public health – Page 53 – The NEN

Dentists: Scottish Government must correct slip of the tongue on access crisis

The British Dental Association Scotland has urged immediate clarity from the Scottish Government, following comments from Health and Sport Secretary Jeane Freeman implying that NHS dentistry should be available at pre-pandemic levels.

Jeane Freeman stated today that “NHS services … should be as available now as they were before the pandemic started.”

While all treatments are now available from NHS practices, the service is operating at a fraction of its former capacity to keep to strict infection control protocols to limit the spread of the virus. The BDA understands practices across Scotland have been overwhelmed with calls following this statement.

The Scottish Government is currently only providing enough PPE to treat 10 patients per day (or 5 for Aerosol Generating Procedures involving high-speed instruments) covering just 20-30% of pre-Covid patient numbers.

The BDA has called for real commitment to restore pre-pandemic levels of dentistry. Unlike the Northern Irish and Welsh administrations, the Scottish Government has so far made no commitments to help practices invest in ventilation equipment, that can radically reduce or element the ‘fallow time’ gaps between appointments, designed to reduce the spread of the virus.

It is also seeking urgent interim funding to keep the service sustainable and help practices deal with the unprecedented backlog of patients.

Recent official data indicated that between September and November 2020 the number of adults seen by NHS dentists was around a third of the 2018-19 average, before falling to 28% of the 2018-19 average in December 2020.

In 2020, children and adults from the most deprived areas were less likely to have seen their dentist within the last two years than those from the least deprived areas (73.5% compared to 85.7% of children and 55.9% compared to 67.1% of adults). These inequalities in access between the most and least deprived areas have grown since 2019, particularly in children.

David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said: “Ministers seem to have forgotten that all dentists are operating at a fraction of their former capacity, to keep to strict infection protocols set by their government.

“With severe limits on access emergency and urgent cases need to be at the front of the queue. Sadly, this slip of the tongue has left phones ringing off the hook in practices across Scotland.

“We are facing an unprecedented backlog, and the Scottish Government needs to provide funding and support to restore routine services. As it stands if check-ups recommenced today, we wouldn’t be able to offer appointments for six months.

“Even before the pandemic Scotland’s oral health inequalities were a national scandal. Now that gap looks set to widen, with public health programmes suspended and millions unable to access care.

“Dentists are losing the chance to act on the early signs of decay, gum disease and oral cancers. If we’re ever going to turn the page we need to see real commitment from Government.”

Coronavirus vaccine fears: Keep using Astra Zeneca, urges WHO

The World Health Organization (WHO) has urged countries not to pause Covid vaccinations, as several EU countries halted their rollouts of the Oxford AstraZeneca jab.

It said there was no evidence of a link between the vaccine and blood clots.

Germany, France, Italy and Spain have now joined Denmark, Norway and Iceland in halting vaccinations as a precaution while data is examined.

WHO’s vaccine safety experts meet today to discuss the Oxford AstraZeneca vaccine.

The European Medicines Agency (EMA) will also meet and is due to draw conclusions on Thursday. It has also said the vaccine should continue to be used.

Scotland’s First Minister Nicola Sturgeon sought to reassure anxious Scots over safety concerns yesterday.

She told the daily media briefing: “We are of course – as I’m sure you are too – aware that some countries, most recently the Netherlands and the Republic of Ireland, have paused their use of the AstraZeneca vaccine.

“You might be hearing reports of this in the media and you might have concerns as a result. So I wanted to take the opportunity today to address this directly.

“In the UK, the decision to suspend the use of any vaccine is a matter for the Medicines and Healthcare Products Regulatory Agency (MHRA).

“The MHRA has confirmed to us that there is no current evidence of an increase in blood clots being caused by the AstraZeneca vaccine. That is the issue that has caused the pause in some other countries.

“As you would expect, though, the MHRA is continuing to monitor this carefully, and it remains in regular contact with other regulators.

“There is, however, significant and growing evidence of the benefits of vaccination in reducing death, illness and we hope now, reducing transmission as well – and the vaccination programme continues to make very good progress.

“So for all these reasons and based on the advice and opinion of the MHRA, we continue to urge people to come forward for vaccination included with the AstraZeneca vaccine when you are invited to do so.“

Indeed, I can confirm that, as of 8.30 this morning, 1,908,991 people in Scotland have received the first dose of the vaccine.

“That is an increase of 20,294 since yesterday.

“In addition, 1,907 people yesterday received the second dose, which brings the total number of second doses now to 161,945.

“So as of now, virtually all people over the age of 65 have had the first dose of the vaccine. So too have 53% of 60-64 year olds; 41% of 55 to 59 year olds; and 33% of 50 to 54 year olds.

“As the Health Secretary indicated when she was here on Friday, we expect the pace of vaccination to pick up significantly again this week in line with increased supplies.

“So we are expecting that, taking first and second doses together, there will be around 400,000 vaccinations done over the course of this week.”

MHRA response to the precautionary suspensions of COVID-19 Vaccine AstraZeneca

‘It has not been confirmed that the reports of blood clots were caused by the AstraZeneca COVID-19 vaccine. People should still go and get their COVID-19 vaccine when asked to do so.’

Dr Phil Bryan, MHRA Vaccines Safety Lead said: “We are closely reviewing reports but the evidence available does not suggest the vaccine is the cause.

“Blood clots can occur naturally and are not uncommon. More than 11 million doses of the COVID-19 Vaccine AstraZeneca have now been administered across the UK, and the number of blood clots reported after having the vaccine is not greater than the number that would have occurred naturally in the vaccinated population.

“We are working closely with international counterparts in understanding the global safety experience of COVID-19 vaccines and on the rapid sharing of safety data and reports.

“People should still go and get their COVID-19 vaccine when asked to do so.”

UK Government must act now as report shows infection control guidelines ‘fundamentally flawed’

A report commissioned by the Royal College of Nursing shows that the government’s COVID-19 infection control guidelines, which are used across the UK, are “flawed and need replacing”.

The report, written by independent experts, analysed a literature review which underpins the current guidance and found that the review met just four of the 18 criteria the experts deemed essential. Crucially, the report found that the review failed to consider a key way in which COVID-19 is transmitted – airborne infection – about which growing evidence has emerged during the pandemic.

For these reasons, the experts concluded the review provided only a “superficial account” of the available COVID-19 evidence and that the current guidelines based on the review need replacing.

In the report, the authors Professor Dinah Gould, an Honorary Professor of Nursing at London’s City University, and Dr Edward Purssell, also from City University, said: “UK infection prevention and control (IPC) guidance to prevent the spread of COVID-19 in health care settings, and the rapid reviews of the literature on which it was based, still identify droplet spread and hands as the major route, based on early advice from the World Health Organization (WHO).
“Updated evidence indicates that aerosol spread is much more significant and the original advice from the WHO has been superseded. The UK guidelines are still based on this outdated evidence, however. They urgently need thorough revision and replacing.”

The report highlights that the guidelines omit detail on the importance of ventilation and advise that higher level personal protective equipment (PPE) must only be provided in certain high-risk settings like intensive care, but that it’s up to individual health trusts to decide whether or not to provide them more widely to other staff.

This has caused huge concern for members, especially with the emergence of highly infectious new COVID-19 variants. Members have also expressed concern about the lack of action on ventilation in UK hospitals as research suggests airborne transmission is a particular problem in poorly ventilated rooms.

The RCN has repeatedly tried to engage the government on these issues and is calling for all NHS staff to be given a higher level of PPE as a precautionary measure pending the outcome of a review.

RCN Chief Executive & General Secretary Dame Donna Kinnair said: “We have been battling this pandemic for more than a year now. ‘Following the science’ is a hollow boast when we have evidence showing the flaws.

“The report and its findings must launch an official review and not be swept under the carpet as an inconvenience.

“Health care workers need to know everything possible is being done to keep them protected. It is inadequate to say they have masks if they aren’t fit for purpose. Staff are scared for themselves and their families and left any longer it’ll turn to anger.”

Blue do: Tory MSP slams NHS Lothian vaccination letters breakdown

NHS LOTHIAN: ‘THIS SHOULD BE RESOLVED VERY QUICKLY’

Lothian MSP Miles Briggs has said that an urgent investigation is needed into the breakdown in communication between the Scottish Government and people in the Edinburgh and the Lothians expecting their first vaccination letters.

The target to have everyone over 50 in Scotland vaccinated with the first dose of Covid-19 vaccine by mid-April, is expected to be met. Lothian residents are however being told they won’t get their first vaccination until May.

Additionally some residents aged 60 and over are phoning the Covid-19 vaccine helpline, to be told their vaccination is due next week, but they haven’t received a letter.

Yesterday (Thursday 11^th March) the Lothian MSP raised the issue of vaccination letters with the First Minister:

‘I have been contacted by a number of constituents who are becoming increasingly concerned about the roll-out of the Covid-19 vaccination programme in Edinburgh and about the inconsistencies relating to people in different age groups being called to be vaccinated.

‘I have raised those concerns with the Cabinet Secretary for Health and Sport. I appreciate that there will be some overlap within age groups, but there seems to be confusion about when those in the 60 to 65-year-old age group will receive their vaccination in Edinburgh.

‘I am sure that the First Minister agrees that it would be unacceptable for NHS Lothian residents to be behind those in other health board areas. What additional resources will NHS Lothian receive? Will she investigate the situation? Why is the Scottish Government not publishing age-specific vaccination uptake figures for health boards?

There has also been a delay to people hearing back from the online system where people submit a vaccination form if they think they should have had a vaccination appointment letter, due to the “high volume of enquiries”.

Lothian MSP, Miles Briggs, said: “It is the responsibility of the Scottish Government to distribute vaccination appointment letters to everyone in Scotland.

“This week something has obviously gone very wrong with people not receiving their letter, or being told their appointment is not until May.

“An urgent investigation is needed to give people clarity on when their appointment will be and they are not being forgotten about.

“The rollout of the Covid-19 vaccination is too important to get wrong and we all want it to happen as quickly as possible so that restrictions can be lifted safely.

“SNP Ministers have to date refused to provide a breakdown of the numbers of people in age groups in each Health Board who have received the vaccination. It would be totally unacceptable for people in Lothian to be at the end of the queue.

“I would encourage people aged between 60-65, due for COVID-19 vaccine, who live in NHS Lothian and who have not received an appointment letter then phone 0800 030 8013.”

Health Secretary Jeane Freeman insisted there are no ‘systemic problems’ when she led the daily media briefing this afternoon.

NHS Lothian finally clarified the situation this evening:

.’We are vaccinating the “priority groups” of patients as fast as the vaccine supply allows. We are currently vaccinating group 6 and next week (week commencing March 15) will extend into group 7, which is patients aged 60 years and over.

‘Appointment letters are being distributed by a central system to patients across Scotland. We understand there has been a delay in sending out some appointment letters this week (March 12).

‘This should be resolved very quickly and the letters are expected to arrive by this weekend. However, if you are over 60 and have not received an appointment letter by Monday (March 15), please call the national helpline on 0800 030 8013.’

Test and Trace: “British taxpayers cannot be treated by Government like an ATM machine”

“Unimaginable” cost of Test & Trace failed to deliver central promise of averting another lockdown

In May last year NHS Test and Trace (NHST&T) was set up with a budget of £22 billion. Since then it has been allocated £15 billion more: totalling £37 BILLION over two years.

The Department of Health & Social Care (DHSC) justified the scale of investment, in part, on the basis that an effective test and trace system would help avoid a second national lockdown – but since its creation we have had two more lockdowns.

In its report Westminster’s Public Accounts Committee says that while NHST&T clearly had to be set up and staffed at incredible speed, it must now “wean itself off its persistent reliance on consultants”; there is still no clear evidence of NHST&T’s overall effectiveness; and it’s not clear whether its contribution to reducing infection levels – as opposed to the other measures introduced to tackle the pandemic – can justify its “unimaginable” costs.

The scale of NHST&T’s activities is striking, particularly given its short life. Between May 2020 and January 2021, daily UK testing capacity for COVID-19 increased from around 100,000 to over 800,000 tests. NHST&T had also contacted over 2.5 million people testing positive for COVID-19 in England and advised more than 4.5 million of their associated contacts to self-isolate.

But the percentage of total laboratory testing capacity used in November and December 2020 remained under 65%, and even with the spare capacity, NHST&T has never met the target to turn around all tests in face-to-face settings in 24 hours. Low utilisation rates – well below the target of 50% – persisted into October last year.

A major focus for NHST&T in early 2021 was the mass roll-out of rapid testing in different community settings, but there have been particular setbacks for the roll-out to schools, after NHST&T had significantly underestimated the increase in demand for testing when schools and universities returned last September.

Meg Hillier MP, Chair of the Public Accounts Committee, said: “The £23 billion test and trace has cost us so far is about the annual budget of the Department for Transport.Test & Trace still continues to pay for consultants at £1000 a day.

“Yet despite the unimaginable resources thrown at this project Test and Trace cannot point to a measurable difference to the progress of the pandemic, and the promise on which this huge expense was justified – avoiding another lockdown – has been broken, TWICE.

“DHSC and NHST&T must rapidly turn around these fortunes and begin to demonstrate the worth and value of this staggering investment of taxpayers’ money. Not only is it essential it delivers an effective system as pupils return to school and more people return to their workplace, but for the £billions spent we need to see a top class legacy system.

“British taxpayers cannot be treated by Government like an ATM machine. We need to see a clear plan and costs better controlled.”

Test and Trace chief Baroness Dido Harding has defended the £37 billion service and said the committee report is ‘old news’.

Briggs: NHS Lothian has longest outpatient waiting times in Scotland

Lothian Conservative MSP Miles Briggs said: “Every health board in Scotland has been significantly impacted by Covid-19, but none more than NHS Lothian.

“Consecutive years of chronic underfunding for NHS Lothian by SNP Ministers has meant that the health boards was the least prepared for Covid-19, with lengthening waiting times pre Covid-19.

“A recovery plan to restore performance targets will be important across Scotland, but especially for NHS Lothian and the formula for funding health boards needs urgently reviewed.

“It is time for NHS Lothian to receive their fair share of funding, so that patients in Edinburgh and the Lothian’s don’t have to suffer exceptionally long waiting times for treatments.”

https://beta.isdscotland.org/find-publications-and-data/healthcare-resources/waiting-times/nhs-waiting-times-stage-of-treatment/

Second doses given to more than half of care home residents

Scotland’s vaccination programme has now delivered second doses of the coronavirus (COVID-19) vaccine to more than half of care home residents.

In total, 17,258 care home residents (58% of residents in older adult care homes and 54% of residents in all care homes) have received the second dose which offers longer lasting protection.

Supplies of vaccines were specifically deployed in order that second doses could be delivered on time to these cohorts, who are among those at greatest risk from coronavirus (COVID-19).

For the population as a whole 1,743,869 have received their first dose, and 114,081 have been given their second dose. Invitations are now being issued to all groups in phase one of the roll-out and subject to supply, the programme remains on track to offer first doses to all over 50 year olds, unpaid carers and those with particular underlying health conditions by the middle of April.

Heath Secretary Jeane Freeman said: “I am pleased to see that more than half of care home residents have received their second doses, giving them longer lasting protection.

“I want to thank all those who have taken up their offer of a vaccination – the high take up in these settings has contributed to a reduction in outbreaks of the virus in care homes.

“Alongside other protections in place, vaccination has also helped to enable the resumption of indoor visiting, reuniting families with their loved ones.

“Scotland’s COVID-19 vaccination programme continues to deliver at pace, which is down to the enormous efforts of our vaccination teams and I want to thank everyone who is working tirelessly to make this a success.

“The vaccination programme is one of three key ways we are working to beat this virus, along with our expanded testing programme to identify cases and break chains of transmission and the important lockdown restrictions everyone in Scotland must follow. All these measures work to greatest effect when they work together.”

COVID: Brazilian strain reaches Scotland

Three cases of a COVID-19 Variant of Concern first identified in Manaus, Brazil, have been identified in Scotland.

Following their return to North East Scotland from Brazil, via Paris and London, three Scottish residents entered self-isolation and then subsequently tested positive for Coronavirus (COVID-19). These individuals then self-isolated for the required period of 10 days.

The tests were completed in early February and passed to the UK’s advanced sequencing capabilities programme which detected this new variant. Due to the potential concerns around this variant other passengers on the flight used by the three individuals from London to Aberdeen are being contacted. These three cases are not connected to three cases also identified in England.

Health protection teams, including local clinicians, have assessed each case and their contacts, and are arranging protective measures for this small number of potentially exposed individuals.

To provide an extra layer of safety, teams are ensuring people who could have been infected by these first line contacts are also isolated and tested. This is to ensure all possible precautions are taken as we learn more about this particular variant.

Clinical and trial data continues to be assessed to examine how this new variant may respond to current COVID-19 vaccines.

Health Secretary Jeane Freeman said: “The identification of this new variant is a concern but we are taking every possible precaution. We have identified these cases thanks to our use of advanced sequencing capabilities which means we are finding more variants and mutations than many other countries and are therefore able to take action quickly.

“This new variant demonstrates how serious Covid is and reinforces the need to minimise the spread of the virus. We would encourage everyone across the country to adhere to the necessary public health restrictions by staying at home except for essential purposes as this is the single best way of staying safe and stopping the spread of this virus. It is now also illegal for anyone to travel to or from Scotland unless it is for an essential reason.

“The Covid vaccination programme is one of three key ways we are working to beat this virus, along with our expanded testing programme to identify cases and break chains of transmission, and the important lockdown restrictions everyone in Scotland must follow.

“These three strands – following expert advice and guidance to suppress the virus, using our expanded testing programme to identify cases and break chains of transmission and rolling out vaccination as fast as supplies allow – are the three critical actions that will see us move, step by step, to protect the public, save lives and a brighter year ahead.”

As a precautionary measure and to provide further insights, samples from any passenger on the London to Aberdeen flight who subsequently tested positive or was symptomatic are being urgently sequenced to determine whether any had acquired the new variant. Those on the flight from London to Aberdeen will be contacted.

Public Health England has also identified three cases of the variant in England but these are not linked to the three cases in Scotland. Scotland and England are working together to ensure that a consistent UK approach is taken to managing such incidents.

This variant has been designated ‘of concern’ as it shares some important mutations with the variant first identified in South Africa (B.1.351), such as E484K and N501Y. There is some data to suggest that this variant may be more likely to cause Covid-19 infections in people who have been vaccinated or who had been infected with one of the earlier strains of “wild-type” Covid-19.

The P1 “Brazilian” variant is a descendent of B.1.1.28 and was first detected in Japan but is most closely associated with the second wave epidemic in Manauas, Brazil. This variant has been designated ‘of concern’ as it shares some important mutations with the variant first identified in South Africa (B.1.351), such as E484K and N501Y.

It is possible that this variant may respond less well to current vaccines but at this time there is a high degree of uncertainty and we await clinical and trial data is awaited to understand this better.

Genomic sequencing of Scottish samples is undertaken as part of a UK programme. This programme continues to develop ensure faster turnaround times.

Dr Susan Hopkins, PHE strategic response director for COVID-19 and NHS Test and Trace Medical Advisor, said: “We have identified these cases thanks to the UK’s advanced sequencing capabilities which means we are finding more variants and mutations than many other countries and are therefore able to take action quickly.

“The important thing to remember is that COVID-19, no matter what variant it is, spreads in the same way. That means the measures to stop it spreading do not change. Stay at home and if you do need to go out for essential reasons, cover your nose and mouth, wash your hands thoroughly and keep your distance.”

UK Charities unite to boost vaccine drive

Sixteen frontline charities have formed a new partnership to encourage those with long-term health conditions and their carers to get the COVID-19 vaccine.

Sixteen charities will work together to help save lives through the vaccine roll out
Those with underlying health conditions and adult carers in cohort 6 encouraged to take up the jab
Organisations will help promote access to important advice and information on vaccines

Organisations including The British Heart Foundation, Macmillan Cancer Support and Mencap are joining with the government and NHS to promote vaccine uptake among those the charities support every day.

Since 15 February those in cohort 6 – people with certain underlying health conditions and their carers – have been receiving invites from their GP practice to come forward for life saving vaccinations to protect them from COVID-19.

Working with the government on the UK’s largest ever medical deployment, the charities will use the combined strength of their networks to reassure people with long-term health conditions about the safety and effectiveness of the vaccine.

Health and Social Care Secretary Matt Hancock said: “The incredible success of our vaccination programme has only been possible by working in partnership with the NHS, health and care professionals, local partners and our volunteers.

“Having the support of the charities who work every day to support the very people we are reaching out to in cohort 6 is a great boost for the rollout which continues to show what we can achieve when we pull together as one.

“Their help, encouragement and links with communities next in line for the jab will help make sure everyone can get access to the life-saving protection the vaccine provides and help protect those with underlying conditions and their carers.”

The organisations which have signed up so far to become members of the coalition are:

African Caribbean Leukaemia Trust (ACLT)
Asthma UK
British Heart Foundation
British Liver Trust
British Lung Foundation
Cancer Research UK
Carers UK
Diabetes UK
Epilepsy Action
Kidney Care UK
Lupus UK
MacMillan Cancer Support
Mencap
MS Society
Sickle Cell Society
Terrence Higgins Trust

These charities support those included in priority vaccination categories, including cohort 6 which covers individuals aged 16 to 64 with certain long-term conditions identified by the Joint Committee on Vaccination and Immunisation as being at higher clinical risk from COVID-19.

These conditions include chronic respiratory, heart, kidney, liver disease and neurological conditions, including MS and epilepsy, vascular disease, diabetes mellitus, immunosuppression, asplenia or dysfunction of the spleen, morbid obesity, severe mental illness, as well as sickle cell, lupus and those on GP learning disability registers.

Following the government meeting its target of offering a first dose vaccine to the top four priority groups by 15 February, all those in cohort 6 are now eligible to get the jab and should be receiving their invitation for their first dose.

Minister for Vaccines, Nadhim Zahawi, said: “The vaccine is our way out of this pandemic and offers the chance to protect yourself and others – that’s why it’s vital that people get their jab when called to come forward.

“The rollout is a truly UK wide effort which is why having the support of these fantastic and trusted charities as we work to ensure everyone eligible gets their vaccine is so important.

“I would like to thank them all for backing this life-saving campaign and offering their expertise and assistance to support the largest medical deployment in British history.”

Cohort 6 also includes carers who are eligible for a carer’s allowance, or those who are the sole or primary carer of an elderly or disabled person who is at increased risk of COVID-19 mortality and therefore clinically vulnerable.

The charities will support the campaign by sharing content across their channels, including a new campaign video featuring people in cohort 6 getting their jab, and putting forward both those who represent the charities and those the charities work with to encourage others to take up the vaccine.

Chris Askew OBE, Chief Executive of Diabetes UK, said: “We are incredibly proud to be working with other leading voices in the charity sector to encourage people to get their COVID-19 vaccine.

“People with diabetes have been disproportionately affected by the pandemic and have a higher risk of becoming seriously ill if they develop coronavirus.

“For people living with diabetes, the best protection against coronavirus is to get the vaccine and take whichever vaccine you are offered.”

People in group 6 who are at higher clinical risk from coronavirus and have not already been contacted will be invited for a vaccine by their local GP team.

Co-Founder and Chief Executive of ACLT, Orin Lewis, said: “The ACLT feels compelled to ensure we do all we can to guarantee any decisions made regarding the COVID-19 vaccine, is done with knowledge of the verified facts and the science behind the vaccine.

“Far too many lives have already been lost, however now there is a real opportunity for positive change especially on behalf of patients with immunosuppression systems linked to stem cell, blood and organ related disorders.

“We feel extremely passionately people should seriously consider protecting themselves, their loved ones and society at large.

When they do make that decision, they need to ensure it’s an informed one based upon verified facts and not myths, fears and taboos.”

Sixteen charities have already joined the campaign and more are welcome to help boost the vaccine drive and save lives.

Vaccines delivered to a third of eligible Scots

One and a half million people have had their first dose

Scotland’s vaccination programme has delivered first doses of the coronavirus (COVID-19) vaccine to a third (33.4%) of those eligible – more than 1.5 million people (1,515,980).

In addition, the roll-out among those aged 65-69 has already exceeded the 80% take up rate set out in the deployment plan and currently stands at 85% (255,266). This group is due to be completed by the end of February. Vaccinations are now also being delivered to people with underlying health conditions and unpaid carers – the next group on the Joint Committee for Vaccination and Immunisation priority list.

Meanwhile, second doses of the vaccine are being given to residents in care homes and the staff who care for them. Frontline Health and Social Care workers are also receiving their second injections.

Supplies of vaccines were held back in order that these second doses could be delivered on time to these cohorts.

Older residents in care homes are among those at greatest risk from the virus and the programme has exceeded the initial target for this group with 31,218 receiving their first dose – the figure for the staff who care for them is 96%. For all care homes the total is 98% of residents and 83% of staff.

The high take up of vaccinations and the improving picture in terms of care home outbreaks has helped contribute to the restart of routine indoor visiting of care home residents by relatives, friends and carers from this week.

Heath Secretary Jeane Freeman said: “A third of those eligible for the COVID-19 vaccination in Scotland have now received their first dose – that is one and a half million people in the groups which were prioritised to address 99 per cent of preventable deaths associated with COVID-19.

“Scotland’s COVID-19 vaccination programme continues to deliver at pace, which is down to the enormous efforts of our vaccination teams. I would like to thank everyone who is working tirelessly to make this a success, and also every individual who has taken up their offer of a vaccine.

“I am pleased to see care home residents and those who look after them receiving their second doses, as well as NHS frontline staff. These are crucial as they provide longer lasting protection against the virus.

“The high take up of the vaccine in these settings has contributed to a reduction in outbreaks of the virus in care homes and helped to enable the forthcoming resumption of weekly routine visits, meaning families can be reunited with their relatives in care.