Expanded flu vaccination programme to protect vulnerable people and support the NHS
Free vaccine to be made available for people aged 50 to 64 later in the year
Households of those on the shielded patient list eligible for free flu vaccination and school programme expanded to the first year of secondary schools for the first time
The most comprehensive flu vaccination programme in the UK’s history has been announced by the Westminster government today (Friday 24 July).
A significant new group will be eligible for the free flu vaccine as people aged 50 to 64 will be invited later in the season for a vaccination.
As part of an unprecedented drive, a free flu vaccine will also be available to:
people who are on the shielded patient list and members of their household
all school year groups up to year 7
people aged over 65, pregnant women, those with pre-existing conditions including at-risk under 2s
Once vaccination of the most ‘at-risk’ groups is well underway, the department will work with clinicians to decide when to open the programme to invite people aged 50 to 64, with further details to be announced. The NHS will contact people directly, including information about where to go to get the vaccine.
The expanded flu vaccination programme is part of plans to ready the NHS – both for the risk of a second peak of coronavirus cases, and to relieve winter pressures on A&E and emergency care.
Increased vaccinations will help to reduce pressure on the NHS this winter by preventing flu-sickness which can cause hospitalisation and even death.
This announcement comes alongside the £3 billion for the NHS announced by the Prime Minister earlier this month to relieve winter pressures on A&E and emergency care in case of a second spike in infections.
Health Secretary Matt Hancock said: “It’s mission critical that we pull out all the stops to get ready for winter, and the Prime Minister has already announced £3 billion to protect the NHS.
“We are now taking another important step to help protect the wider public by giving the flu vaccination to more people than ever before. This will be the biggest flu vaccination programme in history, and will help protect our NHS as we head into winter.
“If you are eligible for a free vaccine, whether it’s for the first time or because you usually receive one, then I would urge you to get it, not just to protect yourself, but to protect the NHS and your loved ones, from flu.”
The flu can be a serious disease, especially for vulnerable people or those with underlying health conditions.
Eligible groups are urged to get their free vaccine every year. However with COVID-19 still in circulation, this year’s campaign will be particularly vital to protect the most vulnerable and reduce the number of people needing flu treatment from the NHS.
Chief Medical Officer, Professor Chris Whitty said: “Flu can have serious consequences and vulnerable people can die of it. Having the vaccine protects you, and helps reduce transmission to others.
“This winter more than ever, with COVID-19 still circulating, we need to help reduce all avoidable risks. Vaccinating more people will help reduce flu transmission and stop people becoming ill.”
Seasonal flu is an illness that can be spread by children among themselves and to adults. Last year, the flu programme was expanded to include all primary school aged children for the first time, and this year teams will be visiting secondary schools to vaccinate children in year 7. This will help to contain the spread of this year’s seasonal flu and not only protect children but also vulnerable adults they may be in contact with.
Dr Vanessa Saliba, Head of Flu at PHE said: “The flu vaccine is the best defence we have against what can be a serious and even deadly illness.
This winter, more people than ever will be offered a free flu vaccine. We are urging anyone who is eligible to take up the offer of vaccination. By getting the jab, you can help protect yourself, your family and the NHS – it will help save lives.
Dr Nikki Kanani, GP and NHS medical director for primary care, said: “Getting a free NHS flu vaccination is a quick and simple way that people can help to save lives and reduce pressure on our hardworking frontline staff this winter.
“GPs, nurses, community pharmacists and others will be going to great lengths this year to give this vital protection to millions more people in a safe and convenient way, so when the time comes I would urge everyone invited for a flu vaccination to get it as soon as possible.”
All frontline health and social care workers will also be urged to get their free vaccine to protect themselves and their patients or residents from the flu.
The announcement of the flu vaccination programme expansion is part of the government’s plan to support the NHS and protect the public this winter.
The funding, which is available immediately, will allow the NHS to continue using additional private hospital capacity and maintain the Nightingale hospitals until the end of March.
This will provide additional capacity for COVID-19 patients should it be needed, and allow the NHS to carry out routine treatments and procedures.
The UK Government has secured early access to 90 million vaccine doses from the BioNTech/Pfizer alliance and Valneva with more in the pipeline as part of its strategy to build a portfolio of promising new vaccines to protect the UK from Covid-19
In addition, treatments containing Covid-19-neutralising antibodies have been secured from AstraZeneca to protect those who cannot receive vaccines
UK public encouraged to sign up to a new NHS website to make it quicker and easier for potential volunteers to join vital studies that could help save lives – the aim is to get 500,000 people signed up by October
Millions of people could be vaccinated against coronavirus as the UK secures early access to 90 million doses of promising Covid-19 vaccine candidates.
Announced by Business Secretary Alok Sharma today, the UK Government has agreed significant partnerships with leading pharmaceutical and vaccine companies BioNTech/Pfizer and Valneva that are developing innovative new vaccines to protect people against Covid-19.
The Government has also secured access to treatments containing Covid-19-neutralising antibodies from AstraZeneca to protect those who cannot receive vaccines such as cancer and immunocompromised patients.
As a result of these partnerships, England, Scotland, Wales and Northern Ireland could have access to enough doses to vaccinate and protect priority groups identified, such as frontline health and social care workers and those at increased health risk.
With today’s announcement, the Government has now secured access to three different types of Covid-19 vaccines that are being developed here and around the world, giving the UK the most likely chance of getting access to a safe and effective vaccine at the quickest speed.
The Government has also today launched the NHS Covid-19 vaccine research registry. This new website will enable people in the UK to play their part by volunteering for future vaccine studies.
The new online service will allow members of the public to register their interest and be contacted to participate in clinical studies. To enable large-scale vaccine studies to take place across the UK, the aim is to get 500,000 people signed up by October, which is considered vital in the fight against coronavirus.
Clinical studies with hundreds of thousands of volunteers will help scientists and researchers better understand the effectiveness of each vaccine candidate and will considerably speed up efforts to discover a safe and workable vaccine.
The Government is also working with ZOE, the health science company using data driven research and behind the popular symptom study app and site, to look at collaborating around vaccine studies and to help their volunteers hear about how to sign up to the NHS registry.
Business Secretary Alok Sharma said: “The hunt to find a vaccine is a truly global endeavour and we are doing everything we can to ensure the British public get access to a safe and effective coronavirus vaccine as soon as possible.
“This new partnership with some of the world’s foremost pharmaceutical and vaccine companies will ensure the UK has the best chance possible of securing a vaccine that protects those most at risk.
“The public can also play their part in vaccine research through the new NHS vaccine research register. By signing up and participating in important clinical studies, together we can speed up the search for a vaccine and end the pandemic sooner.”
Through its partnership with Valneva, which has a factory in Livingston, the UK Government is expected to contribute to UK clinical studies costs and is negotiating funding to expand Valneva’s Scottish facility.
This increased manufacturing capacity could potentially supply up to 100 million vaccine doses to the UK and internationally. This will create high-skilled jobs in the local area and contribute significantly to the local economy.
The Livingston facility is in addition to the new Vaccines Manufacturing and Innovation Centre (VMIC) which is currently under construction in Oxfordshire thanks to a £93 million investment from the Government. When completed in summer 2021, the facility will have flexible capacity to manufacture vaccine doses at scale.
Chair of the Vaccine Taskforce Kate Bingham said: “The Vaccine Taskforce is investing in a diverse portfolio of vaccine candidates to maximise the chances of finding a vaccine quickly that meets the UK’s rigorous regulatory and safety standards.
“The fact that we have so many promising candidates already shows the unprecedented pace at which we are moving. But I urge against being complacent or over optimistic. The fact remains we may never get a vaccine and if we do get one, we have to be prepared that it may not be a vaccine which prevents getting the virus, but rather one that reduces symptoms.”
Professor Chris Whitty, Chief Medical Officer and National Institute for Health Research (NIHR) head said: “Thanks to COVID-19 patients’ willingness to take part in treatment studies, we’ve been able to identify treatments that work and ones that don’t, which has improved patient care world-wide.
“Now that there are several promising vaccines on the horizon, we need to call again on the generosity of the public to help find out which potential vaccines are the most effective.
“Using a new NHS website developed in partnership between the National Institute for Health Research (NIHR) and NHS Digital, people across the UK can register their interest to be approached to join a vaccine study. Please go to the website and consider volunteering.”
Health Secretary Matt Hancock said: “A safe and effective vaccine is our best hope of defeating coronavirus and returning to life as normal.
We have some of our best scientists and researchers working on this, but members of the public have a vital role to play too. So I urge everyone who can to back the national effort and sign up to the NHS COVID-19 vaccine research registry to help find a vaccine as soon as possible.
“Every volunteer will be doing their bit towards finding a vaccine for COVID-19 that will have the potential to save millions of lives around the world and bring this pandemic to an end.”
Today’s announcement follows an existing global licensing agreement signed with AstraZeneca and the University of Oxford to research, develop and manufacture a Covid-19 vaccine for the UK public. AstraZeneca will work to produce 100 million doses for the UK in total.
As part of a wider £131 million investment by the Government, support has also been given to Imperial College London to develop their vaccine candidate, which started human studies in June.
In addition, the UK Government has committed £250m to the Coalition for Epidemic Preparedness Innovations (CEPI) – the biggest investment of any country – to support equitable and affordable access to new coronavirus vaccines and treatments around the world.
Santander Universities has teamed up with Queen Margaret University (QMU), Edinburgh, and Edinburgh Napier University to say thank you to students across the health professions that are supporting the NHS in the fight against COVID-19.
A total of £50,000 has been allocated by Santander to provide gifts to 1,400 students across both universities.
QMU has offered their Nursing and Allied Health Professions students on the frontline a choice of one of two luxury food hampers – a ‘pamper hamper’ or breakfast hamper – to thank them for their hard work in battling the pandemic. The gifts have been provided by Artisan Larder Scotland, founded by QMU graduate David McVey.
Edinburgh Napier has linked up with Edinburgh-based sushi company Minato Sushi to offer its own eligible School of Health and Social Care students a £35 voucher for the business as a thank you for their efforts as part of the country’s COVID-19 response.
Minato Sushi was founded by Jennifer Kerr and Tom Ruddy – both Edinburgh Napier alumni. The local business continues to receive support from the University’s innovation and enterprise hub, Bright Red Triangle.
Matt Hutnell, Director, Santander Universities, said: “Universities across the UK, such as Queen Margaret University and Edinburgh Napier University, are doing some fantastic work to contribute to the UK’s effort to combat the COVID-19 pandemic, so we’re delighted to continue to support both students and local communities during this critical time.”
Sir Paul Grice, Principal and Vice-Chancellor of Queen Margaret University, said: “We are incredibly proud of all of our students from the School of Health Sciences, especially those who are playing their part in the NHS’s fight against COVID-19.
“Thanks to the continuing generosity and support of Santander Universities, we have been able to not only provide this thank you gift for hundreds of our hard-working health students, but also support one of our graduate businesses in the process. I hope the students enjoy the gift – they are doing fantastic work!”
Professor Andrea Nolan, Principal and Vice-Chancellor of Edinburgh Napier University, said: “Throughout the COVID-19 pandemic, our nursing and midwifery students have demonstrated outstanding levels of professionalism during what has been an incredibly challenging – and often uncertain – time for all.
“Thanks to the generous continued support from Santander Universities, we’re delighted to be able to show our gratitude to nearly 900 students with this token of appreciation. I am pleased to be able to support one of our alumni businesses in the process. Our nursing and midwifery students have proved themselves to be wonderful ambassadors for the University and the health professions; on behalf of the whole university community, I thank them most sincerely.”
A letter signed by over 200 scientists from around the world has urged the World Health Organisation (WHO) to recognise Covid-19 can be spread by ‘aerosol’ or ‘airborne’ transmission and called on the UN body to revise its guidance.
On 7 July, WHO acknowledged there could be a problem and said it plans to review its advice.
From early in the coronavirus crisis, global unions have urged WHO to act on worrying evidence of airborne/aerosol transmission, and argued a precautionary approach was necessary (Risks 951).
Now the letter backed by 239 scientists, published on 6 July in the in the journal Clinical Infectious Diseases, reinforces the union concerns and says the evidence is “beyond any reasonable doubt”.
It notes: “There is significant potential for inhalation exposure to viruses in microscopic respiratory droplets (microdroplets) at short to medium distances (up to several meters, or room scale), and we are advocating for the use of preventive measures to mitigate this route of airborne transmission.”
The paper adds: “Studies by the signatories and other scientists have demonstrated beyond any reasonable doubt that viruses are released during exhalation, talking, and coughing in microdroplets small enough to remain aloft in air and pose a risk of exposure at distances beyond 1 to 2 metres (yards) from an infected individual.”
UK prime minister Boris Johnson relaxed physical distancing rules in England from 4 July, noting people should remain 2 metres apart where possible but “one metre plus” was the new minimum.
Scotland will officially move to Phase 3 of the route map out of lockdown this weekend, First Minister Nicola Sturgeon has announced.
From today (Friday 10 July), up to three households will be able to meet indoors for the first time – up to a maximum of eight people. Meanwhile, up to five different households to a maximum of 15 people will from tomorrow be able to meet outdoors.
A household can meet up to four other households per day in total. Two metre distancing between households should continue, with heightened hygiene measures to avoid creating bridges which allow the virus to spread.
Mandatory face coverings will be required in shops. Physical distancing of two metres remains the law, however on public transport and in retail settings exceptions will be allowed once appropriate mitigations are in place.
From Monday (13 July), organised outdoor play and contact sports can resume for children and young people under 18 (subject to guidance), non-essential shops inside shopping centres can re-open, and dental practices can see registered patients for ‘non-aerosol’ procedures.
From Wednesday (15 July), indoor restaurants, cafes and pubs will be able to re-open. Hospitality venues can be granted an exception to the 2 metre distancing requirement, however this requires mitigating measures in place such as clear information for customers, revised seating plans, and all hospitality venues are required to record contact details of customers to support Test and Protect.
All holiday accommodation can re-open from Wednesday, as well as the childcare sector, hairdressers and barbers. Museums, galleries, cinemas and libraries can also open from Wednesday, with strict physical distancing and for many of these facilities advanced ticketing will be required.
Places of worship can re-open from Wednesday for communal prayer, congregational service and contemplation with limited attendance numbers and physical distancing. Specific guidance is being finalised with faith communities.
Restrictions on attendance at services and ceremonies for funerals, weddings and civil partnerships will be eased, although full-scale gatherings are still not permitted and some mitigation measures will remain.
During a statement to parliament, the First Minister said: ““Scotland has made major progress in tackling COVID-19 – prevalence of the virus in Scotland is now several times lower than it is across the UK as a whole. And it is because of that action we can move into Phase 3.
“Today marks the most significant milestone yet in Scotland’s emergence from lockdown. Measures announced today are, of course, dependent on us keeping the virus under control and we will not hesitate to re-impose restrictions if we consider it necessary to halt the spread of the virus and save lives.
“During Phase 3 we will start to resume and re-open many activities and settings such as opening indoor pubs and restaurants, allowing more indoor meetings between households, and re-opening places of worship.
“Eliminating the virus as far as possible now – ahead of the almost inevitable challenges we will face come winter – remains our objective.
“The five principles behind our facts campaign – face coverings; avoiding crowded spaces; cleaning hands and surfaces; two metre distancing; and self-isolation if you have symptoms – are more important than they have ever been.”
The Scottish Government is required by law to review lockdown restrictions at least every three weeks. The latest review falls due today, so I will set out our decisions and the next steps in our careful and cautious exit from lockdown. However, I will first give an update on today’s Covid-19 statistics and a report on our progress in tackling the virus.
Since yesterday, an additional six cases of Covid have been confirmed, which takes the total number of cases to 18,315. A total of 646 patients are currently in hospital with suspected or confirmed Covid, which is an overall decrease of 121 since yesterday. That includes a decrease of 16 in the number of confirmed cases. As of last night, nine people were in intensive care with confirmed or suspected Covid, which is a decrease of two on the number that was reported yesterday.
I am pleased to report that, in the past 24 hours, no deaths have been registered of patients who had been confirmed as having the virus. The total number of deaths in Scotland under that measurement therefore remains 2,490. However, we must never lose sight of the fact that every death is a tragedy, and I send my condolences to everyone who has lost a loved one to this illness. I also know that statistical trends do not console those who are grieving.
However, the statistical trends are clear. In Scotland, Covid has now been suppressed to a low level. Indeed, even in the three weeks since I last updated Parliament, there has been significant progress. At that time, we were reporting approximately 20 new cases of Covid a day. The daily average now is around seven cases a day. Three weeks ago, there were more than 540 people in hospital with confirmed Covid, and the figure today is 342. Further, there are now just three patients with confirmed Covid in our intensive care units.
The number of people dying has also fallen week on week, as is shown in our daily statistics and in the weekly reports from National Records of Scotland. In addition, our latest modelling suggests that the R number remains below 1. It has been between 0.6 and 0.8 for most of the past month.
The number of people in Scotland with the virus also continues to fall. Three weeks ago, we estimated that around 2,900 people were infectious. Our estimate for last week was that around 1,000 people in Scotland were infectious. That confirms, as I explained yesterday when setting out our decision on air bridges, that the prevalence of the virus is now several times lower in Scotland than it is in the United Kingdom as a whole.
In determining whether we can move from phase 2 to phase 3 of our exit from lockdown, we have assessed our progress in tackling Covid against the six criteria for this stage that are set out by the World Health Organization, and we have concluded that we meet each of them.
However, I must advise Parliament that the fifth of those criteria, which relates to managing the risk of importing cases from outside Scotland, gave us some pause for thought. The balanced decision on air bridges that we announced yesterday was essential for us to conclude that we are managing that risk in an effective and proportionate manner at this stage. It is essential that we keep the risk under close review. To be clear, that must cover the possibility of importation from other parts of the UK, as well as from overseas.
Taking all the various factors into account, I confirm that it is the judgment of the Government that we can now move from phase 2 to phase 3 of the route map.
I also confirm that, in a limited number of sectors, we will allow an exception to be made to the requirement for 2m physical distancing. However, that will be subject to strict conditions that are tailored to the circumstances of each sector. Let me stress the term “exception”, because the general rule remains 2m.
For public transport and the retail sector, that exception will be permissible from tomorrow. However, it is essential that the required mitigations are in place and that appropriate discussions have taken place with trade unions before it becomes operational in any particular setting. Given some of what I will cover later, it is worth being clear at this point that the retail sector includes personal services such as hairdressing.
I also remind everyone that face coverings, which are already mandatory on public transport, will from tomorrow be mandatory in shops as well. There will be some exemptions: for young children under the age of five, for people with certain health conditions, and for staff in some circumstances. For the vast majority of us, however, it will be the law that we wear face coverings in shops. For the foreseeable future, wearing a face covering on a bus or a train or in a shop should become as automatic as putting on a seat belt in a car.
Although it should not need to be enforced, the police can issue fines for anyone who does not comply. However, I ask everyone to comply not from fear of enforcement but because it is the right thing to do—it helps us protect each other from the virus. That leads me to a general point that is important to stress before I outline the further restrictions that we intend to lift. The virus has not gone away. It is still out there, and it is just as infectious and just as dangerous as it ever was. Lockdown has suppressed it but, as lockdown eases, there is a very real risk that it will start to spread again. That is not conjecture; it is already happening in many parts of the world.
With every restriction that we lift, the risk increases, especially as we start to permit more indoor activity. All of us must therefore do everything that we can to mitigate it. Wearing face coverings is part of that, but so, too, are the other measures that are summarised in our FACTS campaign: face coverings; avoiding crowded spaces; cleaning hands and surfaces; 2m distancing; and self-isolation and booking a test if you have symptoms. I simply cannot stress enough that, as we move out of lockdown, those basic measures become much more important, not less—please, follow them to the letter.
Let me now confirm the key steps in phase 3 for which we are now able to set specific dates. You will find more detail on the Scottish Government website later today. As will be obvious from what I am about to say, we intend to take the same staggered approach to phase 3 that we did to phase 2. Not all changes will happen immediately or at the same time, which means that we do not bear all of the risk at once. However, the first changes, relating to the ability of different households to meet up together, will take effect from tomorrow.
Yesterday, the Cabinet Secretary for Health and Sport announced important changes for people who are shielding. For example, from tomorrow, you will no longer be asked to physically distance from people you live with, and you will be able to form an extended household if you live on your own or with children under the age of 18. Today’s route map includes a link to the additional changes that we hope to make to the shielding advice up to the end of July.
The other changes that I am about to announce unfortunately do not apply to people who are shielding but do apply to everyone else. Before I set out what those are, let me make a general point. Last week, we said that children under the age 12 no longer had to physically distance when outdoors; from tomorrow, that will also apply indoors. However, for adults and, for the time being, older children, the advice to keep a 2m physical distance from people in other households will remain.
However, from tomorrow, the general rules on household gatherings will be as follows. A maximum of 15 people from up to five different households may meet together outdoors. The advice is to remain 2m distant from people in households other than your own. From tomorrow, limited indoor gatherings will also be permitted. A maximum of eight people from up to three different households may meet indoors. To be clear, that is the household whose house the gathering is in and people from up to two additional households. As long as physical distancing between different households is maintained, that can include overnight stays.
I must stress, however, that that is one of the highest risk changes—if not the highest risk change—that we have made so far. We know that the risk of transmitting the virus indoors is significantly higher than it is outdoors. It is therefore essential that we all take the utmost care and strictly follow all the public health advice. That means keeping 2m distant from people in other households, being very careful to clean surfaces after you touch them, and washing your hands regularly, especially when you first enter someone’s house. At all times, try to avoid creating bridges that allow the virus to spread from one household to another. We are also advising that, between indoor and outdoor activity, adults do not meet with people from any more than four different household in any single day.
Finally, from tomorrow, we will change the guidance so that, regardless of their living arrangements, people who are part of a non-cohabiting couple no longer need to stay physically distant from each other, indoors or outdoors.
The next set of changes will take effect from next Monday 13 July. From Monday, organised outdoor contact sports and physical activity can resume for children and young people, subject to guidance being followed. So, too, can other forms of organised outdoor play.
Non-essential shops inside shopping centres can reopen, provided, of course, that they follow all relevant health and safety guidance. That will mean that, from Monday, the vast majority of retail will be open.
There will also, from Monday, be a further resumption of important public services. Community optometry practices will further increase their services, especially for emergency and essential eye care. Dental practices will be able to see registered patients for non-aerosol procedures. Let me explain that a bit more: aerosol procedures are those that create a fine mist, for example through use of a high-speed drill; we cannot yet allow those. Unfortunately, that means that many forms of dental care will still not be possible. However, procedures such as check-ups and the fitting of dentures and dental braces can resume.
From Monday, a woman can have a designated person accompany them to ante and postnatal appointments and can designate, in addition to their birth partner, one other person to attend the birth and make ante and postnatal ward visits.
Further important changes will then come into force from Wednesday next week, that is, 15 July. From that date, indoor restaurants, cafes and pubs will be able to reopen. However, just as with indoor household meetings, opening up indoor hospitality poses significantly increased risks of transmission, so it is essential that the guidance on health and safety is followed rigorously by businesses, staff and customers. That includes guidance on physical distancing and taking customer contact details, for use, if necessary, by test and protect.
Like public transport and retail, outdoor and indoor hospitality venues will be granted an exemption from the 2m rule from 15 July. However, that is dependent on the implementation of all relevant mitigating measures and appropriate discussions taking place with trade unions. Mitigating measures in this sector include clear information for customers that they are entering a 1m zone, revised seating plans and improved ventilation.
The tourism sector can also reopen from 15 July. That means that all holiday accommodation, including hotels, can reopen, as long as the appropriate guidance is followed.
Museums, galleries, other visitor attractions, libraries and cinemas, including drive-ins and other venues screening films, can also reopen on 15 July, although physical distancing and other safety measures will be required and for many if not most of those facilities, tickets must be secured in advance.
The childcare sector can also fully reopen from next Wednesday—I know that that is important to families across Scotland.
I can also confirm that, from 15 July, hairdressers can reopen, subject to enhanced hygiene measures being in place. The finalised guidance for hairdressers will be published this week.
Finally, I am pleased that we are able to bring forward two changes that we were previously keeping under review for later in phase 3 but now judge can be undertaken safely next week, provided that necessary mitigations are in place.
After careful consideration, we have decided that, from 15 July, places of worship can reopen for communal prayer, congregational services and contemplation. However, numbers will be strictly limited, 2m physical distancing will be required, and there will be a requirement to collect the contact details and time of attendance of those who enter a place of worship. Unfortunately, given what we know of transmission risks, singing and chanting will be restricted.
Detailed guidance is being finalised in consultation with our faith communities, but I hope that today’s announcement will be welcomed by all those for whom faith and worship is important and a source of comfort.
In addition, and linked to that change, we will ease restrictions on attendance at services and ceremonies for funerals, weddings and civil partnerships. However, numbers will be even more limited than for worship generally and physical distancing will be required. I stress that that change applies only to services. Associated gatherings, such as wakes or receptions, must continue to follow the limits on household gatherings and hospitality.
I am acutely aware that the restrictions that we have had to place on attendance at funerals in these past few months have been particularly hard to bear and I am very grateful to everyone who has complied, in what I know will have been heartbreaking circumstances. Although the changes that come into effect next week will not allow full-scale gatherings, I hope that they will allow more people to find solace at a time of grief, as well as allowing more people to celebrate happier occasions, such as weddings and civil partnerships.
The next set of changes will take effect from 22 July. At that time, personal retail services that have not yet been able to reopen—for example, beauticians and nail salons—will be able to reopen with enhanced hygiene measures in place.
Universities and colleges can implement a phased return to on-campus learning as part of a blended model with remote teaching. Motorcycle instruction and theory and hazard tests can also resume from that date. However, driving lessons and tests in cars will, unfortunately, have to wait a bit longer.
Unfortunately, there are other activities that are included in phase 3 of the route map that we are not yet able to attach a firm and specific date to. However, although we will keep these under review and, as we have done with communal worship, will bring dates forward wherever possible, it should be assumed at this stage that those further activities will not restart before 31 July. Those activities include the reopening of non-essential offices and call centres, the resumption of outdoor live events and the reopening of indoor entertainment venues such as theatres, music venues and bingo halls. They also include the opening of indoor gyms and the resumption of non-professional adult outdoor contact sports.
We will continue to work closely with relevant sectors on the reopening of all those activities as soon as possible. For example, we will work with the outdoor events sector to review the range of events that could take place, as we recognise that a one-size-fits-all approach might not be appropriate. However, I hope that it will be appreciated—as difficult as it is—that a number of those activities present particular challenges. Although I know that it is difficult, it will take a bit more time to work through how those can be safely addressed.
I also want to indicate that our current expectation is that phase 3 may well last longer than three weeks. Given the scale of the changes that we are making in phase 3, it might be wise not to rush them or go into phase 4 too quickly. However, we will keep that under close review.
Let me reiterate that it is our ambition and intention that schools will return full time in August. That is dependent on the virus continuing to be suppressed to very low levels, and it is therefore one of the reasons that we are being so careful and cautious in everything else that we do right now.
There is no doubt that today’s statement marks the most significant milestone yet in Scotland’s emergence from lockdown, and I hope that the measures that we have announced or confirmed today are welcome. All of them depend on us keeping the virus under control. Eliminating it as far as we possibly can now, ahead of what I am afraid to say are the almost inevitable challenges that we will face come winter, remains our objective. We will not hesitate to reimpose restrictions if we consider it necessary to halt the spread of the virus and save lives. I will make a further statement to the Parliament on 30 July, and will deliver regular updates through the regular media briefings between now and then.
I end by stressing the point that I made at the outset, which is, perhaps, the most important one of all. This is undoubtedly a time for cautious hope and optimism. There is no doubt that Scotland, through our collective efforts, has made great progress in tackling Covid. We should all savour our first indoor meetings and meals with friends, our first pint in a pub or catch-up over coffee. I know that many of us are looking forward to our first non-amateur haircut in many months. There will be other milestones and reunions that we will enjoy during the next few weeks. They have all been hard earned by each and every one of us. However, I have a duty to be crystal clear with the country that this is also a time of real danger. Next week represents the most substantial easing of lockdown so far, and we know that meeting people indoors poses far greater risks than going to a park or to someone’s garden.
We see signs of resurgence in many countries across the world and we must all be aware of that in everything that we do. We must remember that Covid, although at very low levels in Scotland, is still out there. Everything that we learn about this still new virus—its infectiousness, ability to kill and potential to do long-term damage to health—should warn us that we mess with it at our peril. Therefore, perhaps more than ever, now is a time for great caution. Remember that life should still not feel entirely normal and that at all times, especially when we are meeting indoors with people in other households, we must constantly be alert to the steps that we need to take to deny the virus the chance to spread.
That is why the most important things that everyone must remember and abide by are the FACTS. They are as follows.
Face coverings should be worn in enclosed spaces such as on public transport, in shops and anywhere else that physical distancing is more difficult.
Avoid, literally like the plague, crowded places indoors or outdoors.
Clean your hands regularly and thoroughly and clean hard surfaces after touching them.
Two-metre distancing remains the clear and important advice.
Self-isolate and book a test immediately if you have symptoms of Covid.
The symptoms to be aware of are a new cough, a fever, or a loss of or change in the senses of taste or smell. People can book a test at nhsinform.scot or by phoning 0800 028 2816. I ask them, please, to act immediately and to err on the side of caution. If they have any reason at all to worry that they might have Covid symptoms, they should get tested straight away.
It is only because of our collective action—our love for and solidarity with each other—that we have made so much progress. Now is not the time to drop our guard. Let us all keep doing the right things to keep ourselves safe, protect others and save lives.
Ahead of what is being dubbed ‘Super Saturday’ – when bars, pubs and restaurants reopen in England – The Royal College of Emergency Medicine is urging the public to act sensibly to not risk overwhelming A&Es.
Scots, of course, must wait a wee while longer for the hospitality industry to fully open but there are widespread concerns that tomorrow could see irresponsible behaviour put the UK’s gradual recovery from the coronavirus crisis in jeopardy.
President of the Royal College of Emergency Medicine, Dr Katherine Henderson said: “To many Saturday will come as a welcome release from an unprecedented nationwide lockdown and it is understandable that people want to let off steam.
“But we urge the public to be careful and use common sense. The NHS has coped admirably during this period, but staff are exhausted, and the system is very fragile. After seeing all of the goodwill, all of the clapping for the NHS, it would be heartbreaking to see A&Es overwhelmed on the first post-lockdown evening by people who have gotten too drunk or been in a fight.
“If you go to A&E because you’re plastered, you end up stretching the health service further and potentially put others at risk. Not only do you risk accidentally infecting someone with coronavirus because you don’t know you have it, but you are taking up the time of doctors who could be treating patients whose lives are in danger.
“It has never been more important that our Emergency Departments are for absolute emergencies only, and it has never been more important that people drink responsibly.
“While social distancing measures may have been relaxed, the threat of coronavirus has not gone away; it is still very real, it is still very dangerous.
“We need the public to help; act responsibly, drink responsibly and do maintain social distancing. It is also really important that people choose the care service that is most appropriate for their needs. If it is not an emergency, call 111, see a pharmacist, book a GP appointment. If you are seriously injured or sick, go to your A&E – you will be treated.
“We cannot go back to a pre-covid world where everyone turns up at a crowded A&E for treatment. We need patients to choose wisely and we need proper provision of alternative care services. Without both, A&Es risk becoming hubs of infection and we will end up back at square one.”
Prime Minister Boris Johnson will make an appeal to the public to stick to guidelines at a press conference later today. Whether the public will listen or not we’ll find out tomorrow.
WHAT COULD POSSIBLY GO WRONG? Private Eye’s view …
Provisions to allow children to play outdoors with friends, the introduction of exemptions to the 2 metre physical distancing rule and mandatory use of face coverings in retail settings from Phase 3 are among measures announced by First Minister Nicola Sturgeon yesterday.
From today, children aged 11 and under will be able to play outdoors, without physical distancing, in groups of up to eight and of no more than two other households.
Children aged 12 to 17 are asked to continue to physically distance but can meet in groups of up to eight outdoors and no more than two other households at a time.
There will be no limit placed on the total number of households children can meet in one day, enabling siblings to meet separate groups or friends, or to meet groups in addition to those their parents or carers may take part in.
The five mile limit for leisure travel will be lifted for the majority of the country from today (Friday, 3 July) as will restrictions on self-catering, self-contained accommodation.
The First Minister also confirmed that outdoor hospitality will be able to start trading from Monday 6 July, in line with indicative dates previously set out.
Following the successful introduction of mandatory face coverings on public transport, the measure will be extended to include retail settings from Friday, 10 July, in line with expected changes to other lockdown measures on that date.
The First Minister also announced the outcome of a review of the evidence on the 2 metre social distancing rule. Advice from the COVID-19 Advisory Group makes clear that the fundamental science around distance and transmission remains unchanged and that risk increases with proximity to an infected individual.
As such, the Scottish Government will retain 2 metres as the default physical distancing requirement for Phase 3 but introduce exceptions to this requirement if practicable mitigating measures can be implemented.
Settings and sectors considered appropriate for exceptions, pending agreed mitigations, are: public transport; outdoor hospitality; indoor hospitality; and retail. There will be no exemptions prior to the move to Phase 3.
Announcing the changes, the First Minister said: “As we move further out of lockdown, some rules will become more targeted and, as such, a bit more complicated.
“However, the basic foundation principles and hygiene measures remain as important as ever – each and every one of us must strike the right balance in order to keep the momentum of lifting lockdown going while protecting the progress made. What we are witnessing across the country is a sharp reminder just how highly infectious COVID-19 is, and how vital it is that we proceed with care and caution.
“That said, please take advantage of the fact that some rules are changing. Get out and about a bit more if you can and are able. Support your local businesses where possible – shops, outdoor hospitality and self-catering accommodation are beginning to reopen, travel distance restrictions are being lifted, and we are actively exploring further measures we can introduce – such as face coverings and 2 metre rule exemptions – that can get our economy safely back up and running even quicker.
“If you are ever in doubt, please remember our key guidance – the FACTS: face coverings should be worn in enclosed spaces; avoid crowded areas; clean your hands and hard surfaces regularly and thoroughly; 2 metre distancing remains in place; self-isolate, and book a test immediately, if you have symptoms of COVID-19.”
ScotRail reports that since the wearing of face coverings was made mandatory on Monday 22, June, around 90 per cent of customers have followed the guidance to keep themselves and others safe.
In May, the NHS Lothian Local Mobilisation Plan (LMP) forecast additional costs of £149.8m associated with the COVID-19 response across the Board and four HSCPs (health and social care partnerships). Of this, £71m is anticipated in the four months to the end of July.
Scottish Conservative Health Spokesperson, Miles Briggs, said:“NHS Lothian was facing significant financial challenges before Covid-19 struck and now these financial challenges are even greater.
“SNP Ministers must ensure that health boards are properly funded to deliver essential health services during this public health crisis and have appropriate measures in place.
“The poor management of NHS Boards by consecutive SNP Health Secretaries has meant that NHS Scotland was not in as strong a position as we should have been to deal with this crisis.
“Waiting times for operations are going to be longer in all health boards and I do not have confidence that SNP Ministers will be able get on top of these long treatment waiting times.”
Care for Carers package needed to support mental health of 3 million NHS and care staff
Dr Rosena Allin-Khan MP, Labour’s Shadow Mental Health Ministerhas called for a shake-up of mental health support to ensure that, for the first time ever, 3.1 million NHS and care workers get the same fast-tracked help and advice.
Labour has designed a new four-stage Care for Carers package to cover all NHS and social care staff in England, including contracted workers such as porters, cleaners and support staff who are doing vital and often distressing work during the coronavirus pandemic and are more likely to be low paid and on insecure contracts.
The package, staffed by paid professionals, includes:
1. A new national hotline available 24 hours a day, seven days a week
2. Follow-up support, including specialist assessments and referrals
3. Intervention and treatment, including specialised PTSD support
4. Follow-up and sign-posted to external services, such as alcohol and addiction services
Current support available is inadequate because it does not cover private sector staff doing NHS and social care work, and there are long waiting lists and significant regional variations. In some areas, nurses can wait for a year for an appointment. The current Covid-19 support hotline offers emotional support and signposting, but does not lead on to psychological therapies.
Labour is also calling for the Government to appoint a new independent national wellbeing guardian to coordinate and oversee the support, and to hold the Government and NHS employers to account.
The watchdog would work with unions, NHS Trusts, local authorities and care providers to ensure all staff know how to access the scheme and give them the confidence that their wellbeing was being championed and protected.
The pandemic has exacerbated an already grim picture for staff mental health. Almost five million working days were lost to poor mental health in 2019; stress is estimated to account for over 30% of NHS staff absence at a cost of up to £400 million a year; the BMA says 41% of doctors suffer with depression, anxiety, stress and other mental health conditions relating to their work; and more than half of carers say they are emotionally exhausted, according to the IPPR.
Dr Rosena Allin-Khan said:“Even before the pandemic hit, the case for investing in this kind of support was clear. Coronavirus has exacerbated the existing crisis in mental health.
“Many NHS and social care staff have been scared of going to work, and they have lost patients and colleagues. It has been heartbreaking to witness the toll this virus has taken on staff mental health.
“Current support is not good enough, and without a tailored, fast-tracked service for staff who have faced death and despair every day for over three months, our frontline heroes will continue to be failed.
“We need to care for our carers. It is time for the Government to give back to those who have sacrificed so much to keep our loved ones safe. Unless our staff are protected, they cannot continue their vital work of keeping us all safe.”
Unite, the UK and Ireland’s largest union, has welcomed Labour’s demands to provide fast-tracked mental health services for three million NHS and care workers.
The union said Labour’s plans would provide ‘much needed support’for the mental wellbeing of health and care staff who have faced increased pressures and distress during the pandemic.
Unite national officer Jacalyn Williams said:“These plans would create much needed support for the mental health of NHS and care staff who have faced the brunt of the worst impacts of the pandemic day after day.
“Having lost patients and colleagues, and with the threat of the virus to themselves and their loved ones ever present, it is no surprise that the mental health of staff in the health and social care sector has suffered.
“After years of service cuts, staff shortages and increased workloads, there was already a mental health crisis amongst health and social care workers, but the pandemic has made the situation a lot worse.
“Unite welcomes Labour’s proposals and calls on the government to implement them as soon as possible.”
Commenting on Labour’s plans for a mental health package for NHS and care staff, UNISON assistant general secretary Christina McAnea said:“Health and care staff have been working under huge pressures over the past few months, while most of us have been safe at home.
“Fears about falling ill, passing the virus on to loved ones or those they care for, and working without adequate safety kit have only added to the stress.
“Even before the pandemic hit, overworked staff were suffering with their mental health. The Covid crisis will only have heightened these problems.
“Health and care workers who’ve been up against it since March, need time off to recharge their batteries and support to help them cope with what they’ve been through.
“A one-size-fits-all approach of occupational health assistance won’t work. Support must be much more tailored to suit individual needs than is currently the case.
“The government needs to get much better at looking after all of those who do so much to look after all of us.”
STATEMENT TO PARLIAMENT: Last night Health and Social Care Secretary Matt Hancock announced local measures to deal with the coronavirus (COVID-19) outbreak in Leicester.
Mr Speaker, with permission, I would like to make a statement on local action to tackle coronavirus.
The impact of coronavirus has been deeply felt.
And yet thanks to the extraordinary action that this country has taken, it is now in decline at a national level.
The number of positive new cases is now below 1,000 a day and the number of recorded deaths yesterday is 25.
I am pleased to report there were no deaths in Scotland for the fourth consecutive day and that there is currently nobody in intensive care with coronavirus in Northern Ireland.
So we have been able, carefully, to ease the national restrictions.
And alongside the easing of these national restrictions, we have increasingly taken local action.
In May, we shut Weston Hospital to new admissions after a cluster of cases there.
Earlier this month, we closed 2 GP surgeries in Enfield and a meat processing factory in Kirklees.
And the Welsh Government has closed factories in Anglesey and Wrexham.
We have put in place a system to tie together local and national action, based on insight provided by the Joint Biosecurity Centre, working closely with Public Health England and the NHS.
Analysis is based on 3 levels of spread.
Individual cases are identified and managed by NHS Test and Trace.
When many cases are found in 1 setting, be it a care home for instance, a factory, or a hospital, that is classified as a cluster, and that will be dealt with largely by the local Director of Public Health, who has statutory powers to close individual organisations.
When Public Health England or the new JBC identifies clusters that are linked to one another, that is defined as an outbreak and a range of local and national actions may be needed.
Decisions are taken through our Local Action Committee Command structure. It works as follows.
If PHE or the JBC spots a problem that needs attention or the local Director of Public Health reports up a problem through the Regional Health Protection Teams, then the outbreak is assessed at the daily Local Action Committee Bronze meeting.
Issues of concern are raised to the Local Action Committee Silver meeting, which is chaired by the Chief Medical Officer.
And problems requiring ministerial attention are then raised to the Local Action Committee Gold meeting.
Yesterday, I chaired an emergency Local Action Committee Gold meeting specifically to deal with the outbreak in Leicester. Unfortunately, while cases in most parts of the country have fallen since the peak, in Leicester they have continued to rise.
The 7-day infection rate in Leicester is 135 cases per 100,000 people, which is 3 times higher than the next highest city.
Leicester accounts for around 10% of all positive cases in the country over the past week.
And admissions to hospital are between 6 and 10 per day rather than around 1 a day at other trusts.
Over the past fortnight, we have already taken action to protect people in Leicester.
We deployed 4 mobile testing units and extra capacity at the regional test site.
We provided thousands of home testing kits and extra public health capacity to boost the local team.
This afternoon, I held a further meeting with local leaders, with Public Health England, the JBC, the Local Resilience Forum and my clinical advisers, followed by a meeting of the cross-government Covid Operations Committee, chaired by the Prime Minister.
We have agreed further measures to tackle the outbreak in Leicester.
First, in addition to the mobile testing units that I mentioned earlier, we will send further testing capability, including opening a walk-in centre.
Anyone in Leicester with symptoms must come forward for a test.
Second, we will give extra funding to Leicester and Leicestershire councils to support them to enhance their communications and ensure those communications are translated into all locally relevant languages.
Third, through the councils, we will ensure support is available for those who have to self-isolate.
Fourth, we will work with the workplaces that have seen clusters of cases to implement more stringently the COVID-secure workplaces.
Given the growing outbreak in Leicester, we cannot recommend that the easing of the national lockdown, set to take place on the 4 July, happens in Leicester.
Having taken clinical advice on the actions necessary, and discussed them with the local team in Leicester and Leicestershire, we have made some difficult but important decisions.
We have decided that from tomorrow non-essential retail will have to close.
And, as children have been particularly impacted by this outbreak, schools will also need to close from Thursday, staying open for vulnerable children and children of critical workers as they did throughout
Unfortunately, the clinical advice is that the relaxation of shielding measures due on the 6 July cannot now take place in Leicester.
We recommend to people in Leicester, stay at home as much as you can and we recommend against all but essential travel to, from and within Leicester.
We will monitor closely adherence to social distancing rules and will take further steps if that is what’s necessary.
The more people following the rules, the faster we will get control of this virus and get Leicester back to normal.
We will keep all of these local measures under review and we will not keep them in place any longer than is necessary.
We will review whether we can release any measures in 2 weeks’ time.
These Leicester-specific measures will apply not just to the city of Leicester, but also to the surrounding conurbation, including for example, Oadby, Birstall and Glenfield.
I know that this is a worrying time for people living in Leicester and I want you to know that you have our full support.
We do not take these decisions lightly, but with the interests of the people of Leicester in our hearts.
I want everyone in Leicester to know that we have taken every one of these decisions to protect them from this terrible virus. We must control this virus. We must keep people safe.
These actions are also profoundly in the national interest too because it’s in everyone’s interests that we control the virus as locally as possible.
Local action like this is an important tool in our armoury to deal with outbreaks while we get the country back on its feet.
Mr Speaker, we said that we do whatever it takes to defeat this virus.
And we said that local action would be an increasingly important part of our plan.
The virus thrives on social contact, and we know that reducing social contact controls its spread.
So precise and targeted actions like these will give the virus nowhere to hide and help us defeat this invisible killer.
