Tag: public health

Update to Coronavirus symptoms

Statement from the four UK Chief Medical Officers

A statement from the four UK Chief Medical Officers on an update to Coronavirus symptoms:

“From today, all individuals should self-isolate if they develop a new continuous cough or fever or anosmia.

“Anosmia is the loss or a change in your normal sense of smell. It can also affect your sense of taste as the two are closely linked.

“We have been closely monitoring the emerging data and evidence on COVID-19 and after thorough consideration, we are now confident enough to recommend this new measure.

“The individual’s household should also self-isolate for 14 days as per the current guidelines and the individual should stay at home for 7 days, or longer if they still have symptoms other than cough or loss of sense of smell or taste.”

Chief Medical Officer for Wales, Dr Frank Atherton
Chief Medical Officer for Northern Ireland, Dr Michael McBride
Chief Medical Officer for Scotland, Dr Gregor Smith
Chief Medical Officer for England, Professor Chris Whitty

Note:

Changes for the symptomatic individual and their household:

  • Individuals will need to self-isolate immediately if they develop a new continuous cough OR fever OR as of today, a loss or changed sense of normal smell or taste (Anosmia).
  • All members of their household must also self-isolate according to current guidelines, unless the symptomatic individual receives a negative test result.

Scottish Government strengthens oversight of care homes

New arrangements to significantly strengthen oversight of Scotland’s care homes have been published by the Scottish Government.

From today, clinical and care professionals at NHS boards and local authorities will have a lead role in the oversight for care homes in their area.

Every Health Board and local authority must put in place a multi-disciplinary team comprised of key clinical leads and the area’s Chief Social Work Officer.

The team’s remit will include daily discussions about the quality of care in each care home in their area, with particular focus on implementation of infection prevention and control, and the provision of expert clinical support to residents who have Coronavirus.

The short paper ‘Coronavirus (Covid 19) – enhanced professional clinical and care oversight of care homes’ also highlights issues around testing and contact tracing with escalation measures in place if issues cannot be resolved.

The paper builds on recent actions to ensure care home residents can be kept safe, including new guidance for the sector and amendments to the Coronavirus (Scotland) (No. 2) Bill which would ensure the swiftest possible intervention if care home residents are being put at serious risk due to services failing.

Health Secretary Jeane Freeman said: “The coronavirus pandemic has had a significant impact on Scotland’s social care services. It is of paramount importance that those using services, including residents of care homes and those supporting them, are provided with the best possible care and the Scottish Government is doing everything in its power to ensure that is the case.

“All organisations including care providers are responsible for effective and safe care in their services and are expected to work closely together and at pace to give effect to these arrangements. While these are unprecedented times, everything possible must be done to protect care home residents and staff from the effects of Covid-19.

“These new arrangements will ensure clarity and consistency across the country about the role of Health Boards and local authorities in helping to keep their residents safe from coronavirus and should be seen alongside other recent action the Scottish Government has taken, including publishing revised guidance for the sector, and amendments to the Coronavirus Bill being discussed at parliament next week.

“I want to assure staff, residents and their families that a safe residential environment in care homes remains our top priority.”

Coronavirus (Covid 19) – enhanced professional clinical and care oversight of care homes.

NHS Scotland to pilot contact tracing technology

NHS Scotland Contact tracing technology will be tested in NHS Fife, NHS Lanarkshire and NHS Highland from tomorrow (Monday 18 May).

The pilot, which is expected to last two weeks, will allow the health boards to test out the software which contact tracers will use to collect the information that they need digitally. This builds on existing contact tracing technology in place across the NHS and will allow health boards to trace more contacts faster.

This is the first step in moving towards an extended test, trace, isolate and support (TTIS) approach which will be used to keep transmission in communities low as the country moves out of lockdown.

Over 600 additional staff from the NHS are ready to begin this work, as part of the process of recruiting up to 2000 staff.

The software will be rolled out to all health boards by the end of May and then further enhanced during June.

Health Secretary Jeane Freeman said: “Technology will be an important tool to help us move towards the test, trace, isolate and support approach and safely exit lockdown.   

“The software we are developing in Scotland is built on a tried and trusted platform and will allow us to carry out contact tracing on a much larger scale than has been necessary until now. It will also focus on supporting public health teams identify outbreaks and reduce transmission in high risk groups and settings by making it easier for staff to collect and record information.

“The test, trace, isolate and support approach is about breaking the chain of transmission of the virus but it remains vital that alongside this people continue to follow physical distancing advice and practise good hand and cough hygiene.”

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

Care sector ‘safety net’ proposed

New measures have been proposed to ensure swift intervention if care home residents are being put at serious risk due to services failing.

The move comes after the Care Inspectorate began legal action which could prevent operator HC-One running the Home Farm Care Home in Portree, where nine residents have now died.

The planned emergency powers are being put forward as a Scottish Government amendment to the Coronavirus (Scotland) (No. 2) Bill ahead of Stage 2 next week.

The amendments make clear that, if there was a significant risk to the life, health or wellbeing of individuals, or that a provider was unable to deliver care due to failure, that strengthened emergency powers will be available to ensure continuity of care.

If passed by the Scottish Parliament, the emergency powers will provide assurance to those who depend on care services, their families, and the staff that deliver care, that additional oversight and support is available in the rare circumstances that it may be required.

Health Secretary Jeane Freeman said: “The coronavirus pandemic has significantly impacted social care services around the world. In the face of this challenge, staff in care homes across Scotland have been working incredibly hard to care for their residents.

“It is of paramount importance that anyone living in a care home or using other care services, as well as those supporting them, are provided with the best possible care. We will do everything we can to ensure that remains the case. We are fortunate that this high standard of care is the norm for the vast majority of care home residents in Scotland.

“However, for the duration of this pandemic I believe that it is critical that a clear safety net is in place to ensure that if a care provider was unable to continue to deliver services, that the people who depend on those services should not be impacted. Our proposals build on established powers and would put beyond doubt that immediate action can be taken if continuity of care was jeopardised for any reason.

“The Care Inspectorate has a robust inspection regime for the care sector and the further steps we are hoping to take, if the parliament agrees, help bolster that work and would only be exercised as a last resort. There is guidance available for care providers on how to manage the current situation, which the Scottish Government expects to be followed.

“Every resident in our care homes, their family and the staff who work there should be kept safe from harm and we are prepared to take action where this is not the case.”

Shapps: ‘We want to keep this momentum going’

Transport Secretary Grant Shapps gave the UK Government’s daily media briefing yesterday.

He described how the time during lockdown has been used to fix and upgrade road and rail infrastructure, including plans to help the economy bounce back.

Good afternoon and welcome to today’s Downing Street press conference. I’m pleased to be joined by Professor Jonathan Van-Tam.

Latest data

Let me start by updating you on the latest information from the Government’s COBR data file.

Through our monitoring and testing programme, as of today:

  • 2,219,281 tests for coronavirus have now been carried out in the UK, including a new record of 126,064 tests carried out yesterday
  • 233,151 people have tested positive, that’s an increase of 3,446 cases since yesterday
  • 11,041 people are in hospital with COVID-19, down 14% from a week ago, when 12,802 patients were hospitalised
  • and sadly, of those tested positive for coronavirus, 33,614 have now died – that’s an increase of 428 fatalities since yesterday.

This new figure includes deaths in all settings not just in hospitals.

Our deepest sympathies go out to the families and friends as the nation battles to defeat the disease.

Main content

Today I’m going to set out how – whilst the country has been at a virtual standstill – this downtime has been used to fix and upgrade the nation’s road and rail infrastructure, along with plans to help our economy bounce back.

But before I set out today’s transport announcements, let me briefly remind you of the government’s roadmap out of this crisis.

As you know, we have established a new COVID Alert System, with five levels – based primarily on the R value and the number of cases.

Throughout the lockdown, we have been at Level 4.

Thanks to the British people, we have brought the R down and we can now begin moving carefully to Level 3.

From this week we’re at Step 1, meaning that:

  • those who cannot work from home should now speak to their employer about going back to work
  • you can now spend time outdoors and exercise as much as you like
  • you can meet one person who’s not part of your household outside, provided you stay 2 metres apart

Step 2 – from June 1, at the earliest, as long as it’s safe, we aim to allow:

  • primary schools to reopen for some pupils, in smaller class sizes
  • non-essential retail to start to reopen
  • cultural and sporting events to take place behind closed doors, without crowds

And then Step 3 – no earlier than July 4, and again, only if the data says it’s safe, we aim to allow:

  • more businesses to open, including those offering personal care, those in the leisure sector, together with places of worship

We can control this virus if we stay alert.

But what does staying alert actually mean?

Staying alert, for the vast majority of people still means staying at home as much as possible, and working from home if you can.

But it also means:

  • limiting contact with other people
  • keeping your distance if you go out
  • washing your hands regularly
  • wearing a face covering in enclosed spaces where it’s difficult to be socially distant – for example on public transport
  • and if you or anyone in your household has symptoms, you all need to self-isolate

If everyone stays alert and follows the rules, we can control coronavirus by keeping the R down and reducing the number of infections.

This is how we can continue to save lives, and livelihoods, as we begin as a nation to recover from coronavirus.

Transport context

Today I want to update you on the measures we’re taking to speed up our economic recovery while keeping people safe.

For 2 months, we’ve remained in lockdown, travelling as little as possible, and in doing so, the whole country has protected the NHS and helped reduce the number of COVID infections.

But as we begin making tentative steps towards restarting our economy and people in some sectors who can’t work from home begin to return to their workplaces, it is clear that transport has a critical role to play.

Last Saturday, I explained why it’s our civic duty to avoid public transport, if at all possible.

Because, even when we have 100% of services up and running, there may only be socially-distanced space available for 1 in 10 passengers.

Therefore, in order to help reduce crowding, we set out a £2 billion programme to put cycling and walking at the heart of transport, with £250 million emergency spending already underway.

Over the past week, we have followed this up by publishing 3 pieces of detailed guidance.

First, for local authorities in England, explaining how they should prepare for significantly-increased numbers of cyclists and pedestrians.

Next, for the transport sector, to ensure they provide safer services for those travelling, and safer workplaces for their staff.

And third, and most importantly, for passengers.

We’re asking the public to help ensure that the transport system does not become significantly overwhelmed by returning commuters.

The guidance makes clear, that if you can’t walk or cycle but you do have access to a car, please use it, rather than travelling by bus, train or tram…..

Especially where that public transport is liable to be overcrowded.

And, for those people who absolutely need to use public transport…

It also explains how you can best protect yourself and those around you.

Transport upgrades during lockdown

In the coming weeks, as we carefully and cautiously restart sectors of our economy, and people begin to travel once again…

They should notice that, whilst the country has been in down-time …

…with the roads and railways quiet…

We’ve been busy…

Getting on with essential work….

Fixing the nation’s infrastructure…

So we can recover faster when the time comes.

This upgrade programme…

…the kind of work that – at any other time – would cause inevitable disruption and service delays, whilst costing the taxpayer more…

…has instead been carried out in previously unimaginable circumstances of a largely unused transport network.

For example, we completed 419 separate Network Rail projects over Easter, with a further 1,000 upgrades being carried out throughout the May bank holidays.

Meanwhile, Highways England has been busy accelerating maintenance projects on the nation’s roads.

Last week, for example, we opened the vital A14 upgrade 7 months ahead of schedule.

This is a route normally used by 85,000 drivers daily, which will dramatically improve access to the UK’s largest container port at Felixstowe and permanently boost the distribution of goods around the UK.

As Northern Powerhouse minister – I can report that – in the North, we’ve delivered £96 million of rail infrastructure improvements during April.

And throughout the country, we’ve accelerated maintenance projects on road and rail…

Whilst always sticking to PHE safety guidelines…..

So that altogether, Highways England has delivered over £200 million of upgrades, and Network Rail £550 million worth, during April alone.

I’d like to thank the army of transport and construction workers who have been grafting very hard throughout the lockdown.

Building future infrastructure

But to make sure that Britain is ready to bounce-back from coronavirus…

Today I can announce nearly £2 billion to upgrade our roads and railways, to put our transport infrastructure in the best possible shape and to get our economy growing once again.

This package includes £1.7 billion for local roads – making journeys smoother and safer for drivers, hauliers, cyclists, motorcyclists, pedestrians and others…

By filling millions of dangerous potholes, we will make our roads safer – and encourage more people to cycle, or even take part in the upcoming e-scooter trials…

Helping more people play a part in relieving pressure on public transport.

This investment will also help fix damage caused by winter flooding, repair roads and bridges, and fund numerous road improvement schemes.

As more people become mobile again, we’ll be building a network of rapid charging stations for electric cars…

Including a big expansion of rapid-charging facilities at motorway service stations…

Helping the country to lock-in the dramatic air-quality improvements we’ve experienced during the coronavirus lockdown.

A better future

Amid all the sad news and tragedy of loved ones we’ve lost, we’ve somehow managed to do things in weeks that would normally take years…

Building new hospitals…

Moving public services online…

Making instant reforms and fast-tracking new laws…

Extraordinary changes in the way that employers and employees work…

Effectively taking large swathes of the economy online almost overnight…

Now we want to keep this momentum going.

If building a new hospital takes 2 weeks, why should building a new road still take as long as 20 years?

If GP surgeries can quickly move online, why are most rail passengers still travelling on cardboard tickets?

We must exploit our newfound capacity to respond at pace and apply it to rapidly improving our infrastructure.

And we must examine why it is that bureaucratic bindweed makes British infrastructure some of the costliest and slowest in Europe to build.

Because whilst many will continue to work from home even after this immediate crisis…

…both the long-term transport trend and the pressing need to level-up communities across the country, dictate that infrastructure will be even more important in stimulating our recovery and supporting new jobs.

So by combining fast home-internet access, with vastly upgraded transport connections, we can help revive many of our small and medium-sized towns which over decades have been left behind.

Closing remarks

This has been a devastating start to the year, not just for Britain, but for the world.

And we are only at Phase 1 of the recovery plan.

But we all know that it is our reaction to adversity that will ultimately define how we recover.

We must harness our approach to tackling the pandemic….

And apply it to rebuilding our own infrastructure.

With the same swift action, innovation, and collective determination that has characterised the past few months…..

And in doing so, we can emerge stronger.

70 million face masks for NHS and care workers through new industry deal

  • Government agrees deal with technology company Honeywell to manufacture 70 million face masks for frontline workers
  • New deal part of plan to unleash potential of UK industry to scale up domestic personal protective equipment (PPE) manufacturing
  • The production line has capacity to produce up to 4.5 million masks each month and will create 450 new jobs at the production site

More than 70 million face masks will be manufactured in Scotland and delivered to frontline health and care workers following an agreement with a global technology company, the UK government has announced.

FFP2 and FFP3 masks will be produced over an 18-month period at Honeywell’s site in Newhouse, Scotland, with production set to begin as early as July. Each month will see up to 4.5 million masks roll off the production line, ready for distribution to frontline NHS and social care workers.

It marks a significant moment in the government’s ‘make’ programme, headed up by Lord Deighton, which seeks to unleash the potential of UK industry to scale up domestic PPE manufacturing.

The move supports the government’s continued efforts to ensure PPE reaches those fighting the virus on the frontline, with over 1.25 billion items of PPE delivered to health and social care workers since the outbreak began.

Additionally, the new production line will create approximately 450 new jobs at the Scotland site.

Health and Social Care Secretary Matt Hancock said: “These 70 million masks are the result of our challenge to UK industry to scale up domestic PPE manufacturing.

“This deal is brilliant news for the whole United Kingdom which will not only deliver the masks we need but create around 450 jobs in Newhouse, Scotland.

“I’m delighted to team up with Honeywell to open up another avenue to get millions of masks to the frontline and strengthen our ongoing response to the outbreak.

Lord Paul Deighton, adviser to the Secretary of State on PPE, said: ““As countries around the world face unprecedented demand for PPE, British industry is stepping forward to make sure vital pieces of equipment reach our workers on the frontline.

“My role is to increase our homegrown PPE supplies, both now and in the future, by investing in the potential of UK manufacturing. This fantastic deal announced with Honeywell today marks a significant step along the way.”

The government has ordered 70 million of the locally produced FFP2 and FFP3 Honeywell SuperOne disposable respirator masks. These are certified to the highest international PPE standards, compliant with EU regulations, and must meet UK quality and safety standards before being delivered to healthcare settings via the NHS Supply Chain from July.

Will Lange, President of Honeywell’s PPE business, said: “As a global leader of high-quality personal protective equipment, Honeywell is committed to getting safety gear to those who need it most, including workers on the frontline in the fight against COVID-19.

“Our Newhouse facility has both the physical capacity and technical capabilities to launch a large-scale respirator production line in such a short timeframe, and we are proud of our teams who are bringing new manufacturing capabilities to the United Kingdom as quickly as possible to support the country’s response to the pandemic.”

Scottish Secretary Alister Jack said: “As well as creating 450 new jobs and boosting the local economy it is great a company with manufacturing facilities in Scotland can help ensure our heroic frontline workers have the PPE they need to carry out their lifesaving work.

“Our UK-wide strategy is continuing to manage and supply protective equipment to the people that need it in all 4 nations.”

The agreement announced today is the latest in a number of steps the government is taking to ramp up PPE production and distribution. New collaborations between the government and organisations including Amazon, the Royal Mint and Jaguar Land Rover, will see increased production and delivery across all PPE products.

A PPE distribution network with the NHS, industry and armed forces, and a 24-hour NHS-run helpline that’s received around 35,000 calls since it was set up, have also been established as part of the government’s national PPE plan.

Care Inspectorate takes legal action over Skye’s Home Farm Care Home

Plugins 0

The Care Inspectorate has taken legal action over the running of a private care home on Skye where seven residents have died in a coronavirus outbreak.

The inspectorate has asked the Sheriff Court to cancel the registration of the HC-One-owned Home Farm 40-bed nursing home facility in Portree.

It follows an unannounced inspection of the home on Tuesday.

A spokesperson for the Care Inspectorate said: “An inspection has identified serious and significant concerns about the quality of care experienced by residents at Home Farm Care Home in Skye. 

“We understand this is a difficult and distressing time for residents, their loved ones and staff at the home.

“However, our first priority is always the health and wellbeing of residents.

“We have submitted an application to the sheriff court seeking cancellation of the care home’s registration.

“This could mean new care arrangements will be put in place for residents at Home Farm care home.

“We are working closely with partners including NHS Highland to ensure that residents experience appropriate care during this difficult time.”

In addition to the seven deaths, 30 of the nursing home’s 34 residents and 29 staff have tested positive for Covid-19.

A spokesman for HC- One, who operate 56 homes in Scotland, told the BBC: “We have accepted the shortcomings at Home Farm and apologise to our residents, their families, and the local community. We are fully committed to making significant improvements at the home and determined to put things right.”

On HC-One’s website – their slogan is ‘the kind care company’ – Home Farm is described:

‘The home’s caring team has created a family atmosphere, encouraging everyone to eat and celebrate special occasions together. Residents are invited to decorate their rooms with small items of their own furniture and treasured belongings so that it feels just like home. Daily life is carefully designed to support mind, body and soul.

‘Home Farm’s Home Manager makes sure that all Residents receive the kindest possible care. Our extensively trained team will deliver all the nursing and specialist care and support services that your loved one requires.

‘Personalised care plans consider not only medical, personal and dietary needs, but also the individual’s likes and dislikes, religious preferences, and suggestions from family members that might make their stay with us that little bit more enjoyable’.

On 29 April, HC-One wrote to local authorities seeking additional funds:

As we have done throughout the coronavirus crisis, we firmly believe we have a responsibility to our Residents, our Colleagues and to the wider public to highlight the challenges facing care homes at this unprecedented time.

This is why we have published online each day the total number of coronavirus cases and deaths experienced at our homes, and why we are also publishing in full the letter we have sent to the Local Authorities we work with regarding our request for financial support.

The Government has previously announced £3.2bn of additional funding for Local Authorities in response to the additional costs placed on them and their partners, which include all social care providers, by the coronavirus outbreak. We welcomed this announcement and the priority now is that this money reaches the front line.

As set out in our letter, HC-One has been significantly impacted by coronavirus including most importantly and most sadly the loss of more than 700 Residents and three Colleagues from this terrible virus. Alongside this, admissions have understandably fallen, and costs have significantly increased as we invest in the PPE needed to keep our Residents and Colleagues safe.

As a responsible provider, we entered this year and this crisis in a very strong financial position. In response to the financial impact of coronavirus we have taken a range of measures, including engaging with our lenders and our owners, to make sure we have the balance sheet resilience needed to see us through this challenging time.

These are prudent and responsible steps to take, as is looking at our income in the short term and engaging with the organisations that pay for the Residents living in our homes.

The Local Government Association and the Association of Directors of Adult Social Services, which represents Local Authorities and Social Care Commissioners respectively, have highlighted that care providers experienced a predicted 10% increase in costs linked to their coronavirus response.

Our letter therefore seeks to start a conversation with our Local Authority partners on how we can access some of the additional funding provided by Government to cover these additional costs.

We clearly set out the impact of the virus on our organisation, the statistical modelling we’ve completed that shows the predicted future impact of this deadly virus, the proactive steps we have taken to build financial resilience, and our request to discuss an income guarantee to assist us in the short term.
 
This request aligns with the Government’s COVID-19 Social Care Action Plan, which states Local Authorities must “protect providers’ cashflow”, and reflects the offers we’ve already received from some of our Local Authority partners who recognise the vital role our homes play in communities across the UK.
 
We are fortunate to be in a financially stable position, and to have the support of owners who are invested in the organisation and its mission for the long-term. We are therefore confident we can ‘weather the storm’ caused by coronavirus. Nevertheless, the responsible and prudent action was to engage with our funders, commissioners and lenders to make sure we build the most resilient financial position possible to achieve this.  
 
As we move forward during this public health emergency, HC-One will continue to focus solely on protecting the health and wellbeing of our Residents and Colleagues.

This includes providing the PPE, training and wellbeing support our teams need, but also engaging transparently in conversations with our funding partners about the additional financial support required to support our organisation.

Since the Care Inspectorate’s intervention it has been announced than an eighth resident has died.

Health Secretary Jeane Freeman and Scottish Care CEO Donald Macaskill have wriiten a joint letter to all care home staff in Scotland this morning.

JF_and_DM_-_CARE_HOME_STAFF_letter_-_May_2020

An inspection report will be published in due course.

WHO: Substantial investment needed to avert mental health crisis

The COVID-19 pandemic is highlighting the need to urgently increase investment in services for mental health or risk a massive increase in mental health conditions in the coming months, according to a policy brief on COVID-19 and mental health issued by the United Nations today.

“The impact of the pandemic on people’s mental health is already extremely concerning,” said Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization. “Social isolation, fear of contagion, and loss of family members is compounded by the distress caused by loss of income and often employment.”

Depression and anxiety are increasing

Reports already indicate an increase in symptoms of depression and anxiety in a number of countries. A study in Ethiopia, in April 2020, reported a 3-fold increase in the prevalence of symptoms of depression compared to estimates from Ethiopia before the epidemic.

Specific population groups are at particular risk of COVID-related psychological distress. Frontline health-care workers, faced with heavy workloads, life-or-death decisions, and risk of infection, are particularly affected. During the pandemic, in China, health-care workers have reported high rates of depression (50%), anxiety (45%), and insomnia (34%) and in Canada, 47% of health-care workers have reported a need for psychological support.

Children and adolescents are also at risk. Parents in Italy and Spain have reported that their children have had difficulties concentrating, as well as irritability, restlessness and nervousness. Stay-at-home measures have come with a heightened risk of children witnessing or suffering violence and abuse. Children with disabilities, children in crowded settings and those who live and work on the streets are particularly vulnerable.

Other groups that are at particular risk are women, particularly those who are juggling home-schooling, working from home and household tasks, older persons and people with pre-existing mental health conditions. A study carried out with young people with a history of mental health needs living in the UK reports that 32% of them agreed that the pandemic had made their mental health much worse.

An increase in alcohol consumption is another area of concern for mental health experts. Statistics from Canada report that 20% of 15-49 year-olds have increased their alcohol consumption during the pandemic.

Mental health services interrupted

The increase in people in need of mental health or psychosocial support has been compounded by the interruption to physical and mental health services in many countries. In addition to the conversion of mental health facilities into care facilities for people with COVID-19, care systems have been affected by mental health staff being infected with the virus and the closing of face-to-face services. Community services, such as self-help groups for alcohol and drug dependence, have, in many countries, been unable to meet for several months.

“It is now crystal clear that mental health needs must be treated as a core element of our response to and recovery from the COVID-19 pandemic,” said Dr Tedros Adhanom Ghebreyesus. “This is a collective responsibility of governments and civil society, with the support of the whole United Nations System. A failure to take people’s emotional well-being seriously will lead to long-term social and economic costs to society.”

Finding ways to provide services

In concrete terms, it is critical that people living with mental health conditions have continued access to treatment. Changes in approaches to provision of mental health care and  psychosocial support are showing signs of success in some countries.

In Madrid, when more than 60% of mental health beds were converted to care for people with COVID-19, where possible, people with severe conditions were moved to private clinics to ensure continuity of care. Local policy-makers identified emergency psychiatry as an essential service to enable mental health-care workers to continue outpatient services over the phone. Home visits were organized for the most serious cases.

Teams from Egypt, Kenya, Nepal, Malaysia and New Zealand, among others, have reported creating increased capacity of emergency telephone lines for mental health to reach people in need.

Support for community actions that strengthen social cohesion and reduce loneliness, particularly for the most vulnerable, such as older people, must continue. Such support is required from government, local authorities, the private sector and members of the general public, with initiatives such as provision of food parcels, regular phone check-ins with people living alone, and organization of online activities for intellective and cognitive stimulation.

An opportunity to build back better

“The scaling-up and reorganization of mental health services that is now needed on a global scale is an opportunity to build a mental health system that is fit for the future,” said Dévora Kestel, Director of the Department of Mental Health and Substance Use at WHO.

“This means developing and funding national plans that shift care away from institutions to community services, ensuring coverage for mental health conditions in health insurance packages and building the human resource capacity to deliver quality mental health and social care in the community.”

Call to restart cancer services in Scotland

Scottish Conservatives Lothian MSP, Miles Briggs, has called for the Scottish Government to publish an NHS Scotland Recovery Plan to restart services disrupted by Covid-19, particularly cancer services.

In preparation for the Covid crisis NHS Scotland went to great lengths to free up capacity and many services were paused.

Elective surgeries were postponed for three months to free up beds and cancer screening programmes for breast, cervical and bowel cancer as well as some cancer operations were also indefinitely halted.

Now cancer charities have issued a plea to the Scottish government to get cancer services up and running again and the Scottish Conservatives have asked for a plan to deal with the backlog in treatment and operations.

In NHS England cancer treatments restarted over two weeks ago.

In addition, this morning ISD Scotland published figures showing that attendances at A&E services have dropped dramatically since the end of march, due to the measures put in place to respond to COVID-19.

The statistics highlight that during the week of the 3 May only 16,107 people were seen at A&E, compared to 27,845 for the same week in 2019, the previous year, a staggering drop of over 40%. 

Miles Briggs, Scottish Conservative shadow health secretary said: “It is vital that the Scottish Government brings forward an NHS Recovery Plan – a plan to restart our health service, particularly cancer services and operations, in Scotland.

“Over the last two months, in so many ways, people have selflessly put their own needs on hold.

“The A&E figures show that people have been staying away from the NHS meaning many people may be suffering in silence.

“But further delays will mean more patients could have poorer outcomes.

“It is now over two weeks since NHS England restarted cancer treatments, we could too.

“Thanks to the incredible work from everyone who works in our NHS, our health service has not been overwhelmed during this crisis.

“The Scottish Government must publish a plan to deal with the current backlog of operations and treatments and give everyone access to the healthcare they need before it’s too late.”

Working safely during coronavirus?

Guidance launched to help get Brits ENGLAND safely back to work

The UK Government has published guidance for employers in England to help them get their businesses back up and running and workplaces operating safely – but the TUC says the plans won’t make workplaces safe.

For the timebeing Scotland, Wales and Northern Ireland are sticking to their ‘stay at home’ message.

  • Practical guidelines published to make workplaces as safe as possible and give people confidence to go back to work during coronavirus pandemic
  • documents developed in consultation with approximately 250 businesses, unions, industry leaders as well as devolved administrations
  • up to an extra £14 million made available for the Health and Safety Executive (HSE) for extra call centre employees, inspectors and equipment
  • guidance provides employers with a downloadable notice businesses should display to show people they have followed the guidance

New ‘COVID-19 secure’ guidelines are available to employers to help them get their businesses back up and running and workplaces operating as safely as possible.

This follows the Prime Minister setting out steps to beat the virus and restart the economy, so we can protect jobs, restore people’s livelihoods and fund the country’s vital public services.

The government has consulted approximately 250 stakeholders in preparing the guidance. It has been developed with input from firms, unions, industry bodies and the devolved administrations in Northern Ireland, Scotland and Wales and in consultation with Public Health England (PHE) and the Health and Safety Executive (HSE), to develop best practice on the safest ways of working across the economy, providing people with the confidence they need to return to work.

The new guidance covers 8 workplace settings which are allowed to be open, from outdoor environments and construction sites to factories and takeaways. This sets out practical steps for businesses focused on 5 key points, which should be implemented as soon as it is practical:

1. Work from home, if you can

All reasonable steps should be taken by employers to help people work from home. But for those who cannot work from home and whose workplace has not been told to close, our message is clear: you should go to work. Staff should speak to their employer about when their workplace will open.

2. Carry out a COVID-19 risk assessment, in consultation with workers or trade unions

This guidance operates within current health and safety employment and equalities legislation and employers will need to carry out COVID-19 risk assessments in consultation with their workers or trade unions, to establish what guidelines to put in place. If possible, employers should publish the results of their risk assessments on their website and we expect all businesses with over 50 employees to do so.

3. Maintain 2 metres social distancing, wherever possible

Employers should re-design workspaces to maintain 2 metre distances between people by staggering start times, creating one way walk-throughs, opening more entrances and exits, or changing seating layouts in break rooms.

4. Where people cannot be 2 metres apart, manage transmission risk

Employers should look into putting barriers in shared spaces, creating workplace shift patterns or fixed teams minimising the number of people in contact with one another, or ensuring colleagues are facing away from each other.

5. Reinforcing cleaning processes

Workplaces should be cleaned more frequently, paying close attention to high-contact objects like door handles and keyboards. Employers should provide handwashing facilities or hand sanitisers at entry and exit points.

A downloadable notice is included in the documents, which employers should display in their workplaces to show their employees, customers and other visitors to their workplace, that they have followed this guidance.

Business Secretary Alok Sharma said: “This guidance provides a framework to get the UK back to work in a way that is safe for everyone.

“These are practical steps to enable employers to identify risks that COVID-19 creates and to take pragmatic measures to mitigate them.

“And as we are able to reopen new sectors of the economy, we will continue our collaborative approach working with a wide range of stakeholders, to provide guidance for additional workplaces.”

Sarah Albon, Chief Executive of the Health and Safety Executive, said: “The BEIS guidance issued today sets out practical steps employers can take to enable staff to continue and return to work.

“We have worked with BEIS to ensure businesses have access to the information they need to put in place measures to help them work safely. This will assist employers in carrying out risk assessments and putting practical measures in place.

“At the heart of the return to work is controlling the risk posed by the virus. Ensuring safe working practices are in place will help deliver a safe return to work and support businesses across the country.”

Craig Beaumont, Director of External Affairs and Advocacy at the Federation of Small Businesses commented: “FSB has engaged through this process with the Department for Business, Energy & Industrial Strategy and we appreciate that our points have been taken on board for the UK small business community.

“Today’s guidance is practical, workable and proportionate for small businesses.

“It will be a long journey but this guidance will provide the basis for small employers to have the positive conversations needed with their staff. This is the first step to getting the economy back on its feet.”

Carolyn Fairbairn, Director-General of the CBI, commented: “Safety is at the heart of business thinking. Unless people feel safe, employees won’t return, customers will stay away and the restart will falter, harming livelihoods and public services.

“This guidance will help. It gives firms a clearer picture of how to reopen safely and gradually.

“The guidance builds on the good proactive plans many firms have developed during lockdown. Excellent employee engagement, fast workplace innovation and transparency have helped many companies support livelihoods. It’s right to build on this.

“The UK faces months of change and challenge. These guidelines will need to continue to evolve based on insight from the ground.

“And employers, employee representatives and relevant enforcement agencies must work together, supporting these plans to build public trust and get our economy back on its feet.”

Jonathan Geldart, Director General of the Institute of Directors. commented: “This guidance is an important first step. It won’t provide every answer, no guidance can, but directors can use it to inform their risk assessments for operating in this pandemic.

“Ultimately, the decision lies with a company’s directors, and they need to feel comfortable they can operate safely. Decisions on re-opening will not be taken lightly. Business leaders want to stand on their own two feet, but most can’t operate at anything like normal capacity at the moment, and making adjustments to protect staff and customers will be a big challenge for many workplaces.

“We hope and expect the guidance to evolve over time, but this is a place for employers to start on the long path to getting the economy going again.”

The guidance applies to businesses currently open. This also includes guidance for shops which we believe may be in a position to begin a phased reopening at the earliest from the 1 June.

Guidance for other sectors that are not currently open will be developed and published ahead of those establishments opening to give those businesses time to plan.

The UK government will also shortly set up taskforces to work with these sectors to develop safe ways for them to open at the earliest point at which it is safe to do so, as well as pilot re-openings to test businesses’ ability to adopt the guidelines.

As part of Monday’s announcement, the government has made available up to an extra £14 million for the HSE, equivalent to an increase of 10% of their budget, for extra call centre employees, inspectors and equipment if needed.

REMEMBER – this guidance is for ENGLAND ONLY

Government guidance on returning to work is a step in the right direction, but more must be done to ensure employers manage safe working properly, says the TUC’s Antonia Bance: 

On Sunday night, 10 May 2020, the prime minister encouraged workers to start returning to work.

Although he meant workers who can’t work from home in industries that haven’t been closed, his words took unions and employers by surprise.

And they created real confusion and anxiety overnight, as workers wondered if they had to report for work in the morning.

Unions want to support a safe return to work. That’s how we will get on with rebuilding Britain.

We don’t take a view on the speed of the return to work – we’re not scientists. What we are expert in is how to keep working people safe at work.

The UK needs a safe and managed return to normal working. That means consulting properly with unions and employers on guidance, getting it out to firms, giving them time to implement it, making sure the right PPE is available, ensuring that our transport systems and schools are safe, and then announcing dates when people could safely return to work.

This process must be gradual, and it must be safe – but that’s not what has happened.

Why workplace safety matters

This stuff really matters, because the impact of this government’s failures on workplace safety has already been horrific.

According to TUC analysis of new figures released by the ONS this week, a male security worker is four times more likely to die of Covid-19 than the male average. A female hairdresser is over three times as likely to die than the female average.

The government has to take a tough new approach to keeping people safe at work to protect as many lives as possible.

Late last month, the business department consulted unions and employers on detailed back-to-work guidelines.

The first draft was poor – it misrepresented the existing law, left out key protections for vulnerable groups, and there was a blank space where the section on PPE should have been.

We demanded immediate and substantial changes to the guidance – and were clear that we could not support them as they stood. The government went quiet.

Fast forward to yesterday. After 24 hours of chaos and concern over the PM’s premature announcement and news that low-paid workers were disproportionately dying from coronavirus, the business department finally published their detailed guidelines.

And though they aren’t everything unions wanted, they are a step in the right direction.

Union pressure worked.

So what changed?

We said every employer should publish their risk assessment – and the government will encourage employers to do this.

We demanded more money for the Health and Safety Executive – and £14m has been allocated.

We raised real concerns about the language and tone of the guidance – and are glad to see it is now tougher, reminding employers of their responsibilities and not just asking them to “consider” taking action.

Social distancing has been reinstated as the key risk control measure, with only very few exceptions. And vulnerable workers will get the extra protection they need.

But the new detailed guidance still falls short. Covid-19 will pose a risk for months to come, so it’s vital that employers manage safe working properly.

Unions will keep up the pressure on government to improve the rules as more and more people go back to work.

What still needs to change?

First, there must be a legal requirement for employers to publish their risk assessment.

Everyone needs to be able to see what a firm is doing to keep their workers – and their customers and the wider community – safe. This works well for gender pay gap reporting, and it’s a great resource for proactive enforcement.

We need the government to get to grips with the PPE crisis. The priority is workers in health and social care but other workers may need forms of PPE too, depending on the risk assessment in their workplaces.

Getting the right rules is only half the battle

Now it’s for employers to comply with the new, transparent, risk assessment regime. They need to consult their unions and workforces and get union agreement to the actions they are taking to keep workers safe.

The UK’s 100,000 health and safety reps – experts in workplace hazards – are ready to make sure every employer complies, including providing advice and guidance in non-unionised workplaces.

And when employers get it wrong, we need strong and swift enforcement

The Health and Safety Executive got £14m extra funding yesterday. Unions want to make sure it’s used to proactively get out to the riskiest workplaces and crack down on rogue employers.

Both inspections and prosecutions have fallen by more than 80 per cent since 2001. The HSE must have the capacity to inspect and challenge every employer that breaks the rules, and prosecute those who neglect worker safety.

And it must be matched by local authority enforcement teams getting out to make sure shops and warehouses are safe.

Questions remain

We still have big questions about how we manage public transport safely – for passengers and transport workers.

The government’s rushed plans to reopen schools are deeply worrying for staff and parents alike. And we know that without childcare, going back to workplaces will be impossible for many.

Working people are rightly worried about how to protect themselves and their loved ones. We need a gradual, safe return to workplaces. That’s how to build public confidence – and get the economy moving again.

There are 8 workplace guidance documents now available under Working safely during coronavirus (COVID-19) guidance.

REMEMBER – this guidance is for ENGLAND ONLY