public health – Page 56 – The NEN

First Minister hammers home the STAY AT HOME message

Statement given by the First Minister Nicola Sturgeon at a media briefing in St. Andrew’s House, Edinburgh on Monday 11 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 13,627 positive cases confirmed – an increase of 141 from yesterday.

A total of 1,453 patients are in hospital with COVID-19 – that is a decrease of 31 from yesterday.

A total of 80 people last night were in intensive care with confirmed or suspected COVID 19. That is a decrease of 2 since yesterday.

I am also able to confirm today that since 5 March, a total of 3114 patients who had tested positive for the virus have been able to leave hospital. I wish all of them well.

And unfortunately I also have to report that in the last 24 hours, 5 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 1,862.

I want to emphasise again today that those figures should be treated with some caution. Although deaths can be registered at weekends, registration numbers at weekends are usually relatively low, and can be particularly low following a Sunday. This should be taken into account when looking at today’s figures.

And as always, I want to stress that these numbers are not simply statistics. They represent individuals whose loss is being felt deeply by their loved ones. I want to send my deepest condolences to everyone who is grieving as a result of this virus.

I also want to thank, as I always do, our health and care workers. You are doing extraordinary work going above and beyond the extra mile in incredibly challenging circumstances. All of us owe you a huge debt of gratitude.

In a moment, I’ll ask the Cabinet Secretary to set out the details of a new wellbeing programme which is being launched today – to support the mental health of those working in our health and care sector, at this very difficult time.

Before that, there are two items I want to address.

Firstly, the Scottish Government has today published our second coronavirus bill.

The Bill includes a range further measures, to help Scotland through this pandemic. Among other things, it provides additional support for unpaid carers.

It ensures that Carers Allowance recipients will receive an extra payment, on top of the Carers Allowance Supplement. That will see around 83,000 carers receive an additional £230 – to support them through this period.

Being a carer is incredibly demanding at the best of times – and I know it’s only more difficult right now. So I want to thank each and every one of Scotland’s carers for the incredibly important role that you are playing.

The bill is due to go through parliament in the next two weeks. And I hope that when it does, this additional payment – alongside the other support we’re providing – helps to make things a little bit easier for you.

The second item I want to cover today concerns the lockdown restrictions.

Last night, the Prime Minister set out some of the details of his plan, for easing restrictions in England. More of the detail of that has emerged this morning – and will continue to come out, during the day.

I want to reiterate that those announcements do not apply here. That is not, I want to stress, for any political reason. It is because the Scottish Government is not yet confident that these changes can be made in Scotland without us running the risk of the virus potentially running out of control. Scotland’s lockdown restrictions remain in place for now.

And our key message remains the same.

We need you to stay at home. We do not, at this point, want to see more businesses opening up – or more people going to work. We do not yet want to see more people using public transport. And we are not yet changing who can or should be at school.

The only change we’ve made, here in Scotland is to the guidance on exercise.

As of today, we have removed the once-a-day limit on exercise. It means that – if you want to go for a walk more often – or to go for a run and also a walk – then you can now do so.

That change obviously doesn’t apply if you or someone in your household has symptoms of COVID-19, or if you received a letter explaining that you are in the shielded group. In those cases, you should still stay at home completely.

For everybody else, you will still need to stay relatively close to your own home. And at all times, you need to stay at least 2 metres away from people from other households.

I also want to stress that by exercise we mean activities like walking or running or cycling – not sunbathing or having a picnic. This does not give people a license to meet up, at the park or at the beach.

It’s just one very minor change to the existing rules. But all of the restrictions in Scotland for now remain in place.

And let me, for a moment, give one example of why this matters.

I read this morning, in the Evening Times, the tragic story of a family in Castlemilk, Glasgow.

Andy Leaman has told how his mum, dad and father in law have all died from the virus. He talks too of the impact on his nine year old daughter.

Their story is heartbreaking. And it could be any of us.

That family have told their story because they want people to listen to the advice.

In today’s paper they say: “People need to realise it’s real. The guidelines that are set out need to be followed.

“It may be them next and their families, and we would not want anyone to go through what we have had to go through.

“Stay in the house, social distance. That is the way to keep people you love safe.”

I think that is a very powerful message. It underlines the importance of the restrictions – and why we need to stick with them.

So to close today, I want to reiterate today – simply and I hope clearly – what the restrictions continue to be while our progress against this potentially deadly virus remains fragile.

Except for essential purposes such as exercise, buying food or medicines, or going to do essential work that you can’t do from home – you should not be going out. You must stay at home.

If you do go out, you should stay more than two meters from other people, and you should not be meeting up with people from other households.

You should wear a face covering if you are in a shop or on public transport.

And you should isolate completely if you or someone else in your household has symptoms.

I know that these restrictions continue to be extremely tough. And I know that hearing any talk about easing the lockdown, might make them seem even tougher. But please, stick with it.

We are making progress. But to combat this virus, we still need to stay apart from each other. We still need to stay at home.

And the more we do that now, the sooner we will be able to ease more of these restrictions.

I set out yesterday the further changes that we are considering making as soon as we judge it safe to do so.

We all want to see our friends and families – we all miss them more with each day that passes. We all want to see children go back to school, and we all desperately want to get back to some kind of normality.

Please know that I want all of that too – I want that as your First Minister.

But I also want it as an ordinary person who is missing my own family very much.

But I know we will get there more quickly if we all keep doing the right thing now.

If we take our foot off the brake too soon, the real danger is we will end up in this lockdown for longer – and worse of all, we will lose many more people along the way.

None of us want that. So please be patient. And please try not to get distracted by messages from other parts of the UK. All governments across the UK are trying to do the right thing and all of us have a responsibility to take the steps we think are right, at the right time.

So please if you live in Scotland, abide by the law that applies here and follow the Scottish Government guidance.

Can I also make a respectful plea to the media. Your scrutiny role is essential and you perform it robustly – rightly so. But at a time like this – when health is at stake – all of us have a public duty too. Please make it clear to your readers, listeners and viewers what the actual situation is in different parts of the UK.

Moving at different speeds in different parts of the UK for good, evidence based reasons need not be a cause of confusion – indeed other countries are taking different steps in different areas at different times.

Confusion only arises if we as politicians and the media who report on us are either unclear in what we are asking people to do – or if we give a misleading impression that decisions that apply to one nation only are actually UK wide.

Never has the duty on political leaders to communicate clearly been greater. And in the provision of basic public health information, I hope the media will continue – as you most of you have been doing – to appreciate the importance of that too.

This matters to all of us.

If we see continued high compliance with the restrictions in Scotland for a bit longer, we will continue to slow the spread of the virus, we will protect the NHS, we will save lives and we will all move on quickly to the day when these restrictions start to be eased.

Thank you, once again, to everyone who is doing that.

First Minister: Forget ‘Stay Alert’ … STAY AT HOME!

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House yesterday (Sunday 10 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 13,486 positive cases confirmed – an increase of 181 from yesterday.

A total of 1,484 patients are currently in hospital with confirmed or suspected Covid-19 – that is a decrease of 101 from yesterday.

A total of 82 people last night were in intensive care with confirmed or suspected cases of the virus. That is a decrease of seven since yesterday.

I am also able to confirm today that since 5 March, a total of 3,100 patients who had tested positive and been hospitalised for the virus have been able to leave hospital. I wish all of them well.

Unfortunately I also have to report that in the last 24 hours, 10 deaths have been registered of patients who had been confirmed through a test as having the virus – that takes the total number of deaths in Scotland, under that measurement, to 1,857.

These figures should be treated with some caution. Although deaths can now be registered at weekends, registration of numbers over weekends are usually lower than they are during the week. This should be taken into account when considering today’s figures.

As always, I want to stress that these numbers are not simply statistics. They represent individuals whose loss is being felt and mourned by many. As always, I send my deepest condolences to everyone who has lost a loved one to this virus. We are all thinking of you at this time.

I also want to thank, as I always do, our health and care workers. You are continuing to do extraordinary work in very challenging circumstances. There is not a day that passes that I don’t feel a deep debt of gratitude to you.

I have one issue that I want to talk about today and it relates to lockdown. Let me emphasise at the outset that the lockdown in Scotland remains in place.

As I have set out before, the rate of transmission of the virus in Scotland – the R number you are used to hearing about – is still too high for any significant change to be safe at this stage. Indeed, the R number may, as I said earlier in the week, be slightly higher here than in other parts of the UK at this point.

That means we must be very cautious and very careful about where we proceed to from here. Having made real progress in recent weeks and I think you can tell from the figures that I am setting out day after day that we have made real progress.

The objective now for all of us must be to consolidate and solidify that progress – we must not squander our progress by easing up too soon or by sending mixed messages that result in people thinking it’s ok to ease up now.

Let me be very blunt about the consequences if we were do that – people will die unnecessarily and, instead of being able to loosen restrictions hopefully in the near future, we will be faced instead with having to tighten them.

We must not take that risk.

For that reason, my basic message for Scotland remains the same as it has been – please stay at home, except for essential purposes.

I have made clear, however, that the Scottish Government will keep what constitutes an ‘essential purpose’ under review, and I told you last week that we were considering making one immediate change – a change to the guidance relating to exercise.

I can confirm that the Scottish Cabinet met earlier this afternoon and agreed a change to that guidance.

At present, you are only permitted to leave home to exercise once a day. From tomorrow, that once-a-day limit will be removed. So if you want to go for a walk more often – or to go for a run and also a walk later on in the day – then you can do so.

It is important to stress this new advice does not apply if you or someone in your household has symptoms of the virus, or if you received a letter explaining that you are in the shielded group. In those cases, the advice is still to stay at home completely and not go out at all.

And for everybody, all other lockdown restrictions remain in place.

When you are exercising, you must stay relatively close to your own home and at all times at least two metres away from people from other households. And although the rules permit exercise – such as walking, running or cycling – they do not yet extend to outdoor leisure activities such as sunbathing, picnics or barbecues.

The fact that you are allowed to exercise more than once is definitely not – and I want to stress this point – a licence to start meeting up in groups at the park or the beach. Doing that really does risk spreading the virus, and could potentially force us to reintroduce stricter guidelines or toughen up the regulations and penalties in future.

What we are confirming today is instead a small but important change, to one part of the lockdown requirements.

We believe that it will bring benefits to health and wellbeing – particularly for people who live in flats and don’t have access to private gardens, and for children, who I know will have found the once a day limit particularly difficult. The most important point is this – it will bring those benefits without, in our judgement, having a major impact on the spread of the virus.

However – and this is really important – the other basic principles and rules of lockdown remain for now the same. Unless you are doing exercise, or performing another essential task such as buying food or medicine, you should stay at home.

And you should not meet up with people from other households – because that is how we give the virus a chance to spread, giving it bridges it can travel over and lead to increased spread.

The change I have confirmed today is the only change the Scottish Government judges that it is safe to make right now, without risking a rapid resurgence of the virus.

We do not, at this point, want to see more businesses opening up – or more people going to work. Our guidance to business remains the same as it has been.

And we are not yet changing who can or should be at school.

You may hear the Prime Minister announce other immediate changes tonight for England – and that is absolutely his right to do so. I’ve just come from a Cobra meeting with the Prime Minister and the First Ministers of Wales and Northern Ireland.

Now it’s important to say that I don’t expect the detail of these immediate changes that the Prime Minister will announce to be significant and I predict that any differences with the position here in Scotland will be relatively minor.

However, for the avoidance of doubt, let me be clear – except for the one change I have confirmed today, the rules here have not changed. We remain in lockdown for now and my ask of you remains to Stay at Home.

However, we will continue to monitor the evidence closely and make further changes as soon as we consider it safe to do so.

In the interests of openness and transparency and the grown up conversation I keep talking about that I want to have, I want to give you as much visibility of that as I’m going to share with you now that over this coming week – as we hopefully see more evidence of a downward trend in the virus – we will assess further whether it is possible to further extend the range of permissible outdoor activities that you can do on your own or at a safe distance.

We will also consider over the coming days whether garden centres can re-open; and we will think about whether some additional forms of outdoor work – particularly where people work on their own or at a distance – can safely resume. We will also be looking urgently – in close discussion with councils – at the possibility of reopening waste and recycling centres.

I will update you on these further issues next weekend.

Beyond that we will continue to consider when and how more businesses can safely start to re-open, what changes will be required to public transport, and when and how children can start returning to school.

On that latter point, though, I do not expect that schools in Scotland will start to return as early as 1 June.

As well as announcing immediate changes, I understand that the Prime Minister will also tonight set out a longer term plan for England. The Scottish Government has not yet seen the detail of this plan, so it is not possible for us to simply adopt it for Scotland – and indeed the evidence may well tell us that moving at exactly the same pace is not appropriate.

We will consider it carefully and we will take our own expert advice on it. And as soon as possible we will set out our own view on the phasing of a more substantial lifting of the lockdown.

We are already working with businesses to produce guidance specific to the needs of industry, workers and public health in Scotland. We will publish that guidance, sector by sector, in the coming days and weeks – our early priority is to give guidance and visibility to the construction, manufacturing and retail sectors.

Lastly, in areas which are the responsibility of the UK Government in Scotland, we will make sure that our views and concerns are known. For example – we expect confirmation tonight of a period of quarantine for people travelling into the UK. I have made it clear that I believe this is vital to our efforts to contain the virus in the period ahead, and I would encourage the UK Government to introduce it as soon as possible.

Lastly, let me say something about co-operation between the four nations of the UK.

I remain committed to the closest possible co-operation, collaboration and alignment. And, let me stress again, I have no interest in politics when it comes to tackling this virus.

It is perfectly consistent with an overall four nations approach to have a pragmatic acceptance that we may move at different speeds if the evidence tells us that is necessary – and I believe we do now have that acceptance.

But genuine consultation and alignment of messages – even, perhaps especially, when the evidence is putting us on slightly different timelines – remains really important.

We should not be reading of each other’s plans for the first time in newspapers. And decisions that are being taken for one nation only – for good evidence based reasons – should not be presented as if they apply UK wide.

Clarity of message is paramount if we expect all of you to know exactly what it is we are asking of you. As leaders, we have a duty to deliver that clarity to those who we are accountable to, not confuse it.

To that end, I have asked the UK Government not to deploy their ‘Stay Alert’ advertising campaign in Scotland. Because the message in Scotland at this stage is not stay at home if you can, the message is, except for the essential reasons you know about, stay at home full stop.

Fundamentally, we all have a responsibility – and it is a heavy one for all of us – to make decisions and set policies for based on our own data of what is safe and what is not.

I am clear that for Scotland, at this present moment, relaxing too many restrictions too quickly creates the risk that the virus will take off again. I am not prepared to take that risk.

That is why – except for the fact that from tomorrow you can go out to exercise more than once a day – the current lockdown restrictions remain in place.

I very much hope that it will be possible to lift more of them in the days and weeks ahead – and we are making plans for that – but at the moment, the risks are still too great.

For all of us, in fact, the way in which we can emerge from lockdown that bit more quickly, is to stick with the current restrictions now.

It is easier for us to start leaving lockdown, the lower the R number is, and the fewer infectious cases there are.

So please, stay at home except for when you are buying food or medicines, or exercising.

Go for walks or runs more than once a day if you want to – it’s good for your health and your physical and mental wellbeing. But stay more than two meters from other people when you are out, and do not meet up with people from other households.

Please wear a face covering if you are in a shop or on public transport. And isolate completely if you or someone else in your household has symptoms.

I know that these restrictions continue to be really tough. And I know that hearing any talk about easing the lockdown, might make them seem even tougher. But please, I am asking you to stick with it.

We are making progress – never lose sight of that. But – even as we stay in touch by phone, by social media or by video calls – we still need to stay apart physically from each other. We still need to stay at home.

By doing that, we will continue to slow down the spread of the virus, we will continue to protect the NHS, and we will save lives. Thank you, once again, to all of you from the bottom of my heart for what you have been doing.

And please, for now, stay at home.

‘If it’s urgent, it’s urgent’: more Scots taking medical advice

New research has highlighted that people in Scotland are more likely to go to their GP practice or to hospital with an immediate medical concern not related to coronavirus (COVID-19) than they were two weeks ago.

The research, commissioned to support the recently launched NHS is Open campaign, shows just over half of those surveyed (51 per cent) stated they wouldn’t avoid going to their GP practice or a hospital at the moment, compared to 41 per cent a fortnight before – a shift that has been welcomed by the GP fronting the campaign, Dr Carey Lunan, and the Scottish Government’s National Clinical Director, Jason Leitch.

While around a third (34 per cent) agreed they would still delay attending their GP or hospital at the moment, this figure has fallen from 45 per cent before the campaign began.

The Scottish Government is encouraging people to seek medical help for urgent health issues not related to COVID-19, and has launched a campaign in response to figures indicating patients were delaying contacting their GP or going to hospital during the pandemic, that there was a drop in urgent suspected cancer referrals, and a reduction in families bringing their children for immunisation appointments.

People who need immediate medical assistance are being urged to call their GP surgery, or 111 out of hours, and in emergencies to dial 999.

https://youtu.be/lDaVtO81e2k

Dr Carey Lunan, a working GP and Chair of the Royal College of General Practitioners in Scotland, who features in the TV adverts said: “The NHS is open and it’s encouraging to see that the campaign is getting the message across.

“However, I want to reiterate that if it’s urgent, it’s urgent, and it is just as important as ever for people to seek help if they have an urgent health concern, or are worried about a potential cancer symptom. You are not being a burden, it’s what the NHS is here for and we want to hear from you.

“Your health and safety are our top priorities, and both GP practices and hospitals are working differently during the pandemic to minimise infection risk. It’s important to reassure you that patients with coronavirus are treated in separate parts of hospitals.

“Likewise, immunisations against other infectious diseases remain a vital part of protecting the people of Scotland, so please do attend your appointments for these. They can easily be rescheduled if you or your family members are showing signs of coronavirus at the time of your appointment.”

Jason Leitch said: “Thank you to all our health and social care staff for their continuing extraordinary efforts as we face this pandemic. Thanks to them, the NHS remains open because it is vital that you receive urgent medical attention if you need it.

“Your community pharmacy and your GP are open. Your first GP appointment may be by telephone or video but it is still a hugely important step in finding out if you, or your loved one, needs urgent medical help.

“Don’t ignore early cancer signs and symptoms, and certainly don’t delay getting checked – your GP practice is still here for you. If you or anyone in your household notices a rapid deterioration in health, seek help immediately – please don’t ignore the early warning signs of serious conditions such as heart attacks, strokes, severe asthma, or diabetic collapse.

“Immunisation appointments are a legitimate reason to leave your home and now more than ever vaccinations in children and pregnant women should be up to date. Our childhood immunisation programmes continue, and we urge parents to take their children to be vaccinated so they can be protected against very serious disease, including meningitis and measles.

“We are so thankful to those who are staying inside to save lives and our NHS, but the NHS is still open and there for you.”

Overwhelming majority of Scots support lockdown restrictions

Staying at home to save lives is recognised as a vitally important action in tackling coronavirus (COVID-19).

Over 90 per cent of people who responded to surveys carried out for the Scottish Government during April agreed that by remaining at home, they would be saving lives and protecting the NHS.

There was also general compliance with the guidance about physical distancing, with up to 80 per cent of those surveyed saying that they are keeping to the two metre distancing advice.

The polling also reveals that 85 per cent of respondents believe that the best thing to do during the COVID-19 crisis is follow government advice.

The findings are contained in a report published by the Scottish Government summarising two surveys on public attitudes carried out weekly during the COVID-19 crisis.

The surveys, by Ipsos MORI and YouGov, are part of a range of analysis undertaken by the Scottish Government to understand the impact of the virus and measures to suppress it.

The weekly online surveys provide information about key issues including the national mood, wellbeing, awareness, public behaviours and trust in government.

Key trends from the report, covering a six week period from 16 March to 24 April, are:

Levels of anxiety and worry associated with COVID-19 remain relatively high

Awareness of and support for compliance measures is high

The NHS was consistently rated highly in terms of doing a good job to contain the virus

Levels of trust in information from the Scottish Government were high

Deputy First Minister John Swinney said: “It is vital that we collect and analyse as much information as possible to inform our decisions on tackling the COVID-19 outbreak and these surveys provide valuable evidence about public knowledge, attitudes and behaviours.

“The surveys show compliance with physical distancing measures is high and we thank the public for their continued observance of these vital rules at this critical time.

“We recognise that public tolerance of the distancing measures is hard to sustain, and that these measures in turn have wider impacts on society and the economy, but we ask the public to continue to comply with them until we are certain we will not be risking a resurgence in infection rates.

“The surveys also highlight the very high regard the public has for the NHS and that levels of trust in information from the Scottish Government remain high.”

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Psychologists publish advice for key workers and their children

Psychologists from the British Psychological Society have produced guidance for key workers and their children on navigating the emotional effects of the Covid-19 pandemic.

Children are likely to be feeling unsettled by the upheaval of the Coronavirus lockdown, and some may be more worried because of having a parent who is still going to work.

The booklet for parents gives some straightforward tips on how they can help their children to cope, which includes:

Asking the child questions and talking to them
Giving the child choices over their time
Making their routine as consistent as possible, particularly at bedtime
Helping them to understand and share their feelings

It also provides guidance on finding a balance between work and home life at a time when there are many different things for key worker parents to manage at once.

Dr Bethan Phillips, a member of the Division of Clinical Psychology’s Faculty for Children, Young People and their Families that produced the documents, said: “We are all extremely grateful to key workers for the role that they are playing in keeping everyone safe and the country going, but we also appreciate the vital role of parenting.

“We hope that this information will be helpful to both key workers and their children in navigating these difficult times.”

In addition to the guidance for parents, there is also an advice sheet aimed at their children to answer the questions they may have.

It explains what a key worker is and why they have to spend so much time at work right now, discusses Coronavirus safety on a basic level and encourages young people to talk to their parents when they’re feeling worried.

Advice for keyworker parents – helping your child adapt

First Minister: ‘return to school might not be possible at all this side of the summer holidays’

Statement given by First Minister Nicola Sturgeon at a media briefing in St Andrew’s House, Edinburgh on Tuesday 5 May:

Good afternoon, thank you for joining us today.

I want to start with the usual statistical update in relation to COVID-19.

As at 9 o’clock this morning, there have been 12,437 positive cases confirmed – which is an increase of 171 since yesterday.

A total of 1,656 patients are currently in hospital with either confirmed or suspected COVID-19 – that is a decrease of 64 since yesterday.

A total of 104 people last night were in intensive care with confirmed or suspected COVID-19, and that is an increase of five since yesterday.

I can also confirm that since 5 March, 2,847 patients who had tested positive and been hospitalised for the virus have now been able to leave hospital, and that of course is positive news

Sadly, though, in the last 24 hours, 44 deaths have been registered of patients who had been confirmed through a test as having the virus – which takes the total number of deaths, under that measurement, to 1,620.

Now, as I always say, we must never every think of these numbers as just statistics. They represent individuals whose loss is a source of sorrow to many, and I again want to send my deepest condolences to everyone who has lost a loved one to this virus. We are all thinking of you.

I also want to again thank our health and care workers for the extraordinary work that you continue to do for us in the most challenging and difficult of circumstances

Now I have one substantive issue that I want to discuss today. And forgive me if I do so at slightly greater length than normal.

This follows my update yesterday on our plans for “test, trace, and isolate”.

Today, I want to set out for you our latest data on the level of infection and the important R number that you have heard us talk about before, and I also want to describe the work that we are doing now to prepare for careful and gradual changes to the lockdown restrictions – I must stress only when we judge it is safe to make them, which I am afraid is not right now.

Now you’ll find more detail on what I am about to cover today in a new document that we have just published on the gov.scot website – it updates the one we published a couple of weeks ago and, again, I’m asking you please to have a look at that.

I also want to encourage you to use the new online tool that we are launching today, which gives you the chance to offer ideas on how we should move forward.

I’ve said before but it is worth repeating that the decisions on how we come out of lockdown will affect each and every one of us, perhaps for some considerable time to come, and so I am determined that I and the Scottish Government make those decisions as openly and as collaboratively as we possibly can.

Now, as I said yesterday, by Thursday this week, we have to formally assess whether any lockdown restrictions should be lifted at this stage. The other UK governments will also be making an assessment on or around that date.

As we move forward, we will continue to discuss and, where appropriate, reach decisions on a four nations – UK – basis. It remains my intention to have UK-wide alignment where the evidence supports it, though obviously my overarching responsibility is to reach evidence based decisions that are right for Scotland.

As I indicated yesterday, I think it is highly unlikely that the Scottish Government will be able to make any significant changes to the current restrictions on Thursday. And I think it’s important that I’m frank with you about that now.

Today’s paper sets out in detail the data that underpins that conclusion.

In short, we are seeing progress – real progress, particularly in the number of people admitted to intensive care – but that progress is still fragile.

That means any increase in the physical interactions we have with other people could quickly see transmission of the virus increase again.

We estimate that there are currently around 26,000 people with COVID-19 in Scotland. I stress these are estimates, but that is still too high a number to consider that the virus is under control.

I have also spoken before about the vital importance – the critical importance – of keeping the R number below 1.

Now we know the R number is higher in care homes, but our best estimate is that the R number in the community is currently between 0.7 and 1. But we cannot be sure that it’s not closer to 1 than 0.7.

There is also some evidence that the R number in Scotland might be slightly higher at this point than in the rest of the UK – although the modelling that is based on is subject to a high degree of uncertainty.

But in any event, the R number is not yet far enough below 1 to be confident that any changes to current restrictions wouldn’t quickly send it over 1 again – and if that happened, the virus would start to increase exponentially again.

That could overwhelm our health service; force us to re-impose restrictions; and it would lead to many more deaths.

Now as an illustration of this, we include in the paper a chart which is based on recent Danish data, and we are looking at experiences in other countries all the time. What this chart suggests is that that if we were to fully re-open nurseries and primary schools now, the most likely scenario would be a resurgence in the virus that would overwhelm our hospital capacity in a matter of weeks.

Now, the fact is that any easing of restrictions, whenever we introduce them, will have an impact on the R number. But if we get our baseline lower than it is now, we will have more headroom to cope with that – and be able to avoid outcomes like the one I’ve just highlighted.

So the hard fact is that we must see further reductions in new cases, hospital and ICU admissions and deaths to be sure that the overall level of infection and the R number are lower than they are now.

And that means, for the moment, we do need to stick with the current lockdown restrictions .

However I am acutely aware that the severity of restrictions we are living under now cannot continue indefinitely – we know that lockdown is doing its own damage.

So we also need to be preparing to make changes as soon as it is safe to do so.

The next three week period of lockdown, after this Thursday 7 May, is due to end on the 28 May.

Now, let me stress, that doesn’t necessarily mean we can’t make any changes before then if the evidence suggests it is safe to do so. If we can, we will.

For example, I’m particularly keen as soon as possible, for the sake of mental health and wellbeing, to enable people to be outdoors more. And obviously we are all keen to get the economy moving again as soon as we can.

So today’s paper sets out some options that we are working on – both in terms of assessing their impact and on the practicalities of implementation – so that we will be ready to make changes when the evidence tell us that it is safe to do so.

Now to be clear with you, because I have to make sure I am setting this out clearly, this is not a list of things we will definitely do by certain dates.

Indeed, we might not be able to take all of these steps even at the end of May.

This is going to be a long process with different phases along the way.

And we will only implement these changes when we are as certain as possible that it is safe to do so – and when we can also assure you of that.

In the meantime, it is vital that we stick rigorously to the current rules.

But as I said a moment ago it is important that we are preparing now.

So I want to briefly set out the options that we are working on. Though, again, I must stress that none of these are changes we are implementing as of right now.

But we are considering, firstly, if and how we could safely change our advice on spending time outdoors – to allow exercise outside to happen more than once a day, so long as we continue to stay apart from people outside our own households.

But second, we are also considering if a slight relaxation in the rules to allow meeting up with a small, defined group of people from other households – in a sort of bubble – might be possible, even if initially that was only possible out of doors and not indoors.

This is, of course, one way in which we could start to interact a bit more with family or friends – which I know is so important to all of us.

However, we also have to consider carefully the impact on the spread of the virus. And we have to think through how such an approach could be implemented in practice – and also how the limitations of it could be enforced if necessary.

It’s also not something that would be possible for those who are currently shielding – so we have to think also about the fairness of it.

The third area we are looking at is when and in what order we can resume some NHS and community care services.

As you know, we stopped some services – for example, screening programmes and non-urgent elective procedures – to ensure that the NHS could cope with the virus. But these postponements also have implications for health, so we must consider how services can be restarted as soon as possible – and that is what we are currently doing.

The fourth area relates to how we carefully, gradually and safely allow businesses to re-open. That is a major area of work, for obvious reasons.

We need to work with business and with trade unions to consider the practical arrangements for different work environments to start up safely – that’s changes to working practices, physical layouts of workplaces, the appropriate use of PPE and the operation of public transport. On this, we are looking carefully at the work the UK government is doing and consulting our own stakeholders on that.

Initially, we are giving particular consideration to businesses in the construction, retail and manufacturing sectors – and also to some outdoor and rural businesses.

However, where home working is possible, we are very likely to insist on that for the foreseeable future.

And I want to be very clear that as of now current guidance to business remains in place.

Finally, I have said before that one of the hardest decisions I have ever taken was the closure of schools. I know the impact this is having on young people – and I want to thank all of you watching today again for your patience – and it also has an impact on family routine.

The Deputy First Minister is chairing the Education Recovery Group, which is considering options for how pupils might gradually return to school.

Now, again, I need to be clear – a return to school might not be possible at all this side of the summer holidays.

But we are considering whether some groups of students – such as vulnerable children, children who are making the transition from primary to secondary school, or who are studying for national qualifications – could return to school ahead of others.

And any initial return to school – when it does happen – is of course likely to require a mixture of time in school and learning at home.

For example it’s possible that different groups could attend school part-time in blocks of a few days – or a week at a time – to enable physical distancing and deep cleaning schools between sessions. In all of this, we are trying to find the right balance between children’s educational and wider needs, and public health imperatives.

But I want to be crystal clear that while we will of course take the greatest care in all of this, that that is particularly the case with schools. We will not compromise the safety of your children.

Now as you will understand from the detail I have just given, and more so if you read the paper that has published today, none of these decisions are easy. There are no absolute certainties in any of this and complex judgments will have to be made.

As I’ve said before, ‘lifting the lockdown’ will not be like flicking a switch. It will be a gradual process which will happen in phases.

What we are seeking to do is find a path to a new normal – one which is less restrictive than the current lockdown, but which doesn’t risk the virus running rampant again.

Now we have not yet put definite dates on any of what I’ve just set out. But I will update you on an ongoing basis in the days ahead as our evidence, assessments and planning develops.

And as soon as we can start to attach even tentative dates, we will do that.

In parallel, we will continue to build the ‘test, trace, isolate’ capacity that I spoke about yesterday.

But let me end on this point – the most important task for all of us in the here and now is to get the virus under more control than it is right now. And I cannot stress that enough.

We really are at a critical stage, and what I’ve set out today about our assessment of the R number in particular tells us how critical this stage is and also how easy it would be to go in the wrong direction.

So that means asking you again to stick rigorously to the current rules. It means asking you to think hard about your own compliance – and tightening that if anything now, not easing up on it. If you have been going out a bit more than you should, please rectify that.

Please stay at home except for essential purposes – and remember, at this stage, essential purposes means only essential food supplies, medicines and daily exercise.

And you should ask yourself if, for example, going for a drive-through coffee is really an essential journey.

Stay two metres from others when you have to be out.

Don’t meet up with people from other households.

Isolate completely if you or anyone else in your household has symptoms.

Wash your hands regularly, and wear a face covering if you are in an enclosed space with other people – like a shop or public transport.

All of this is tough – it is really tough – and I know and understand that.

But I want to stress again – right now we are going in the right direction. If all we keep doing all of the right things, we will keep going in the right direction, and we will get there. Our light at the end of the tunnel that I keep talking about will get brighter as the days go on. And we will find a way through.

So please keep doing the right things, and thank you for everything that you are doing to comply.

Now I’m going to hand over to the Chief Medical Officer who is going to say a few more words about the evidence that is before us before I open up to questions.

Caring Communities campaign: Helping Out Safely

People helping those in their communities affected by coronavirus (COVID-19) are being encouraged to carry on while following advice to keep themselves and others safe.

The Scottish Government’s Caring Communities campaign will celebrate the help people are already giving each other, and encourage safe and effective help like keeping in touch, shopping, picking up prescriptions and running errands for those who are unable to.

Communities Secretary Aileen Campbell said: “Together we can help each other through the challenges ahead and our Caring Communities campaign will recognise the efforts of people from across Scotland who are supporting and helping others.

“It’s been inspiring to hear how people have responded to this pandemic by offering help to those around them. Whether that’s been formally volunteering or informally helping out neighbours and friends, we all have a part to play in supporting those around us, however we want to make sure that is done in a safe and effective way.

“There are lots of ways to help whilst minimising or avoiding face-to-face contact, including shopping, picking up prescriptions and medicines, general errands or a daily phone call to stay in touch.

“People can also offer help without the need for direct contact such as using social media to arrange activities and putting people in touch with other services or charities if there is need for further support.

“In rural areas, islands and other remote areas, your nearest neighbour may be some distance away and so you could consider whether help is needed around their home or farm, and make sure people have sufficient food, fuel and access to heating.

“The Scottish Government will continue working with communities across the country to help build cohesion and mutual support during this pandemic.”

National Clinical Director for the Scottish Government Jason Leitch said: “Many people need help and support and some will feel particularly isolated and lonely. If you are able to help alleviate that in your street, neighbourhood, or community, then we are asking you to do so.

“At times of crisis, we need each other more, yet we need to stay physically apart. We can still communicate and offer comfort. Phone or skype loved ones. Text neighbours or drop a note through their door to see if they need help. Maybe even write a letter to your grandparents. We are all in this together.”

Coronavirus tracing app to be launched on Isle of Wight today

Isle of Wight residents will be the first to get access to a new contact tracing app as part of government action to minimise the spread of COVID-19.

Isle of Wight announced as first phase of new ‘test, track and trace’ programme
Rollout of NHS COVID-19 App to begin with the island’s NHS and council staff tomorrow, with all island residents to get access from Thursday
Data privacy and security paramount, with National Cyber Security Centre involved in app development
The app will be complemented by enhanced contact tracing using existing methods online and over the phone

Isle of Wight residents will be the first to be offered access to a new contact tracing app, as part of government action to test, track and trace to minimise the spread of COVID-19 and move towards safely reducing lockdown measures.

Everyone on the island will receive access to the official NHS COVID-19 contact tracing app from this Thursday, with NHS and council staff able to download from 4pm tomorrow, Tuesday 5 May.

Part of a new test, track and trace programme, the app will work together with enhanced contact tracing services and swab testing for those with potential COVID-19 symptoms to help minimise the spread of COVID-19.

Developed by NHSX, the technology arm of the health service, and a team of world-leading scientists and doctors, the app is designed to significantly speed up contact tracing, helping reduce the chance of the virus spreading by enabling us to rapidly identify people most at risk of infection so they can take action to protect themselves, the people they care about and the NHS.

When someone reports symptoms through the app, it will detect any other app users that the person has been in significant contact with over the past few days, including unknown contacts such as someone they may have sat next to on public transport.

The app will be able to anonymously alert these contacts and provide advice, including how to get a test to confirm whether or not they do have COVID-19. Users will be able order tests through the app shortly.

For those who may not have access to the app, or the ability to use a smartphone, there will be an option to report symptoms and order tests in other ways. As the integrated service develops, everyone who reports symptoms, including app users, will also be asked to record recent contacts using an online service (or through a telephone interview if they prefer), so that contact tracers can reach all contacts who may be at risk, whether or not those contacts are app users. Contacts will then be alerted either by the app or by email or telephone, advising them to self-isolate or offering public health advice.

As the test, track and trace programme rolls out nationally, expected in mid-May, Public Health England will oversee the deployment of 18,000 additional contact tracers to support the programme.

This first phase is a major step forward in the UK government’s next phase of the coronavirus strategy and will improve understanding of how this new integrated approach to test, track and trace will work for the rest of the population.

NHS and council staff will be emailed a download link on Tuesday afternoon. From Thursday the app will then open for all residents on the Isle of Wight. All households will receive a leaflet with clear instructions on how to download and use the app on Thursday, and a targeted marketing campaign will begin on Friday.

Health and Social Care Secretary Matt Hancock said: “The Isle of Wight is playing a vital role with this pioneering work to help keep Britain safe. This will pave the way for a nationwide roll-out when the time is right.

“Coronavirus is one of the greatest challenges our country has ever faced and this app will play a vital role in getting Britain back on her feet.

“The app will help control the spread of coronavirus by alerting people they may have come into contact with it and recommending appropriate action.

“This ground-breaking technology, combined with our heroic frontline health and social care staff, and both a nationwide contact tracing testing programme will ensure that we remain in the best position to move toward easing the lockdown.”

Matthew Gould, Chief Executive of NHSX, said: “Technology can help us get the country back on its feet.

“By launching the NHS COVID-19 app we can reduce transmission of the virus by alerting people who may have been exposed, so they can take action to protect themselves, the people they care about and the NHS.

“When combined with testing and enhanced web and phone contact tracing, this will help the country return to normality and beat coronavirus.”

Deputy Chief Medical Officer, Professor Jonathan Van Tam, said: “By widespread testing those suspected to be infected with coronavirus, tracing their contacts and where appropriate advising them to self-isolate, we can slow the onward spread of the virus.

“This new app-based system, developed by technology experts in partnership with clinicians and scientists, will run alongside traditional contact tracing by PHE. If uptake and use is widespread it will give us the greatest room for manoeuvre to ease other social distancing measures.

Dr Yvonne Doyle, Medical Director and Director of Health Protection at Public Health England, said: “Alongside the NHS COVID-19 app, PHE’s phone and web-based contact tracing will be a critical part of the government’s strategy to get the country back on its feet.

“Taking these first steps on the Isle of Wight will help us prepare for a scale up of our contact tracing capacity, with an 18,000 strong team ensuring the contacts of confirmed COVID-19 cases are followed up and given the information they need.”

The government has collaborated internationally and learned from examples of best practice across the world, which has informed the development of a bespoke approach that is right for the unique needs of the UK. The app uses similar Bluetooth low energy technology to that employed by Australia, Norway, and Singapore among others.

The privacy and security of users’ data is a priority and NHSX has involved experts from the National Cyber Security Centre to advise on best practice through the app’s development. Data will only ever be used for NHS care, management, evaluation and research and the NHS will comply fully with the law around its use, including the Data Protection Act.

The Isle of Wight was chosen to trial the project because it has a single NHS trust that covers all NHS services on the island.

Its geography as an island with a sizeable population makes it an ideal place to introduce the NHS COVID-19 app and wider testing service in its initial roll-out period.

Isle of Wight Council leader Dave Stewart said: “On behalf of the island I am very pleased we can be the first place to use this new digital technology in the country.

“I have always been keen to ensure we keep our special community safe from the virus but at the same time explore ways to enable us to get back up on our feet and move forward from it. This scheme offers the tightly controlled approach we need to help us do just that.

“Widespread tracing and testing holds the key to this ambition and if we are able to help the country move forward then the island will also have done its part in helping government in tackling this virus and re building our lives through safe social distancing when the time is right.

“I am sure islanders will rise to the challenge and help avoid post lockdown spread of the virus and keep people as safe as possible.”

The ambition of test and trace is to enable the UK to start to come out of some elements of lockdown. This will be a gradual process and public health experts are considering how best to do this in a way that keeps citizens safe and protects the NHS.

First Minister: ‘Test, trace, isolate, support’

Statement given by First Minister Nicola Sturgeon at a media briefing in St Andrew’s House, Edinburgh on Monday 4 May:

Good afternoon everybody. Thank you again for joining us for this briefing.

I want to start by updating you on some of the key statistics in relation to the virus in Scotland.

As at 9 o’clock this morning, I can confirm that there have been 12,226 positive cases confirmed – which is an increase of 169 from the figures reported yesterday.

A total of 1,720 patients are currently in hospital with either confirmed or suspected cases of COVID-19 – that is an increase of 54 from yesterday.

A total of 99 people last night were in intensive care with confirmed or suspected COVID-19, and that is no change since the figures yesterday.

I am also able to confirm today that since 5 March, a total now of 2,780 patients who had tested positive and been hospitalised for the virus have been able to leave hospital, and I wish all of them well.

Unfortunately though I also have to report that in the past 24 hours, five deaths have been registered of patients who had been confirmed through a test as having the virus, and that takes the total number of deaths in Scotland, under that measurement, to 1,576.

I’d ask you to bear in mind, though, that today’s figure might be artificially low due to the lower levels of death registration that we know takes place at weekends.

And, as always, I want to stress that these numbers are not just statistics, and we should never, ever view them as such.

They represent unique and irreplaceable individuals who are being mourned and missed by their loved ones. So I want to send my deepest condolences again to everyone who is coming to terms with a bereavement as a result of this virus.

I also want to thank – again – our health and care workers. The entire country continues to appreciate the extraordinary work that you are doing.

Now, I have one issue that I want to update you on today. As you know, Thursday this week is the date by which we must review the current lockdown measures.

I’ve said already that it is very unlikely that any change this week will be possible.

Although we are making real and significant progress, and that is definitely the case, the numbers still being infected by the virus, and the all-important R number, remain too high, right now, to make any meaningful change without risking the virus running quickly out of control again.

We also know – as we see on Skye today – that care home transmission continues to be a very significant challenge, and the Health Secretary will say a bit more about that shortly.

So all things considered, and while – let me stress – decisions are yet to be formally taken, it is very likely that on Thursday I will be asking you to stick with lockdown for a bit longer.

Now I know you understand why that is the case – but I also know it is really hard. And I know that, even as you comply with these measures, you do want to see light at the end of the tunnel.

So today and tomorrow – building on the paper we published a week and a half ago – I want to share with you some of the work we are doing to make sure that we will be in a position to make changes to the lockdown restrictions just as soon as the evidence tells us that it is safe to do so.

Tomorrow, I will set out our current assessment of levels of infection and the R number and also, in general terms, the possible changes that the Scottish Government will be considering ahead of the next review date of 28 May as we do try to get a degree of normality back into our lives while being careful still to suppress the virus.

This is work we will of course be seeking to align as far as possible with the other UK nations but, as I’ve said before, our primary task is to make sure that we are making the right decisions, at the right pace, for Scotland.

Now, that is what I will set out tomorrow, but today I want to outline what will be a key part of the approach we take when we have sufficiently suppressed the virus and are able to start moving into the next phase – and that is called ‘test, trace, isolate’ approach, or TTI for short.

In summary, TTI involves anyone who has symptoms indicative of COVID-19 immediately isolating themselves, as everybody is meant to do right now, quickly getting in touch with the NHS to arrange a test, and also sharing details of the people that they’ve been in contact with.

Professionals called contact tracers then get in touch with those contacts to advise them to isolate for 14 days. And if any of them develop symptoms, they get tested and the process starts again with their contacts.

It is all about breaking the chain of transmission of the virus – but without all of us being confined to our homes all of the time, as is the case right now.

Now we have just published a short paper outlining this approach in more detail – and I encourage you, if you are able to, to read it at www.gov.scot – but I wanted to set out a few key points today, I suppose, to get you thinking about it.

And the reason I’m really keen for you to think about it is this – a test, trace, isolate approach will only work if you, the public, are willing to do what we ask of you.

So it’s really important to start building your knowledge of and confidence in such an approach now – as part of that grown up conversation you know that I am keen to have.

The initial key point I want to make is that a successful TTI approach depends on us first suppressing the virus to as low a level as possible.

If infection rates are too high, or if they get too high again in future, the number of people with symptoms and who will need tested could overwhelm the system – even with a vastly expanded testing capacity.

Second, TTI will be a key part of our approach – but it will not on its own keep infection rates down or the R number below one. It’s not a quick fix or a magic solution.

It will have to be combined with continued physical distancing, rigorous hygiene and the appropriate use of face coverings.

And crucially, it will mean you, the public, knowing exactly what it is we are asking you to do, and why we are asking you to do it, and being prepared to do it.

That means if you have symptoms, you need to recognise them and be willing to isolate, to contact the NHS and get tested and also be prepared to share details of anyone you’ve been in contact with.

And for all of us, it will mean being prepared to isolate for 14 days if we are contacted and told that we’ve been in close proximity to someone with the virus. And that, of course, could happen multiple times, with significant disruption to our lives.

We also know that some people will need support to isolate and we are considering how we can provide that, drawing on the arrangements that are currently in place for the shielded group.

It’s also why, as you will see if you read the paper, we are calling this approach in Scotland ‘test, trace, isolate, support’.

We are also making the other preparations now to be in a position to start delivering an enhanced TTI approach by the end of this month.

Firstly, that means continuing to expand our testing capacity. You’ll recall that I told you on Friday that by the middle of this month, we expect to have the capacity to do 12,000 tests per month in Scotland. Our initial estimate – though it is important to stress this is still being refined – is that we will need to get to around 15,500 tests a day just to support TTI. So it is very clear that continued ongoing expansion will be needed to meet all of our testing requirements.

We also estimate we will need up to 2,000 additional contact tracers to do the work that will be required.

We are also building a digital system to make sure as much of this process as possible can be automated.

Now, you might also have heard talk of an app as part of TTI, and I want to address that briefly too, because that’s separate to the kind of digital approach that I’ve just mentioned.

The kind of app being talked about – a proximity app – would operate on Bluetooth technology. If you download it and then you tell it that you have symptoms, it would automatically alert anybody that you’ve been in close contact with, as long, of course, as they have also downloaded the app.

The development of this app is being led by the UK government and we are seeking to maximise Scottish Government involvement in it. We believe it could be a very important part of a TTI system – but as an enhancement. It is important to be clear that in Scotland we are not building our whole system around that.

We know that the success of an app like that will depend on high take up by the public – and that in turn will depend on building confidence in the technology and in the use of data. So we want to do that very carefully indeed.

So I hope today, albeit very briefly, I have given you a sense of what TTI involves. Because it is something you will increasingly be hearing talked about.

And we will give updates on progress and further detail in the days and weeks to come.

But this will be an important tool in our efforts over the next few weeks to get some normality back into our daily lives – so please, if you can, do take the time to read the paper, which as I said earlier you will find on www.gov.scot.

My last point for now is this one. The work I am sharing with you today and I will share with you tomorrow is for the future – and the hard fact is that we will only be in a position to implement it if we continue to suppress the virus now.

So I ask all of you to please stick with the lockdown rules.

Over the weekend, I received quite a lot of emails from people worried that the roads were busy again, and that there were too many people on the streets and in parks.

I have to be honest with you I share that concern, though, don’t get me wrong, I fully understand the frustrations that all of you are feeling.

But in a few weeks I desperately want to be standing here at this podium telling you about the steps we are able to take to get back to a semblance of normality. My big worry is that if we ease up now, I won’t be able to do that.

So please stay at home, except for essential purposes like shopping for food or getting medicines.

Stay two metres apart from others when you are out for essential purposes.

And please don’t meet up with people from other households, and if you are displaying symptoms or anyone in your household is displaying symptoms of COVID-19, then please completely isolate and don’t even go out for essential purposes.

What I am asking you today is please make sure we keep that light at the end of the tunnel on – and let’s all keep making sure that it gets brighter with every single day that passes. Please don’t risk extinguishing that light by easing up to quickly.

So thank you very much for your continued compliance, and tomorrow I will share a bit more with you about the current state of the virus, and what we might be able to consider in the weeks to come.

But for now I’m going to hand over to Professor Jason Leitch, our National Clinical Director, to say a few words, and then the Cabinet Secretary for Health will say a little bit about care homes.

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

More mental health support after forty days of lockdown

Key mental health services to support families, young people and autistic people are to receive more than £1 million additional funding.

Health Secretary Jeane Freeman made the announcement yesterday after 40 days of lockdown when many people have felt an effect on their mental health.

The allocation of funding comprises:

• £768,000 for a relationships helpline to be delivered by The Spark counselling service
• £105,000 to support Young Scot to develop enhanced digital content and resources on mental health
• £205,000 to support 47,000 autistic people across Scotland, including funding to increase capacity at the Scottish Autism Helpline and help for the National Autistic Society to keep people in touch online during lockdown

Ms Freeman said: “While everyone is experiencing different challenges at this time, the mental health of children, young people and families can be put under great strain.

“We appreciate that spending a lot of time together in isolation and home-working, home-schooling and juggling childcare can be really tough.

“This crisis means many people are dealing with anxiety, fear, uncertainty, anger or sadness. They may feel overwhelmed and relationships can be placed under a lot of pressure.

“We want to ensure that the right help and support is in place for the mental wellbeing of our children, young people and families. This package of measures focuses on prevention and recovery, and on maintaining healthy relationships throughout the current restrictions. It follows the launch of our national campaign, Clear Your Head, last week.”

The Clear Your Head campaign highlights practical ways to look after mental health and wellbeing while continuing to stay at home – and signposts sources of help and advice.

The Spark is a third sector organisation which delivers counselling services to families across Scotland, including relationship and couples counselling and counselling for children and young people.

They currently operate a Relationship Helpline on a small scale for nine hours a week. The number of the Relationship Helpline is 0808 802 2088 and this additional funding will enable the helpline to operate Monday-Thursday 9am to 9pm and Friday 9am to 4pm.

Scotland has launched a digital resource called Mind Yer Time specifically to help children and young people learn about the healthy use of screens and social media.

It supports mental and physical health online and was developed by the Scottish Youth Parliament and Children’s Parliament. In the first ten days since its launch the guide had almost 13,000 views.

The additional funding will allow the Scottish Autism Helpline to open 8am-8pm, seven days a week on 01259 222022.