public health – Page 58 – The NEN

If it was urgent before COVID-19, it is urgent now

A message from Dr Scott Davidson, Deputy Medical Director for Acute and Dr Kerri Neylon, Deputy Medical Director for Primary Care at NHS Greater Glasgow and Clyde:

We understand the COVID-19 pandemic may have made people anxious about accessing healthcare services in the same manner they would previously have done.

However, we would like to reassure everybody that we have both the capacity, and the patient pathways in place to ensure anyone requiring urgent hospital care, COVID-19 or non-COVID-19, is appropriately and safely assessed.

If you have symptoms of COVID-19 that are deteriorating including persistent fever, worsening cough or breathlessness then please call NHS24 on 111. This may involve being assessed at one of our established COVID-19 Community Assessment Centres.

For all other health issues please do not delay in contacting your GP as you normally would. It is incredibly important that if you do have symptoms that are of significant concern and may reflect an underlying serious illness such as cancer, that you are assessed as quickly as is possible.

Our GPs are all open and you will initially be assessed over the phone by a clinician who you can talk to about your symptoms. If required, a follow up video consultation or face-to-face appointment will take place at your practice.

For patients suspected of having cancer, please rest assured if you are referred on to the hospital that our hospital based specialty teams will arrange assessment for you as quickly as is possible.

We have all had to make changes to the way we work due to COVID-19 and it may be that you are offered a telephone or video (attend anywhere) appointment with your consultant, rather than visiting the outpatient clinic. You may be offered a test such as a specialized scan as a first assessment, with appropriate advice, reassurance, or, a follow up appointment and plan for further investigations, if required.

Please be reassured that every precaution has been taken to shield you from COVID-19. If you do require to visit a hospital site, our staff will work with you to provide specific times to attend via safe pathways separate from other patients. If transport is required, we can provide that as well.

All our staff are trained in the correct procedures and will be wearing appropriate PPE to ensure that neither you, nor anyone else is put at risk.

Your safety and wellbeing are our utmost priorities, and the sooner you are able to be assessed, the sooner we can put you on the appropriate care pathway.

Remember, if it was urgent before COVID-19, it is urgent now

Environment Secretary’s statement on coronavirus: Sunday 26 April

UK Environment Secretary George Eustace spoke at the daily government press conference on 26 April 2020 to give the latest update on the response to the COVID-19 pandemic:

Good afternoon, and welcome to today’s Downing Street Press Conference. I’m pleased to be joined today by Stephen Powis, the National Medical Director of NHS England.

Before I update you on the latest developments in the food supply chain, let me first give you an update on the latest data from the COBR coronavirus data file. Through the government’s ongoing monitoring and testing programme, as of today:

669,850 tests for coronavirus have now been carried out in the UK, including 29,058 tests carried out yesterday;
152,840 people have tested positive, that’s an increase of 4,463 cases since yesterday;
15,953 people are currently in hospital with the coronavirus in the UK, down from 16,411 on 25 April.

And sadly, of those hospitalised with the virus, 20,732 have now died. That is an increase of 413 fatalities since yesterday.

We express our deepest condolences to the families and friends of these victims.

At the beginning of the outbreak of this virus we saw significant problems in panic buying. That episode quickly subsided and food availability now is back to normal levels and has been for several weeks. All supermarkets have introduced social distancing measures to protect both their staff and their customers and it is essential that shoppers respect these measures.

The food supply chain has also seen a significant reduction in staff absence over recent weeks. As staff who had been self-isolating through suspected coronavirus symptoms have returned to work.

So absence levels are down from a peak of typically 20% in food businesses three weeks ago to less than 10% at the end of last week and in some cases individual companies reporting absences as low as 6%.

We have put in place measures to support the clinically vulnerable. So far 500,000 food parcels have been delivered to the shielded group, that is those who cannot leave home at all due to a clinical condition that they have.

In addition, the major supermarkets have agreed to prioritise delivery slots for those in this shielded group. So far over 300,000 such deliveries have been made, enabling people to shop normally and choose the goods that they want to buy.

We recognise that there are others who are not clinically vulnerable and therefore are not in that shielded group but who may also be in need of help.

Perhaps through having a disability or another type of medical condition, or indeed, being unable to draw on family and neighbours to help them. We have been working with local authorities to ensure that those people can be allocated a volunteer shopper to help them get their food needs. Charities such as Age UK and others can now also make also direct referrals on the Good Samaritan App to locate volunteers for those in need.

Many supermarkets have taken steps to increase the number of delivery slots that they have. At the beginning of this virus outbreak there were typically 2.1 million delivery slots in the entire supermarket chain.

That has now increased to 2.6 million, and over the next couple of weeks we anticipate that that will grow further to 2.9 million. So supermarkets have taken steps to increase their capacity but while this capacity has expanded, it will still not be enough to meet all of the demand that is out there.

Some supermarkets have already chosen to prioritise some vulnerable customers with a proportion of the delivers slots that they have and others have offered to work with us and also local authorities to help establish a referral system so that when somebody is in desperate need, a local authority is able to make a referral to make sure that they can get a priority slot.

As we look forward more generally towards the next stage in our battle against this virus, there are encouraging signs of progress, but before we consider it safe to adjust any of the current social distancing measures, we must be satisfied that we have met the five tests set out last week by the First Secretary.

Those tests mean that the NHS can continue to cope;

that the daily death rate falls sustainably and consistently;
that the rate of infection is decreasing; and operational challenges have been met;
and, most important of all, that there is no risk of a second peak.

For now, the most important thing we can all do to stop the spread of the coronavirus is to stay at home, to protect the NHS and save lives.

I want to pay tribute to all those who are working throughout the food supply chain from farmers, manufacturers and retailers. The response of this industry to ensure that we have the food that we need has been truly phenomenal.

Thank you.

Coronavirus (COVID-19) update Scotland: Sunday 26th April

Statement given by the Health Secretary Jeane Freeman at a media briefing in St Andrew’s House, Edinburgh, on Sunday 26 April:

Good afternoon. Thanks once again to all of you for taking part in this media conference.

I want to start with an update on some of the key statistics in relation to COVID-19 in Scotland.

As at 9 o’clock this morning, there have been 10,324 positive cases confirmed – an increase of 273 from yesterday’s figures.

As always, let me be clear that these numbers will be an underestimate.

A total of 1,735 patients are in hospital with COVID-19 – this is a decrease of 13 from yesterday.

And a total of 133 people were last night in intensive care with confirmed or suspected cases of COVID-19. This is a decrease of seven since yesterday.

It is with sadness that I report that 18 further deaths have been registered, of people who had tested positive for COVID-19. That takes the total number of deaths in Scotland, under that measure, to 1,249.

As I have said previously at these Sunday briefings, these figures should be treated with some caution. Although deaths can be registered at weekends, registration numbers are usually relatively low. This should be taken into account when looking at today’s figures.

And of course, the number of deaths that is reported every day is so much more than a statistic. Each death represents an individual whose loss will be a source of grief and sorrow to many, and I want to extend my deepest condolences to all of those who have lost loved ones.

As Health Secretary, I also want to thank once again those who are working in our health and care sector, for the incredible work that you are doing.

Those thanks are due to everyone – the doctors and the nurses, the paramedics, the care home staff, the porters, the cooks, the healthcare assistants, the cleaners and many, many more.

Your work is crucial to the health and wellbeing of our country. You will have the same worries and anxieties as the rest of us but you go to work each day, putting that aside to care for others. All of us are truly grateful to you for everything that you are doing

I have two issues I want to update you on today. The first is about people volunteering to join or re-join the NHS and care workforce.

It is now almost four weeks since – as part of our ‘Scotland Cares’ campaign – we established a web portal for students, and former NHS and care workers, to apply to work in the NHS or the care sector, as they respond to the COVID-19 outbreak.

In total, more than 22,000 people have now volunteered.

The volunteers include experienced former staff, doctors, nurses, social care professionals and nursing, medicine, midwifery, and Allied Health professional students who are either now graduated or coming towards the completion of their training.

We are working with NHS Education for Scotland, our health boards and the Scottish Social Services Council to ensure that volunteers can start work as quickly as possible – while still following the correct induction and training processes.

A number of volunteers have been placed with NHS boards, and more than 3,000 are completing their pre-employment checks – which are being fast-tracked – just prior to being deployed.

The Scottish Social Services Council has placed almost 150 people into work in the care sector, and a further 200 are ready and available for deployment.

Not everyone who has applied to help us will be needed immediately.

But please bear with us – your volunteering and your offer to bring your skills and your talents really does matter, and we will need you, as we go through this pandemic.

Having such a large number of volunteers really matters – it provides us with important flexibility, as we look at staffing needs through the different stages of this pandemic.

I am immensely grateful to everyone who has offered to support our NHS and care services in this way.

The second point I want to update you on is support for those who are shielding. That term, as you know, refers to approximately 160,000 people in Scotland, who are at the highest clinical risk from COVID-19, and who are therefore being asked to isolate themselves completely.

A text message service has been in place for almost a month now, so that people who are shielding can ask for support and receive information.

So far, more than 78,000 people have registered for the text service. I would encourage everyone who is shielding to register.

Even if you don’t need additional help at the moment, as many people don’t, registering will be useful if you ever do need that further help.

You should have received information on how to do that – letters to people who are shielding started to go out on 26th March. But I will also read out the number of our national helpline in a minute or so.

One of the services which you can request by text is free delivery of food packages. More than 80,000 food packages have been delivered so far.

In addition, six supermarkets are offering priority deliveries for people who are shielding.

Over 33,000 people have expressed an interest in these priority slots, and we have passed their information on to the participating supermarkets.

Supermarkets have also identified and contacted existing customers who are eligible for priority slots and many have already received deliveries.

And people who were not existing customers of any of the participating supermarkets, received texts last week with details of how to register.

If you don’t have a mobile phone, you can get access to these services through your local authority. Our national helpline will direct you to the local authority that applies to you.

It is a good way of finding information more generally about the support, which is available. The national helpline number is 0800 111 4000, and the line is open between 9am and 5pm every weekday.

I know for many of the people who are shielding, this is a worrying time, and also a very difficult time. Staying at home all the time is necessary for your own protection – but I know that it is even harder than the restrictions which are in place for everyone else.

We are determined to ensure that support is available for you throughout this time – so please, make use of that support if you need to.

Before I hand over to Fiona McQueen, our Chief Nursing Officer, and to Jason Leitch, the National Clinical Director, I want to emphasise once again the importance of sticking to our public health guidance.

Stay at home – unless it is for essential purposes such as exercising once a day, or buying food or medicine.

When you do go out, stay two metres away from other people, and don’t meet up with people in other households.

And wash your hands thoroughly and regularly.

These restrictions are tough – and I know they get tougher as the weeks go by, and especially when the weather stays warm. But they continue to be essential. They are the way in which all of us can slow the spread of the virus, protect our NHS, and save lives.

So thank you once again to everyone who is doing the right thing and staying at home. You are making a difference, and you are saving lives, and I thank you very much indeed.

World Health Organisation: “We will only halt COVID-19 through solidarity”

Heads of state and global health leaders have made an unprecedented commitment to work together to accelerate the development and production of new vaccines, tests and treatments for COVID-19 and assure equitable access worldwide.

The COVID-19 pandemic has already affected more than 2.4 million people, killing up to 200,000 – including more than 20,000 in the UK. It is taking a huge toll on families, societies, health systems and economies around the world, and for as long as this virus threatens any country, the entire world is at risk.

There is an urgent need, therefore, while following existing measures to keep people physically distanced and to test and track all contacts of people who test positive, for innovative COVID-19 vaccines, diagnostics and treatments.

“We will only halt COVID-19 through solidarity,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “Countries, health partners, manufacturers and the private sector must act together and ensure that the fruits of science and research can benefit everybody.”

Work has already started. Since January, WHO has been working with researchers from hundreds of institutions to develop and test vaccines, standardize assays and standardize regulatory approaches on innovative trial designs and define criteria to prioritize vaccine candidates.

The Organization has prequalified diagnostics that are being used all over the world, and more are in the pipeline. And it is coordinating a global trial to assess the safety and efficacy of four therapeutics against COVID-19.

The challenge is to speed up and harmonize processes to ensure that once products are deemed safe and effective, they can be brought to the billions of people in the world who need them.

Past experience, in the early days of HIV treatment, for example, and in the deployment of vaccines against the H1N1 outbreak in 2009, shows that even when tools are available, they have not been equally available to all.

On Friday, leaders came together at a virtual event, co-hosted by the World Health Organization, the President of France, the President of the European Commission, and the Bill & Melinda Gates Foundation.

The event was joined by the UN Secretary General, the AU Commission Chairperson, the G20 President, heads of state of France, South Africa, Germany, Vietnam, Costa Rica, Italy, Rwanda, Norway, Spain, Malaysia and the UK (represented by First Secretary of State Dominic Raab) – but one notable absentee was President of the United States of America, Donald Trump.

Health leaders from the Coalition for Epidemic Preparedness Innovations (CEPI), GAVI-the Vaccine Alliance, the Global Fund, UNITAID, the Wellcome Trust, the International Red Cross and Red Crescent Movement (IFRC), the International Federation of Pharmaceutical Manufacturers (IFPMA), the Developing Countries Vaccine Manufacturers’ Network (DCVMN), and the International Generic and Biosimilar Medicines Association (IGBA) committed to come together, guided by a common vision of a planet protected from human suffering and the devastating social and economic consequences of COVID-19, to launch this groundbreaking collaboration. They are joined by two Special Envoys: Ngozi Okonjo-Iweala, Gavi Board Chair and Sir Andrew Witty, former CEO of GlaxoSmithKline.

They pledged to work towards equitable global access based on an unprecedented level of partnership. They agreed to create a strong unified voice, to build on past experience and to be accountable to the world, to communities and to one another.

“Our shared commitment is to ensure all people have access to all the tools to prevent, detect, treat and defeat COVID-19,” said Dr Tedros. “No country and no organization can do this alone. The Access to COVID-19 Tools Accelerator brings together the combined power of several organizations to work with speed and scale.”

Health leaders called on the global community and political leaders to support this landmark collaboration and for donors to provide the necessary resources to accelerate achievement of its objectives, capitalizing on the opportunity provided by a forthcoming pledging initiative that starts on 4 May 2020.

This initiative, spearheaded by the European Union, aims to mobilize the significant resources needed to accelerate the work towards protecting the world from COVID-19.

Mobile Testing Units are on their way

Mobile testing units, operated by the Armed Forces, will travel around the UK to increase access to coronavirus testing.

Units will respond to areas of highest demand, travelling to test frontline workers and the most vulnerable at sites including care homes, police stations and prisons
The new units will work alongside the country’s drive-through test sites, sending patient samples to the network of Lighthouse Labs, to rapidly increase the number of tests done each day.

Essential workers and the most vulnerable will receive increased access to coronavirus tests after the government unveiled a network of mobile testing units to travel where there is significant demand, including care homes, police stations and prisons.

The number of new mobile units is being scaled up after a successful pilot last week, which saw Department of Health and Social Care vehicles refitted to fully functioning testing sites, following a design developed by the Royal Engineers of the British Army. Today, there are 8 existing mobile units carrying out tests across the country, including in Salisbury, Southport and Teesside.

Mobile facilities can be set up in under 20 minutes, allowing the testing of hundreds of people each day and are now travelling to those most in need and hard to reach. Specially trained Armed Forces personnel will collect swabs at the mobile sites, before they are sent to mega-labs for processing. Those tested will receive results within 48 hours.

Rapid expansion of a network of mobile test units is now underway, with new units being fielded in the coming weeks and at least 96 ready to be deployed by the start of May.

This follows the announcement last week that other frontline workers would join the priority list for coronavirus testing, alongside the existing commitment to make sure patients and NHS staff are tested for the virus.

New mobile sites will travel to frontline workers in places including:

care homes
police stations
prisons
benefits centres
fire and rescue services

Testing Minister Lord Bethell said: “Everyone who needs a coronavirus test should be able to have access to one. New mobile testing units will travel the country to provide vital frontline workers with tests so those testing negative to safely return to work.

“We have built up capacity in the system with new testing facilities backed by Britain’s world-class scientists and industry partners. This means more workers can know if they have coronavirus if they have been demonstrating symptoms.

“Testing is key in our battle against coronavirus. We now have the ability to provide more people with the certainty they need to get back to the front line when it is safe to do so.”

Defence Secretary Ben Wallace said: “Our Armed Forces will help deliver testing to where it’s most needed, using a network of up to 96 mobile units that will be rolled out in the coming weeks.

“They will make sure our care sector get the testing required to remain in the frontline of the fight against this pandemic.”

National Testing Coordinator John Newton said: “Across the country we are creating new infrastructure to rapidly increase our capacity to test for coronavirus. New mobile testing units will help us achieve our goal of 100,000 coronavirus tests a day, providing tests to vital frontline workers wherever they need them.

“In a matter of weeks we have worked with Britain’s leading scientists, academics and industry partners to build scores of new testing facilities and Britain’s largest network of diagnostic labs in history. Each day we are delivering more coronavirus tests, and allowing more frontline staff testing negative for the virus to safely return to work.”

The government’s objective is to deploy 96 mobile testing units during the month of May – 92 will be staffed by the Armed Forces and a further 4, located in Northern Ireland, will be operated by civilian contractors. Five will be deployed in Scotland next week, with a further eight to follow.

Earlier this month the UK Health Secretary Matt Hancock announced the UK government’s 5-pillar plan to rapidly scale up coronavirus testing across the UK. The new 5-pillar plan outlines the ambitions to:

pillar 1: scale up swab testing in PHE labs and NHS hospitals for those with a medical need and the most critical workers to 25,000 a day in England, with the aligned testing strategies of the NHS in the devolved administrations benefiting from PHE’s partnership with Roche through a central UK allocation mechanism
pillar 2: deliver increased commercial swab testing for critical key workers in the NHS across the UK, before then expanding to key workers in other sectors. There are now more than 30 drive-through sites collecting these samples across the UK
pillar 3: develop blood testing to help know if people across the UK have the right antibodies and so have high levels of immunity to coronavirus
pillar 4: conduct UK-wide surveillance testing to learn more about the spread of the disease and help develop new tests and treatments
pillar 5: create a new national effort for testing, to build a mass-testing capacity for the UK at a completely new scale

Emergency Eyecare Treatment Centres introduced

New centres to reduce the need to attend hospital

New measures have been introduced to help patients with emergency eye problems, reducing the need for them to attend hospital during the coronavirus (COVID-19) pandemic.

Backed by up to £3 million of Scottish Government funding, Emergency Eyecare Treatment Centres have been established in all health board areas.

New technology is also being trialled by NHS Grampian and NHS Forth Valley.

After a telephone consultation, some patients may be referred to optometrists within the treatment centres who can manage a wide range of conditions without further involvement from GPs or hospitals.

In Grampian and Forth Valley, live video and audio feeds between the centres and consultants in hospitals are also being used to enable more patients to be immediately diagnosed and treated.

Health Secretary Jeane Freeman said: “While services have changed dramatically over the last few weeks, my message is clear – if you are worried about your health in any way, please get in touch with your GP. The same applies to your vision – if you have experienced any problems with your sight, please contact your local high street optician as soon as possible.

“I would like to thank NHS Boards and the optometry and ophthalmology professions for their excellent collaboration in establishing, at pace, more than 50 Emergency Eyecare Treatment Centres across Scotland to manage patients without COVID-19 symptoms who need an emergency face-to-face consultation.

“I am pleased to see some NHS Boards are also using innovative new tele-ophthalmology technology. This means that more patients can be immediately diagnosed and treated in a community setting while gaining an expert opinion from the secondary care ophthalmology team.”

Patients without COVID-19 symptoms will be referred for an emergency face-to-face consultation after having a telephone triage or consultation with a community optometrist.

Only the Emergency Eyecare Treatment Centres will examine patients face-to-face. These premises have been provided with the Personal Protective Equipment (PPE) required to keep patients and practitioners safe. The centres have been established by each Board with guidance and support from Eyecare Scotland, the national clinical leads multi-professional group.

Routine eye care services were suspended on 23 March. Since then, community optometry practices have continued to provide emergency and essential eye care services to patients, enabled by a package of financial support measures from the Scottish Government.

This includes provision of monthly average practice income from NHS services and up to £3 million of funding for the provision of emergency and essential eye care services.

NHS Lothian has established an Emergency Eyecare Treatment Centre.

To access this service, patients must first phone their local optometry practice to be assessed over the phone. If a face-to-face appointment is necessary, then an appointment will be arranged for that patient.

Further information, including an updated list of community optometry practices offering telephone assessments, can be found here: https://services.nhslothian.scot/EmergencyEyecareTreatmentCentre

Diabetic Retinopathy Screening Service:

Annual diabetic retinopathy screening has been suspended until further notice because of COVID-19. Look out for further updates.

PPE access extended to all social care providers

Everyone who provides social care will have access to appropriate PPE under new arrangements announced by the Scottish Health Secretary.

From Monday (27 April), local Hubs will distribute PPE supplies to the whole of the social care sector where normal supply routes have not been successful. These hubs will extend their provision to include all social care providers, and unpaid or family carers and personal assistants.

During the coronavirus (COVID-19) pandemic, global supply chains have been put under immense pressure and that is why the Scottish Government has set up supplies of PPE to support the social care sector from the national stock.

Health Secretary Jeane Freeman said: “The Scottish Government values the importance of everyone who is providing social care and we want to ensure they have access to appropriate PPE.

“As we respond to the challenges from global scarcity of PPE, we have worked with partners to agree an improved model that will ensure all social care providers have access to supplies from national NHS stock.

“This has only been possible because of a shared aim to ensure the right PPE gets to the right people at the right time and to keep everyone safe.

“In the coming weeks, we will collectively monitor how this model is operating, identifying challenges quickly and taking action as we deal with the evolving nature of the pandemic.”

Health and Social Care spokesperson for COSLA, Councillor Stuart Currie said: “COSLA welcomes this announcement which will ensure PPE provision for unpaid and family carers and personal assistants.

“Local Government has worked with partners across the sector to develop this model to ensure those who are supporting vulnerable people within their communities and all parts of the workforce have access to the PPE they need.”

Edinburgh communities thanked for Covid-19 support

Chief Superintendent Sean Scott has praised the Capital’s communities for their commitment to physical distancing over the past few weeks. The Divisional Commander also called on everyone to keep playing their part in helping fight the spread of coronavirus.

He said: “This has been a difficult and testing time for many of us, but I am delighted by how positively the overwhelming majority of people within Edinburgh have responded to the restrictions.

“Deputy Chief Constable Malcolm Graham has today urged the public across Scotland to continue and stay at home, avoiding the temptation of the good weather. I echo these sentiments.

“Please do not leave the house unless it is for an essential activity such as buying food and medicine, or for travelling to work, if you are a key worker.

“You are also allowed to go out for daily exercise, but please stay within your local area and where possible keep driving to a minimum.

“We have a number locations which attract residents such as Portobello Beach, The Meadows, Inverleith Park, Cramond foreshore and the Pentland Hills, all of which are beautiful in the sunshine, but the safe and responsible thing to do at this time is to avoid these areas where possible to ensure physical distancing.

“The Chief Constable has previously spoken about the importance of police taking a common-sense approach at this time and so Police Scotland officers are committed to engaging with the public, highlighting the necessity of staying indoors and encouraging people to return to their properties.

“If, and only if, these options have been exhausted, will we consider enforcement of the coronavirus legislation.

“Please also remember that house parties and gatherings with anyone out with your household are not permitted at this time. However, there are plenty of other ways to stay connected with family and friends, such as by telephone or by using online platforms.

“Thank you so much for all of your efforts to date but you still have a vital role to play in preventing the spread of coronavirus. Please stay at home, protect our NHS and save lives.

“Figures issued today show that 118 fixed penalty notices have been issued in Edinburgh between Friday 27th March and Thursday 23rd April.”

Coronavirus: “We must stay vigilant”

Business Secretary Alok Sharma gave the 17 April 2020 daily press briefing on the UK Government’s response to the COVID-19 pandemic:

Good afternoon. I am joined today by the government’s Chief Scientific Adviser, Sir Patrick Vallance and Dr Yvonne Doyle who is the medical director of Public Health England.

Before I talk about some decisions taken today, and Sir Patrick provides an update on the latest data, I would like to set out the steps we are taking to defeat coronavirus.

Our step-by-step action plan is aiming to slow the spread of the virus so fewer people need hospital treatment at any one time, protecting the NHS’s ability to cope.

At each point we have been following scientific and medical advice and we have been deliberate in our actions – taking the right steps at the right time.

We are also taking unprecedented action to increase NHS capacity by dramatically expanding the numbers of beds, key staff and life-saving equipment on the front-line to give people the care they need when they need it most.

This is why we are instructing people to stay at home, so we can protect our NHS and save lives.

I can report that through the government’s ongoing monitoring and testing programme, as of today:

A total of 438,991 people in the UK have now been tested for coronavirus, that includes 21,328 tests carried out yesterday.

Of those, 108,692 people have tested positive.

That is an increase of 5,599 cases since yesterday.

18,978 people are currently in hospital with coronavirus in the UK.

And sadly, of those hospitalised with the virus, 14,576 have now died.

That is an increase of 847 fatalities since yesterday.

We must never forget that behind every statistic is a family member or a friend.

And all our thoughts and prayers are with the families and loved ones of those who have lost their lives.

These figures are a powerful reminder to us all of the importance of following the government’s guidance. And as the Foreign Secretary outlined yesterday, the current social distancing measures will remain in place for at least the next 3 weeks.

And there are 5 tests that must be satisfied before we will consider it safe to adjust any of the current measures.

First, we must protect the NHS’s ability to cope. We must be confident that we are able to provide sufficient critical care and specialist treatment right across the UK.

Second, we need to see a sustained and consistent fall in the daily death rate from coronavirus, so we can be confident that we have moved beyond the peak.

Third, we need to have reliable data from the Scientific Advisory Group for Emergencies (SAGE) showing that the rate of infection is decreasing to manageable levels across the board.

Fourth, we need to be confident that the range of operational challenges, including testing capacity and PPE, are in hand, with supply able to meet future demand.

Fifth, and most importantly, we need to be confident that any adjustments to the current measures will not risk a second peak of infections that overwhelm the NHS.

The worst thing we could do now, is ease up too soon and allow a second peak of the virus to hit the NHS and hit the British people.

So I want to thank each and every person across the UK who is following and supporting the government’s advice to stay at home, in order that we protect our NHS and, ultimately, save lives.

I know we are asking you to make sacrifices. And it is challenging. But we need to keep going. Working together, we will defeat this invisible enemy.

Now is not the time to let up. The risk still persists – not only for yourself, but for the people around you. So we must stay vigilant.

But of course, the point we hope to get to, one of the ways we can defeat this virus, is to find a vaccine.

Just as Edward Jenner developed the smallpox vaccine in the eighteenth century, we need to apply the best of British scientific endeavour to the search for the coronavirus vaccine.

To that end I can announce today, that the government has set up a Vaccines Taskforce to co-ordinate the efforts of government, academia and industry towards a single goal:

To accelerate the development of a coronavirus vaccine.

This taskforce is up and running and aims to ensure that a vaccine is made available to the public, as quickly as possible.

The taskforce, reporting to me and the Health Secretary, is led by Sir Patrick and Professor Jonathan van Tam.

It comprises representatives from government, industry, academia and regulators.

Members include Government Life Sciences Champion Sir John Bell, as well as AstraZeneca, and the Wellcome Trust.

The taskforce will support progress across all stages of vaccine development, at pace.

It will back Britain’s most promising research, positioning the UK as a leader in clinical vaccine testing and manufacturing.

The taskforce will co-ordinate with regulators to facilitate trials which are both rapid and well supervised.

And it will work with industry in the UK and internationally, so we are in a position to manufacture vaccines at scale.

This will build on the Prime Minister’s announcement last month of a further £210 million for the Coalition for Epidemic Preparedness Innovations (CEPI), the international fund to find a vaccine.

I can confirm that the government has green lighted a further 21 research projects to help fight coronavirus.

In total, these projects will receive £14 million from a £25 million government research investment and include backing the development of a vaccine at Imperial College London.

This follows support for 6 projects, announced last month, including vaccine development led by Professor Sarah Gilbert at the University of Oxford’s Jenner Institute. This is already carrying out preclinical trials and, with government support, will shortly move into a clinical trial phase.

And we are looking forward. So when we do make a breakthrough, we are ready to manufacture it by the millions.

One tool in this fight will be the UK’s first Vaccines Manufacturing Innovation Centre based in Harwell.

A project that will help build our capacity to develop and mass produce vaccines here in the UK.

The government will be accelerating the building of this facility.

The Bioindustry Association is also working closely with our taskforce and bringing together a whole range of businesses keen to use their expertise to mass produce vaccines, as soon as one is ready.

I want to pay a heartfelt tribute to all the scientists and researchers, working tirelessly, on these projects.

Yet even with all their efforts, we should be under no illusions.

Producing a vaccine is a colossal undertaking.

A complex process which will take many months.

There are no guarantees.

But the government is backing our scientists, betting big to maximise the chances of success.

I am proud of how, again and again, Britain has stepped up and answered the call to action.

An enormous challenge being tackled through a vast national effort.

Where problem-solvers, from science, business and government join forces to beat this invisible killer.

We cannot put a date on when we will get a vaccine.

But we live in a country with a rich history of pioneering science.

And with the government backing our scientists we have the best chance to do this as quickly as possible.

PPE on it’s way to care homes across Scotland

Additional supplies of Personal Protective Equipment (PPE) are to be delivered directly to care homes across Scotland to help meet the increased demand caused by the coronavirus (COVID-19) pandemic.

NHS National Services Scotland will prioritise the delivery of stock directly to care homes where the virus is known to be present.

Stock will also continue to be provided to local hubs which supply PPE to other social care workers.

Each location will receive a week’s supply of equipment, including aprons, fluid resistant surgical masks and gloves.

The situation will be reviewed next week based on information supplied by care homes on their own supply of PPE stock.

The National Services Scotland Social Care triage service will continue to provide an emergency service in the case of unexpected short term demand.

Health Secretary Jeane Freeman said: “The dedication of those who work in the care sector is hugely appreciated and ensuring those staff are protected is a priority for me.

“They are doing a remarkable job in very difficult circumstances, and we will support them as they do that.

“We have dedicated teams working on the procurement and distribution of PPE to our health and social care workers.

“I believe that providing additional supplies straight to care homes will ensure all care homes in Scotland have enough PPE to allow them to continue to safely provide care and support to their residents. It should also allow time for care homes to work on sourcing their own stock.

“We are also working closely with COSLA to ensure the existing service provided by the local hubs is working as efficiently as possible.”

Scottish Care Chief Executive Donald Macaskill said: “Scottish Care warmly welcomes the announcement by the Cabinet Secretary that direct distribution of PPE to care services will be introduced.

“This will significantly support the protection of staff, residents and clients and the staff who care for and support them.

“I am grateful for the immediacy of response from Scottish Government and the recognition of the need to take these measures with urgency. All of us are working with determination in challenging circumstances to meet the threat of coronavirus.”

On Thursday, Social care providers and unions warned that a critical lack of protective equipment and testing has allowed coronavirus to “sweep through” social care.

In a joint statement – signed by the Association of Directors of Adult Social Services, UNISON, Unite, GMB and TUC – ministers are told that care workers and residents are still being exposed to unnecessary risk.

The care providers and union leaders warn that staff are being forced to risk their lives with care services struggling to get the equipment they need:  

“Social care is facing a crisis without precedent. Problems with supplies of protective equipment and a lack of testing is causing much anxiety amongst employers, staff, and the families of the people they care for. Many care home residents and care workers have already died.

“People who rely on social care are often more vulnerable to catching and dying from Covid-19. Yet a month into this crisis, many care workers are still working without suitable PPE, despite their heightened risk of exposure to the virus and to spreading it.

“A critical lack of PPE and testing of social care staff and service users is putting them at unnecessary risk of exposure – and means we are almost certainly underestimating how far the virus has spread.

The care providers and union leaders say that without urgent action the virus will continue to devastate the sector:

“When patients with Covid-19 are rapidly discharged from hospitals to care homes to free up NHS beds, it risks spreading the virus to care homes and putting staff and residents in danger.

“We are pleased that the government has at last published its strategy for social care. But it needs to go further and action will be more important than words.

“Amidst growing evidence that Covid-19 is sweeping through social care with devastating results, we call on the Government to step up the fight against Covid-19 by:

Publishing a national procurement and distribution strategy for PPE that includes the social care sector, so that care homes and social care providers aren’t left to source their own PPE amidst global shortages and inflated prices.
Setting a clear deadline for when all care workers, clients, personal assistants and residents who need it will have access to testing.
Stopping the rapid discharging of Covid-19 patients to care homes unless there are key checks about safety
Fully involving the social care workforce and its unions and employers in responding to the crisis.

The care providers and union leaders say ministers must “learn the lessons” from the crisis and provide better funding for social care in the future:

“Carers, local government, providers, regulators and civil servants are working tirelessly to respond to the crisis. But social care has been the poorer cousin of the NHS for too long. This pandemic is showing just how essential this largely female workforce is.

“Social care workers look after us all. Our parents, our grandparents, our partners, siblings and adult disabled children. Their work has long been undervalued, with services underfunded, staff often on the minimum wage or zero hours contracts and 122,000 vacancies in the sector.

“When this dreadful pandemic eases the Government must learn vital lessons about the failings of a social care system based on low pay and insecure work and put in place proper funding and a long-term plan for social care as soon as possible.”