Tag: public health

Test and Protect

Health Secretary Jeane Freeman explains how we can all play our part in the fight against coronavirus (COVID-19):

Test and Protect is NHS Scotland’s new approach to controlling the spread of coronavirus (COVID-19) in the community.

The system will help to prevent you from spreading the virus, and protect the country from a second peak. But just like lockdown, it can only work if we all play our part.

From today, if you have any of the symptoms of COVID-19 – a new continuous cough, temperature or loss or change of taste or smell – you should immediately visit NHS Inform or call 0800 028 2816 if you can’t get online.

It is really important you do this as soon as you suspect you have symptoms. The quicker the NHS can tell if you have the virus, the better chance we all have of stopping it spreading.

When you contact the NHS you will be able to book a test at a mobile testing unit, a drive-through testing centre or order a home testing kit.

While you wait for that result, it is important that you and everyone in your household self –isolates.

If you test positive, you will need to self-isolate for 7 days, and your household for 14.

That has always been the case.  What’s new is that now, as we begin to ease some of the lockdown measures, in order to keep the virus suppressed, we will also need to trace your close contacts and advise them to isolate for 14 days, with support.

So if you get a positive test result you will be asked who you have been in close contact with. This includes people in your household, people you have had direct face to face contact with for any length of time, and those you have been within 2 metres of for 15 minutes or more.

This NHS system is entirely confidential, when the people you have been near are contacted they will not be told who it is that they have been in contact with. This information is only collected and used by NHS Scotland for the purposes of tracing your contacts. The Scottish Government will not have access to it.

If you receive a call or a message from a contact tracer to say you have been in contact with someone who has tested positive, they will ask you to self-isolate immediately. It is hugely important you do this in order to stop the spread of the virus.

It is only by all playing our part, getting tested, providing information and agreeing to isolate, that we can cut the numbers of people getting the virus.

You can find guidance on the Scottish Government website to help you self-isolate, which includes advice on what to do if you care for someone who is shielding, and how you can access food and medicine. It’s also a good idea to take steps to ensure that you are prepared in advance, in case you are ever  asked to isolate.

For those who cannot leave their home and who cannot get the help they need from family, friends or online, the National Assistance Helpline (0800 111 4000) is available Monday to Friday, from 9.00 am 5.00 pm.

We have also published guidance for employers which makes clear that they should support anyone who  needs to self-isolate as part of Test and Protect. We are also working with the UK Government to ensure that people are fully protected by their employment rights and benefits, such as Statutory Sick Pay as a minimum.

Of course, the best way to avoid having to isolate, is to follow the rules on physical distancing and stay 2 metres apart from anyone outside of your own household.

Test and Protect will be part of all our lives for the foreseeable future, until we know we have fully suppressed the virus, or there is a treatment or a vaccine that we can be confident will protect people properly.

So as we slowly change the lockdown restrictions, for everyone to enjoy more freedoms, we must all play our part by isolating when we are asked to.

FIRST Minister Nicola Sturgeon is expected to announce the first steps on the road to a loosening of lockdown restrictions at lunchtime today.

Covid symptoms? Book a Test

Test and Protect – NHS Scotland’s approach to controlling the spread of coronavirus (COVID-19) in the community – will be rolled out across all health boards from tomorrow (Thursday 28 May).

From that date, everyone aged five and over who has COVID-19 symptoms of a new continuous cough, temperature or loss or change in sense of taste or smell should go to NHS Inform online or call 0800 028 2816 to book a test.

Under the system, people will need to isolate with their household as soon as they have symptoms and, if they have a positive test result, they will be asked to provide details of all recent close contacts to NHS contact tracers.  Those people will be contacted and asked to isolate for 14 days.

As part of the roll out, guidance for individuals and employers has been published which sets out advice on what to do if someone is displaying symptoms or if they have been in close contact with someone who has tested positive for COVID-19.

It includes information on how to self-isolate safely as part of Test and Protect, what plans need to be made by households and families, and how to help older people or those with underlying health conditions.

Additional support for self-isolation is also being made available to those who need it through the National Assistance Helpline.

First Minister Nicola Sturgeon said: “The aim of Test and Protect is to protect the public from spreading COVID-19 and to protect the country from a second peak.

“By ensuring those who may have come into contact with the virus take steps to isolate, we can break the chains of transmission and keep the virus suppressed whilst slowly changing lockdown measures.

“This approach can only work if we all play our part. From Thursday, we are asking everyone aged five and over who has COVID-19 symptoms – a new continuous cough, temperature or loss or change in sense of taste or smell – to book a test as soon as possible.

“It is important to do this as soon as symptoms are suspected. The quicker the virus can be identified, the better chance there is of stopping it spreading.

“It remains vital that alongside Test and Protect people continue to follow physical distancing advice and practise good hand and cough hygiene.”

Cllr Stuart Currie , COSLA Health and Social Care spokesperson, said: “COVID-19 continues to have an impact on all of our daily lives and it is important that we carefully manage the transition out of lockdown. 

“That is why we welcome the Test and Protect guidance that has been co-produced by Scottish Government and NHS Scotland in partnership with Local Government.

“It is vital that people work together to follow this advice and self-isolate when required, not just for their own safety, but in order to protect others. Only by taking this approach will we be able to slow the spread of the virus.

“Local Government has already been at the forefront of efforts to support people during lockdown, providing essential services and assistance to the many people in Scotland who don’t have a network of support in place.  We will continue to support our communities by taking a central role in the delivery of Test and Protect.”

Guidance for the public, including a summary is available online along with guidance for employers. 

covid-19-test-trace-isolate-support-public-health-approach-maintaining-low-levels-community-transmission-covid-19-scotland

First Minister talks Test & Protect

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House yesterday (Tuesday 25 May):

Good afternoon. Thanks for joining us for today’s briefing.

I want to start – as I always do – by updating you on some of the key statistics in relation to Covid-19 in Scotland.

As at 9 o’clock this morning, there have been 15,185 positive cases confirmed – an increase of 29 from yesterday.

A total of 1,200 patients are in hospital with confirmed or suspected Covid-19. That represents a total decrease of 69 from yesterday, including a decrease of 16 in the number of confirmed cases.

A total of 36 people last night were in intensive care with confirmed or suspected Covid 19. That is a decrease of 4 since yesterday.

I am also able to confirm today that since 5 March, a total of 3,589 patients who had tested positive for the virus have been able to leave hospital.

And unfortunately, in the last 24 hours, 18 deaths have been registered of patients who have been confirmed through a test as having Covid-19 –  that takes the total number of deaths in Scotland, under that measurement, to 2291.

Each one is an individual whose loss is a source of grief to many. I want to send my condolences to everyone who has lost a loved one to this virus.

I also want to express my gratitude – as I always do – to our health and care workers, for everything you are doing in such testing circumstances.

Today, I want to focus on the launch of NHS Scotland’s test, trace and isolate programme – Test and Protect – the logo for which you will see behind me.

From the end of this week, through Test and Protect, anyone who suspects they have Covid-19 will be tested.

If you test positive, your close contacts will be traced and advised to isolate for 14 days.

The aim of Test and Protect is to quickly identify cases of the virus and then act to break the chains of transmission.

On 4th May, we published our initial plans.

I can confirm today, that the system will go live in every one of Scotland’s 14 health board areas on Thursday.

Test and Protect will be an important tool in the months ahead – it will help us suppress the virus while we slowly ease lockdown restrictions. But it will only be effective if we all play our part.

So today I’ll set out what the capacity of the new system will be at the point of launch and how this will develop.

And I’ll set out how you as an individual, your household, your workplace and your employer can support us in making it work.

Firstly we said that to launch Test and Protect nationally we needed the ability to conduct over 15,000 tests a day.  I can confirm today that this capacity is now in place.

It will be delivered through a combination of NHS labs, academic partners, the Scottish National Blood Transfusion Service and the Lighthouse Lab in Glasgow.

Secondly, we said we would enhance and extend use of the software that public health teams already use for contact tracing in relation to other infectious diseases.

That software has been piloted in Fife, Lanarkshire and Highland over the last week and I can confirm that it will be operational in every health board by Thursday.

Thirdly, we said that we’d aim to have 2000 contact tracers available by the end of this month.

Based on current demand estimates, we assess that around 700 will be needed in the early phase. However, I can confirm that by the end of the month we will have a pool of around 2000 to draw on if necessary.

This is a system that will operate at a scale not seen before in Scotland. Over the first couple of weeks, it will need to bed down. But introducing it at the same time as we take the first cautious steps out of lockdown gives us the opportunity to address any operational issues ahead of a potentially more substantial easing of restrictions at the next review date in 3 weeks.

Over the next few weeks, we will also add enhancements to the system.

As I said earlier, the technology used by contact tracers will be in place from the start. But we will also add a digital platform to allow people who test positive to enter details of their contacts online.

We will also continue to build testing capacity and make access to testing more locally accessible. We will keep you updated on all of that.

Let me now outline what we are asking you, the public to do.

Let me stress that, just like lockdown, this is something that will only have the desired effect if we all do what is required. It can’t be seen as optional.

To make sure we all understand what is required, a public awareness campaign will start later this week. And during June, information will be delivered to every household across the country.

But let me set out the basics here.

Firstly, as of Thursday we are asking that if you have any of the symptoms of COVID-19 – that is a cough, temperature or loss of taste or smell – you take immediate steps to book a test.

Please don’t wait to see if you feel better after a day or two – time is of the essence, so get in touch as soon as you experience symptoms.

You should go to nhsinform.scot or, if you can’t get online, call NHS 24 on 0800 028 2816.

Online you can ask for a test for yourself, or for someone else that you live with, and book it at one of the drive through testing centres or mobile testing units. For some, there will also be the option of a home testing kit. As I said earlier, in the coming weekswe will be working to further expand local access to testing.

If you can’t go online, you should call NHS 24 on 0800 028 2816. An adviser will then go through some questions with you, and book you in for a test.

While you wait for your test and the result, it is essential that you and your household self-isolate.  That means staying at home at all times – with the exception of going for the test. You shouldn’t go to the shops, out for exercise or to see anybody else.

In line with the current guidance, the person with symptoms should isolate for 7 days from the start of your symptoms.

Other members of the household should self-isolate for 14 days.  If any of them start to display symptoms during that time, they should also go through the testing process.

If your test comes back negative, you and your household can end your isolation.

However, if you are contacted to be told that you have tested positive, you will be asked at that stage for details of people that you have been in contact with.

The definition of a contact is people within your household, people you have had face to face contact with, and people who have been within two metres of for a period of 15 minutes or more.

I want to take the opportunity now to assure you that your privacy will be respected at all times during this process.

The information you provide will be held securely within the NHS and used only for the purposes of tracing your contacts.

It will not be used by the Scottish Government – indeed, we won’t have access to it. All the work of identifying and tracing contacts will be done within Scotland’s NHS.

Let me turn now to what to do if you receive a call from a contact tracer to say that you have been in contact with someone who has tested positive.

It is no exaggeration to say that how you – how any of us – respond will be vital in stopping the spread of the virus.

We will ask you to self-isolate immediately – the success of Test and Protect will really depend on all of us trusting this advice and, for the sake of ourselves and each other, agreeing to abide by it.

If you are at work, the advice will be to immediately head home, taking care to come into contact with as few people as possible.

We have published guidance this morning for employers, making clear they should support anyone who is asked to self-isolate by Test and Protect.

If you are well, and can work from home, then your employer will expect you to do so, but they should not ask you to go into work.

The Scottish Government is also in contact with the UK Government to ensure that employment rights and entitlement to benefits including statutory sick pay, take account of the fact that people may be off work or unable to attend appointments through no fault of their own.

We have also published today general advice for anyone who is asked to self-isolate. Remember that this is something over the months ahead that could happen to any of us – on more than one occasion.

This includes hygiene advice for your home, advice for other people in your household, what to do if you care for someone who is shielding or clinically vulnerable, and what to do if you need help accessing food and medicine or even accommodation. It also suggests how we can all make some preparations in advance.

Now, I know there’s a lot of information here to take in. But don’t worry, we will be taking steps to ensure everyone knows what we are asking you to do.

For now, let me leave you with these points.

Test and Protect is an important tool for us in the period ahead. The more effective it is, the more of the lockdown restrictions we will be able to lift.

However, it can’t do all the work of suppressing the virus. We will all continue to have a vital role to play in our everyday lives. That means even as we ease lockdown, physical distancing, good hygiene and following appropriate advice will continue to be essential.

And so too will all of us doing what is asked of us. Test and Protect will only work if we all come forward for testing when we have symptoms and if we all agree to self-isolate when asked.

And if the government steps up to give you the support you need to do so.

In short, Test and Protect will require exactly the same spirit of solidarity and care for each other as lockdown has done.

It will be a collective national endeavour.

People will need the help of family, friends, colleagues and employers. Volunteers who have been supporting efforts to distribute food and care for the vulnerable through lockdown will have a valuable part to play in supporting people through Test and Protect. Government will have to ensure the right capacity, resources and support is in place.

And all of us will have to agree to make sacrifices for the common good – just as we have been doing.

In short, by agreeing that some of us will have to stay home at times – when we have symptoms, test positive, or have been in contact with someone who tests positive – we can gradually move away from a situation where everyone has to stay home all of the time.

As I said earlier, we will make much more information available in the days and weeks to come.

But let me leave you with the most important message – from Thursday, if you have symptoms you should go online to NHS Inform or call NHS 0800 028 2816 0800 and book a test straight away.

And for now, all of us must continue to stick with lockdown measures.

So please, stay at home except for essential purposes.

When you do leave the house, stay more than two metres from other people. And do not meet up with people from households other than yours.

You should wear a face covering if you are in an enclosed space such as a shop or on public transport. This is one of the issues covered in the Transport Transition Plan that we will also publish later this afternoon.

You should also continue to wash your hands thoroughly and regularly.

And if you or someone else in your household has symptoms of Covid-19, then you should stay at home completely.

At the moment, these actions are vital – to slow the spread of the virus, protect the NHS, and save lives.

So thank you once again, for helping to do that.

At least 80 million children at risk as COVID-19 disrupts routine vaccination effort

Measles in India
A newborn receives a routine vaccination at an immunization site, in Ghaziabad, Uttar Pradesh India.

COVID 19 is disrupting life-saving immunization services around the world, putting millions of children – in rich and poor countries alike – at risk of diseases like diphtheria, measles and polio.

This stark warning comes from the World Health Organization, UNICEF and Gavi, the Vaccine Alliance ahead of the Global Vaccine Summit on 4 June, at which world leaders will come together to help maintain immunization programmes and mitigate the impact of the pandemic in lower-income countries.

According to data collected by the World Health Organization, UNICEF, Gavi and the Sabin Vaccine Institute, provision of routine immunization services is substantially hindered in at least 68 countries and is likely to affect approximately 80 million children under the age of 1 living in these countries.

Since March 2020, routine childhood immunization services have been disrupted on a global scale that may be unprecedented since the inception of expanded programs on immunization (EPI) in the 1970s. More than half (53%) of the 129 countries where data were available reported moderate-to-severe disruptions, or a total suspension of vaccination services during March-April 2020.

“Immunization is one of the most powerful and fundamental disease prevention tools in the history of public health,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General.

“Disruption to immunization programmes from the COVID-19 pandemic threatens to unwind decades of progress against vaccine-preventable diseases like measles.

“At the 4 June Global Vaccine Summit in London, donors will pledge their support to Gavi, the Vaccine Alliance, to sustain and accelerate this lifesaving work in some of the most vulnerable countries. From the bottom of my heart, I urge donors to fully fund the Alliance. These countries, these children especially, need vaccines, and they need Gavi.”

The reasons for disrupted services vary. Some parents are reluctant to leave home because of restrictions on movement, lack of information or because they fear infection with the COVID-19 virus. And many health workers are unavailable because of restrictions on travel, or redeployment to COVID response duties, as well as a lack of protective equipment.

“More children in more countries are now protected against more vaccine-preventable diseases than at any point in history,” said Dr. Seth Berkley, Gavi CEO.

“Due to COVID-19 this immense progress is now under threat, risking the resurgence of diseases like measles and polio. Not only will maintaining immunization programmes prevent more outbreaks, it will also ensure we have the infrastructure we need to roll out an eventual COVID-19 vaccine on a global scale.”

Transport delays of vaccines are exacerbating the situation. UNICEF has reported a substantial delay in planned vaccine deliveries due to the lockdown measures and the ensuing decline in commercial flights and limited availability of charters.

To help mitigate this, UNICEF is appealing to governments, the private sector, the airline industry, and others, to free up freight space at an affordable cost for these life-saving vaccines. Gavi recently signed an agreement with UNICEF to provide advance funding to cover increased freight costs for delivery of vaccines, in light of the reduced number of commercial flights available for transport.

“We cannot let our fight against one disease come at the expense of long-term progress in our fight against other diseases,” said Henrietta Fore, UNICEF Executive Director.

“We have effective vaccines against measles, polio and cholera. While circumstances may require us to temporarily pause some immunization efforts, these immunizations must restart as soon as possible, or we risk exchanging one deadly outbreak for another.”

Next week, WHO will issue new advice to countries on maintaining essential services during the pandemic, including recommendations on how to provide immunizations safely.

Mass immunization campaigns temporarily disrupted

Many countries have temporarily and justifiably suspended preventive mass vaccination campaigns against diseases like cholera, measles, meningitis, polio, tetanus, typhoid and yellow fever, due to risk of transmission and the need to maintain physical distancing during the early stages of the COVID-19 pandemic.

Measles and polio vaccination campaigns, in particular, have been badly hit, with measles campaigns suspended in 27 countries and polio campaigns put on hold in 38 countries.

At least 24 million people in 21 Gavi-supported lower-income countries are at risk of missing out on vaccines against polio, measles, typhoid, yellow fever, cholera, rotavirus, HPV, meningitis A and rubella due to postponed campaigns and introductions of new vaccines.

In late March, concerned that mass gatherings for vaccination campaigns would enflame transmission of COVID-19 WHO recommended countries to temporarily suspend preventive campaigns while assessments of risk, and effective measures for reducing COVID virus transmission were established.

WHO has since monitored the situation and has now issued advice to help countries determine how and when to resume mass vaccination campaigns. The guidance notes that countries will need to make specific risk assessments based on the local dynamics of COVID-19 transmission, the health system capacities, and the public health benefit of conducting preventive and outbreak response vaccination campaigns.

Based on this guidance, and following growing concerns about increasing transmission of polio, the  Global Polio Eradication Initiative (GPEI), is advising countries to start planning for the safe resumption of polio vaccination campaigns, especially in polio high-risk countries.

Despite the challenges, several countries are making special efforts to continue immunization. Uganda is ensuring that immunization services continue along with other essential health services, even funding transportation to ensure outreach activities. And in Lao PDR, despite a national lockdown imposed in March, routine immunization in fixed sites continued with physical distancing measures in place.

Pictures: WHO

Scottish Government funding to support health and wellbeing

£8 million for community projects to help combat isolation

Funding of more than £8 million is helping projects to deliver mental health support and wellbeing services for people who are feeling isolated during the coronavirus (COVID-19) pandemic.

The funding was allocated to 344 projects, who are providing support in communities across Scotland, including to those who are self-isolating or shielding.

It is part of a £50 million Wellbeing Fund that is helping people through the pandemic.

Communities Secretary Aileen Campbell said: “Adjusting to life under lockdown is tough and although we have all found it difficult, for some, the strain on their mental health and wellbeing has been a real struggle.

“A quick phone call or dropping off a few essential groceries can have a huge positive impact on people who may be self-isolating or shielding for health reasons. Small acts of kindness will also help those people who have seen their support network – whether that be friends, extended family, colleagues or community groups – disappear almost overnight.

“That is why this funding has been so important. It has enabled groups providing mental health and wellbeing support, alongside other vital services, to offer help and advice as we deal with this pandemic. I am glad we have been able to support groups across Scotland to provide these lifelines at a hugely difficult time.”

Space and Broomhouse Hub in Edinburgh is using £20,500 of wellbeing funding to provide services supporting mental health and combating isolation for a range of age groups. That includes keeping in touch by phone with elderly people who are self-isolating and providing food parcels and ‘boredom buster’ packs to families.

Bridie Ashrowan, Chief Executive at The Broomhouse Project, said: “Our community hub is helping many people locally to manage the traumatic consequences of COVID-19, such as empty kitchen cupboards, paying bills, anxiety, social isolation, digital exclusion, increased stresses on family relationships, and lack of respite for carers, young carers and adults.

“Our amazing staff, volunteers and trustees are delivering this with kindness and community. A huge thank you to the Scottish Government for enabling us to progress this work when it is much needed.”

In Dumfries and Galloway, the Lincluden After School Group has used £15,841 of Wellbeing funding to provide extended respite care services for parents of children with additional support needs, helping to prevent burnout and maintain stability during the crisis.

Kathleen Procter, Manager of the Group, said: “At this scary and unprecedented time, we can’t thank the Scottish Government enough for putting the Wellbeing Fund in place to support charities.

“The funding we received will allow us to provide vital support for children with additional support needs or disabilities. This is a very unsettling time for these children and we are grateful to be able to play our part in continuing to provide as much normality and routine for them as possible.”

The £50 million Wellbeing Fund supports organisations across the third sector that are providing important services for people as a result of coronavirus. It is part of the £350 million emergency coronavirus funding announced by the Communities Secretary on 18 March.

£33 million of the Wellbeing Fund is open to applications, with grants available between £5,000 and £100,000.

The fund is being delivered through national organisations and funders including Scottish Council for Voluntary Organisations, Corra Foundation, Inspiring Scotland, Impact Funding Partners, The Hunter Foundation, The STV Children’s Appeal, and all of Scotland’s 32 Third Sector Interfaces (TSIs) which provide a single point of access for support and advice for the third sector within local areas.

Phase one of the Wellbeing Fund worth £14 million, has been awarded to a total of 558 projects to provide targeted support in local areas.

Applications for the second round of the Wellbeing Fund opened on 8 May to all organisations that did not apply or receive funding during the first round. As of 20 May, 237 applications had been received during round two worth £4,169,206.

Mental Health Awareness Week: Kindness Matters

NHS 24 reminds us that kindness matters during Mental Health Awareness Week:

NHS 24 is taking time during Mental Health Awareness Week to remind those who might need some support of their Breathing Space service, and the importance of being kind to yourself.

Breathing Space is a free, confidential phone and web based service for people in Scotland experiencing low mood, depression or anxiety.  The service offers a friendly ear while also providing professional support to those who might need it.

Tony McLaren, National Coordinator of Breathing Space, says: “We all need support from time to time, and it’s really important to remind ourselves that it’s ok to ask someone for help.

“Sometimes we can feel a bit stuck- you might think that others appear to be coping well, so why do I feel I am struggling? It’s worth remembering if you aren’t comfortable speaking to friends or family, you can ask for help on the phone as well. Our advisors will give you time to open up, should you be experiencing distress in your life.

‘Please don’t feel you have to wait until things are very bad to get in touch. Our service is there to provide space to think about why you might be feeling anxious or low. At this time it’s important to look after our mental health, and remind ourselves that kindness matters.”

Breathing Space is available on 0800 83 85 87 or on www.breathingspace.scot, Monday-Thursday 6pm to 2am and from Friday 6pm-Monday 6am.

Find us at www.twitter.com/nhs24 and www.facebook.com/nhs24

Contact-tracing app: We trust the NHS!

The UK public want the NHS to be the controlling body in Covid-19 contact-tracing app, says new research.

The public have massive trust in the NHS, who should have control and access to data in the Covid-19 contact-tracing app, according to new research by researchers at the University of Birmingham and in WMG at the University of Warwick.

Carsten Maple, Principal Investigator of the NCSC-EPSRC Academic Centre of Excellence in Cyber Security Research at the University of Warwick, who led the research, said: “With all of the possible design choices for a contact-tracing app, many commentators and experts have argued which approach is in the best interests of the public.

“For example, some have argued that centralised apps create privacy invasions that are unacceptable; others have argued that to be effective the apps should be centralised.

“However, as yet, the opinions of the public have not been gathered and so we have undertaken a significant survey to elicit their thoughts. We have examined how important privacy is to them and how willing they are to engage and share information.”

Dr Rebecca McDonald, lecturer in experimental economics from the University of Birmingham said: “The first encouraging results of our study are that only 9.6% of the public always chose to opt out of using the contact tracing apps we described to them.

“We asked people to express a direct preference between controlling the pandemic or preserving privacy, and we found that over half (57.4%) of participants favoured prioritising controlling the pandemic over privacy contrasting with around a fifth (20.1%) favouring  protecting privacy over controlling the pandemic.”

However the most powerful and important result from the survey was the contrasting degrees to which participants trust different agencies or individuals with their data, even when anonymised.

The group least trusted to be given access to this data was other app users but by far the most trusted group or organisation was the NHS.

Professor Carsten Maple in WMG at the University of Warwick said: “It is clear that the NHS enjoyed overwhelming trust in terms of access to personal data collected by such apps, even when anonymised. 

“Surprisingly, respondents’ choices suggest they would be most concerned about the decentralised approach that protects from Government access to information and instead shares information among other app users.

“The results indicate that users want a centralised approach, like the one currently being adopted by NHSX.”

“Our research clearly shows that the public is broadly supportive of the use of a COVID-19 contact tracing app and would download it in significant numbers, providing the app providers listen to their wishes on who should have access to their data.The NHS is by far the most trusted gatekeeper for that data.”

The table below shows in percentage terms how much more willing people are to use an app when their data is shared with different organisations (as in a centralised approach), compared to when it is shared with other app users (as in a decentralised approach).

NHS 70.5%
Researchers 53.4%
National Government 18.9%
Local Government 13.0%

The research highlights that people have a strong desire to understand the way a contact tracing app would work, and many respondents said they would need control over what data is shared about them, and who it is shared with, before they would be willing to download the app.

Since widespread uptake is needed for the app to be effective, addressing these potential barriers has to be at the heart of any large-scale roll out of the contact tracing app. The appetite is there, but the public need transparency in order to trust, download, and use the app.

The research also found that public would also have concerns about linking proximity data to other data sources. (They were particularly concerned about the linkage of their shopping location from credit/debit cards data).

Some also had concerns about practical things like the impact on their phone’s battery life, or the amount of data the app might need to use.

Care home staff and residents need support to manage their grief during Covid-19

Care home providers need to consider how they can provide support for their staff and residents during the Covid-19 pandemic, as they are likely to be experiencing significant concern and potentially grieving for residents who have died.

Covid-19 is causing thousands of deaths in UK care homes, so the British Psychological Society has launched new guidance to help staff and residents cope with this particularly frightening time.

Professor Nichola Rooney, chair of the BPS’s Covid-19 bereavement task force, said: “We have all seen distressing news reports and figures about the experience of our care homes during the Covid-19 pandemic.

“Staff are doing all that they can to protect and comfort residents at an extremely distressing time, and it’s vital that managers give them the support that they need to provide this and to cope with their own grief and concerns

“I hope that this guidance is useful for care home staff, residents and their friends and family in navigating what is an unprecedented and often harrowing time.”

While staff working in a care home may have experienced residents dying before, the guidance says that this does not make each death any easier to cope with, and that staff often develop close relationships with people that they care for.

It suggests that the contagious nature of Covid-19, requiring staff to wear personal protective equipment when dealing with residents, means that some may feel they are unable to provide the comfort to people that they would want.

Care home managers can help staff by making sure that they are given regular opportunities to talk about how they’re feeling, and accommodate regular and frequent breaks. They can consider ways that staff can collectively remember residents who have died, and celebrate their lives.

Care home residents can often face a range of challenges depending on possible medical conditions, and even those in later stages of dementia will be affected by changes in the care home’s day-to-day life.

Staff need to make sure that they maintain communication with residents, even when it feels like this is always to bring sad news. They should explain why changes, such as staff having to wear PPE, are important.

The guidance should be read alongside ‘Supporting yourself and others: coping with death and grief during the Covid-19 pandemic’. They were both produced by the BPS’s Covid-19 bereavement task force.

 

First Minister: further action to tackle ’employment challenge created by Covid’

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House on Tuesday 19 May:

Good afternoon everybody. Thank you for joining us. I want to start – as I always do – by updating you on some of the key statistics in relation to Covid-19 in Scotland.

As at 9 o’clock this morning, there have been 14,655 positive cases confirmed – an increase of 61 from yesterday.

A total of 1,447 patients are in hospital with Covid-19 – 969 who have been confirmed as having the virus, and 478 who are suspected of having Covid. That represents a total increase of 20 from yesterday, but within that a decrease of 36 in the number of confirmed cases.

A total of 59 people last night were in intensive care with either confirmed or suspected Covid 19. That is a decrease of 4 since yesterday.

I am also able to confirm today that since 5 March, a total of 3,408 patients who had tested positive for the virus have been able to leave hospital.

Unfortunately though I also have to report that in the last 24 hours, 29 deaths have been registered of patients who had been confirmed through a test as having Covid-19 – that takes the total number of deaths in Scotland, under that measurement, to 2,134.

Tomorrow we will have the latest publication from National Records of Scotland, which include not only people that have died having tested positive but all those deaths where Covid-19 has been mentioned on a death certificate.

As always, I want to send my deepest condolences to everyone who has lost and is grieving for a loved one as a result of this virus.

I also want to thank – as I always do – our health and care workers. The whole of the country continues to be very grateful to you for the extraordinary work that you are doing in these very challenging circumstances.

I have two items I want to briefly update on today. The first relates to the publication this morning of the latest employment figures in Scotland. These are for the period from January to March of this year. These are the first figures that include any of the period of the Covid-19 crisis.

They show that 113,000 people in Scotland are now unemployed – that is up from just under 100,000 in the previous three months.

That is an unemployment rate of 4.1%. Now, by historical standards, that actually is still a relatively low rate but of course it is important to stress that these figures, since they only extend up to the end of March, do not reflect the full economic impact of the pandemic.

They undoubtedly further demonstrate the need to carefully get our economy moving again as quickly as we are able to do that safely. And they underline the continuing need for government action to support the economy, and to help people keep their jobs or to enter or re-enter the workforce.

We know that the essential public health measures that we have had to take to deal with what is a public health emergency, are in themselves creating an economic emergency and that will have impact on people’s jobs, living standards and inequalities in our society.

And although the Job Retention Scheme has offered some relief to many employers and employees, I am very aware that many people will be deeply concerned about the future of their livelihoods.

That is why we have already allocated more than £2.3 billion to support businesses and protect livelihoods, and it is why we have welcomed so warmly many of the measures taken by the UK Government –including the Job Retention scheme.

In addition, Skills Development Scotland – as I discussed last week – has expanded its support for people seeking training or employment by establishing a phoneline and online service. The new online service – which highlights links to free courses which are available – has received 120,000 visits since it launched just over three weeks ago.

Today we are taking further action to tackle the employment challenge created by Covid.

Our Enterprise and Skills Strategic Board – which was first established 2 ½ years ago – will co-ordinate rapid action across our enterprise and skills agencies.

In doing so, it will ensure that our actions, now, are helping to equip people with the skills they need for the future. It will report back to us in June on what additional measures we need to take.

However I can confirm today that we will be investing a further £33 million to support people back to work as we gradually get the economy opened up again.

This initial  funding – most of which will be allocated to Fair Start Scotland, our devolved employability service –  will have a particular focus on helping those most adversely affected in times of economic downturn –  which are young people, disabled people and lone parents.

Today’s announcement is one further action amongst many in our efforts to tackle the economic impacts of this crisis, but it is, I think, an important one.

We know all too well from previous recessions that the longer people stay jobless, the greater the chance of further impacts – their skills can deteriorate, their confidence can fall, and that in turn can have an impact on future prospects.

We also know that these effects are of course bad for individuals – especially young people – and that they are also damaging for the economy as a whole. And that means that when an upturn comes, when the economy starts to recover, employers can find it more difficult to hire the people they need.

For all of these reasons, we are determined to do everything we can to protect Scotland’s workforce; to minimise – as far as we can  – the increase in unemployment; and to ensure that we are ready for a sustainable recovery. Today’s actions represent a further step in helping us to do that.

The second issue I want to talk about relates to the fact that this week is Mental Health Awareness Week. This year’s theme is kindness.

In many ways that’s especially appropriate right now. Kindness should, I think, be one of the core values of any good society.  And, as I suspect most of us have experienced in recent weeks, even small acts of kindness can make a huge difference to the way someone is feeling.

We have been aware throughout this crisis of the impact that Covid-19, and our lockdown measures, are likely to have on people’s mental health.

That is why we have expanded NHS 24’s telephone and online services to support mental health; it’s why we established a National Wellbeing Hub to support the mental health of NHS and social care staff; and it’s also why we launched the “Clear Your Head” campaign, which you may have seen in the media.

Clear Your Head provides practical advice on how to stay active, keep connected with friends and family, and create healthy routines to help get through this crisis.

Today we are making a further investment to support the mental health and wellbeing of parents and carers in particular.

Solihull Online is a programme that helps parents and carers to learn about what their  child may be going through, and developing nurturing and supportive relationships. From today, all parents and carers in Scotland will have access to the programme and if you are interested in this you can find more information by going to ParentClub.scot.

The final point I want to make, is that one of the most important things to remember during Mental Health Awareness Week, is that it’s okay not to feel okay – and that help is available.

You can speak to someone if you need to, and I would encourage you to do so. The Clear Your Head website – clearyourhead.scot – brings together our information about support that is available for mental health.

So please have a look at the website during the Awareness Week. And please, continue, as far as all of us can, to show kindness to each other as we try get through this crisis together.

Before I hand over to the CMO, I want to emphasise once again our key public health measures.

As is said yesterday, on Thursday this week we will publish a routemap, setting how on a phased basis, we will ease the lockdown while continuing to suppress the virus.

My hope and intention is that we will take the first concrete steps on that journey next week.

But, we will increase both the likelihood and the extent of that by sticking to the rules now.

Please stay at home except for essential purposes- such as daily exercise, going to essential work that you can’t do from home, or buying essential items.

You can now exercise more than once a day – but when you do leave home, stay more than 2 metres away from others. And do not meet up with people from other households.

Please think about wearing a face covering if you are in a shop or on public transport. And remember to wash your hands thoroughly and regularly.

Finally, if you or someone else in your household has symptoms of Covid-19, then you should stay at home completely. Those symptoms are a high temperature, a persistent cough, or now a change or loss of smell or taste.

For now, these restrictions do remain essential.

They are helping us to slow down the spread of the virus, to protect the NHS, and to save lives.

So thank you once again, to everyone, for your cooperation.

Life with M.E. is permanent lockdown, say Niamh and Rhona

Imagine the isolation you’ve been living with became your new normal. You’re unable to meet a friend for coffee, go to your favourite restaurant or travel on holiday. Your job becomes uncertain, and you live your life on permanent lockdown …

This is what life is like for many of the 21,000 adults, children and young people in Scotland living with the serious neurological condition, Myalgic Encephalomyelitis.

Niamh, 21, from Gullane, says the illness has robbed her of being a normal teenager: “I was academic and very sporty. At the time of my diagnosis I had competed in national and local squads. I got ill at 12, so the biggest change was missing out on teenage and school years. I still miss sports an awful lot.”

M.E. affects people’s bodies and brains ability to recover normally after any activity, physical and mental, and however small. On top of the significant daily challenges this presents fluctuating condition presents, much of the support and services people with M.E. in Scotland have come to rely on – such as supermarket deliveries or carers providing personal care – have disappeared overnight.

“We have been contacted by people with M.E. in truly desperate situations,” explains Sonya Chowdhury, Chief Executive, Action for M.E.

“So we set up our new Crisis, Support and Advocacy Service to meet this urgent need, sourcing practical local assistance such as help with shopping and picking-up medications, connecting people with peer-support, and advising on the ongoing changes to welfare benefits.

“So far, we have seen a three-fold increase in requests for urgent support – all at a time when our income is expected to drop by at least 50%. Like many other organisations and charities, we made the difficult decision to furlough several staff. We are continuing to make critical decisions to ensure we are here for people with M.E., now and in the future.”

For M.E. Awareness Month throughout May, the charity is encouraging people with M.E. to share their insight and experience when it comes to living with uncertainty and isolation, with the aim of shining a spotlight on this hidden condition.

Niamh added: “Chronic illness feels like lockdown – but being able to see your friends run around, go to parties, graduate from high school and grow up.

“For lots of people suffering with chronic illnesses, this lockdown may not end when the pubs start opening back up. For them, lockdown does not have a start date and an end date.”

Rhona Barton from Blackburn, Aberdeenshire is someone else who understands living in lockdown as normal life. Diagnosed with M.E. at 21 years old, she had to find a way to get through each day.

“What helped me when I was unwell included things such as hydrotherapy, very gentle massage, few people in a room with me at one time, no loud sounds/music/voices, hot water bottles to help with joint and muscle pain; a double duvet cover on a single bed to stop it falling off in the night and to keep me extra warm; a wheelchair for trips out to save energy; small meals but often; keeping a sense of humour and learning to balance my energy levels.”

Rhona has been well for 14 years now and puts her experience to good use.

“As I am now classed as well, I have been volunteering as a mentor for Action for M.E.’s Mentor M.E. project, and as a Coach for Age UK. My health has been steady and I’ve been able to build my own business around a work/life balance that’s right for me.”

As a mentor, Rhona shares her insight into living with a chronic illness with her mentee Charlotte, who says: “Talking to someone who has experienced M.E. for themselves and can really understand my condition and concerns has been an enormous help. Regular contact with Rhona, especially at the moment, has given me something to look forward to and enjoy.”

Rhona hopes the experience of lockdown will lead to a greater understanding of people, like Niamh and Charlotte, living with chronic illness.

“For all of those individuals that have never had to restrict their lives to their own homes, I’d like them to know that what they are experiencing during Covid-19 is the normal for those with chronic illnesses.

“The isolation, the low mood, the lack of structure, the inability to see others or just to do as you please, is our normal everyday life. I hope that, when this is past, those who are hidden, will be more visible to the rest of society.”

Anyone living with or caring for someone with M.E., of any age, can contact Action for M.E.’s Crisis, Support and Advocacy Service by email at questions@actionforme.org.uk or call on 0117 927 9551.