measures such as the furlough scheme.

Mitigating and addressing the economic costs of Covid is going to become an even greater priority in the weeks and months ahead.

But alongside that, and as part of our response, we also want to help businesses, where possible, to adapt and find new markets.

One of the areas where we have been doing that already, is in relation to personal and protective equipment, or PPE – in Scotland.

We are publishing a report today that summarises how we are securing PPE for health and care workers in Scotland – it also sets out the work we are doing to develop a manufacturing chain for that equipment.

To demonstrate the scale of some of this work, it’s maybe worth looking at an item such as fluid resistant surgical masks. Those are masks which help to prevent blood, bodily fluids and secretions from one person – including water droplets from coughs – coming into contact with the mouth or nose of the person wearing the mask.

Prior to Covid-19, National Services Scotland would provide around 57,000 of those masks to our health and care sector each week.

Now, instead of needing 57,000 masks a week, we need 4 ½ million. That is an 80-fold increase.

To meet that demand, we are importing equipment from overseas. 100 million fluid resistant masks have been imported from China, and a further 60 million are on order.

But we are also working with suppliers in Scotland to establish domestic supply chains.

Alpha Solway, a firm based in south-west Scotland which specialises in protective clothing, is due to start producing masks in August.  They have taken on 30 new staff to do so, and they are using raw material sourced from Don & Low in Forfar.

As a result, we hope that in due course, manufacturers in Scotland will be able – not just to meet demand for these masks here in Scotland – but also provide them to other parts of the UK or to other countries in Europe.

There is a similar story in relation to other items of equipment. We are creating supply chains for non-sterile gowns and FFP3 masks.  In addition, Berry BPI are planning to make 2-3 million new aprons a week in Greenock. A number of smaller Scottish enterprises are planning to make visors.

And CalaChem Ltd has produced 580,000 litres of hand sanitiser at its Grangemouth plant, using ethanol provided by Whyte & Mackay.

Many other Scottish businesses have diversified in order to help with the provision of PPE and I am grateful to each and every one of them.

They have worked alongside public service bodies such as NHS Scotland, Scottish Development International and the National Manufacturing Institute for Scotland.

And it is worth highlighting that in many cases, companies are not simply making existing products. They are often using innovation to improve the equipment – for example by ensuring that face masks fit better on small faces, and that more equipment can safely be re-used.

Fundamentally, the Scottish Government’s priority – which we are achieving – must always be to ensure that we have adequate stocks of PPE.

Our health and care service workers – the people who help and protect us – must themselves be protected.

That is important at the moment, but also for the future, as we look to reopen the NHS, and maintain secure stocks of equipment for social care.

We will always, when necessary, place major orders with overseas suppliers.

However we are also increasingly taking advantage of the expertise of manufacturers here. Doing that gives us greater reassurance that supplies will be secure in the long term, and it also creates real benefits in terms of jobs and exports.

Those benefits don’t of course come close to balancing the wider economic harms caused by this pandemic – and so the Scottish Government will continue to work with business and the UK Government to address those. But these benefits are welcome nonetheless. And they are a testament to the ongoing importance and excellence of our manufacturing sector here in Scotland.

I will hand over to the Cabinet Secretary and Chief Medical Officer in a moment. Before I do that, however, I want to re-emphasise our key public health guidance.

And I’m asking you today to focus not just on what you are now allowed to do as a result of the small changes we made last week – but to focus even more so on what we are still asking you not to do.

It is by not doing certain things right now that we will help stop the virus spreading – so that means not meeting other households indoors, not coming within 2 metres of people from other households, not shaking their hands or hugging them, not sharing food or utensils with others or touching hard surfaces they may also have touched and not leaving your face uncovered in enclosed spaces like shops and public transport.

So I’m asking you to think about all of that every time you leave home or meet with someone from another household.

And, particularly, ahead of a weekend when the weather forecast is more traditionally Scottish ie heavy rain – I want to particularly emphasise this point:

You cannot and must not meet people from another household indoors – that is a sure fire way of allowing this virus to spread again.

So if you’re not willing to get your waterproofs on and meet outdoors, don’t meet up at all.

I cannot emphasise that enough.

So to recap –

You should still be staying home most of the time, and you should still be meeting fewer people than normal. If your life feels like it is getting back to normal at the moment, you should ask yourself whether it should be and whether you are complying with all the guidance.

When you do meet people from another household, you must stay outdoors, and you must stay 2 metres apart from them.

Don’t meet with more than one other household at a time, don’t meet more than one a day – and keep to a maximum – I stress, a maximum – of 8 people in a group.

Wash your hands often. Take hand sanitiser if you are out and about.

Wear a face covering when you are in shops or on public transport.

Avoid touching hard surfaces – and clean any you do touch.

And if you have the symptoms of Covid-19 – a new, continuous cough; a fever; or a loss of, or change in, your sense of smell and taste – you must get tested, and follow the advice on self isolation.

Above all else, please remember that the decisions each of us take as an individual, affect the health and wellbeing of all of us.

Please, continue to do the right thing, and to stick to those guidelines. It really, really matters, and it matters as much now as it did at the start of this pandemic. By doing so, we will continue to slow the spread of the virus, and save lives. So thank you, once again, to all of you for doing that.

Re-mobilise, Recover, Re-design: next steps for NHS Scotland

NHS Scotland will begin resuming some services that have been suspended, delayed or deferred due to coronavirus (COVID-19), whilst continuing to protect emergency, urgent and maternity care.

‘Re-mobilise, Recover, Re-design, The Framework for NHS Scotland’ sets out how Health Boards will follow national and local clinical advice to safely and gradually prioritise the resumption of some paused services. Health boards will introduce these plans while maintaining COVID-19 capacity and resilience and providing appropriate support for social care.

The Interim Chief Medical Officer and National Clinical Director have provided an initial outline on what services could be prioritised in the next phase of Health Board mobilisation planning.

These include:

  • cancer services, especially referrals and postponed treatments
  • expanding treatments for non-cancer urgent inpatients and outpatients
  • outpatient therapies where delay will increase the risk to patients, such as management of macular degeneration, paediatrics and respiratory services
  • mental health support
  • treatment room services such as blood monitoring and B12 injections

Health Secretary Jeane Freeman said: “The coronavirus pandemic has seen an unprecedented response from our NHS and care staff. Our fantastic staff have delivered a massive reorganisation of services in just a matter of weeks. This has ensured that our NHS has not been overwhelmed. 

“We are taking an evidence-based, cautious and phased approach to resuming services to ensure the virus continues to be suppressed. While NHS Scotland will remain on an emergency footing, this framework sets out our approach for the next phases as we continue to respond to this pandemic.

“Our approach is not only driven by clinical priorities but also what matters to people’s quality of life like pain clinics, dental treatment and preventative work like cancer screening.”

Interim Chief Medical Officer Dr Gregor Smith said: “Re-mobilise, Recover, Re-design, The Framework for NHS Scotland sets out the steps being taken to safely resume some paused NHS services across Scotland.

“It ensures that the successful steps taken to maintain services during the pandemic are learnt from and built upon. This includes the significant innovations introduced across the NHS to assess patients utilising digital technology.

“The reality is coronavirus is likely to be with us for some time to come, and so many changes made in the coming weeks and months have to be measured against the need to keep the virus under control, continuing to protect the NHS and save lives.

“Our approach will be informed by national and local clinical priorities. We will continue to work with health boards, local authorities, Royal Colleges, professional bodies, unions and other key stakeholders to ensure this is robust and up to date.”

 You can read Re-mobilise, Recover, Re-design, The Framework for NHS Scotland online.