First Minister visits NHS Louisa Jordan facility

The First Minister has praised the dedication of the NHS Scotland staff and building contractors working to establish the NHS Louisa Jordan.

During a visit to the NHS Scotland medical facility at the Scottish Events Campus (SEC) in Glasgow, the First Minister said their efforts will provide reassurance to people across Scotland and if required, ensure that the NHS has extra capacity to treat patients.

Construction work began on turning the SEC into the NHS Louisa Jordan on Tuesday 31 March. Since then:

  • 23,000 square metres of flooring have been laid
  • partitions between the beds have been constructed, creating more than 1,000 bed bays
  • more than 8,000 pieces of medical equipment have been ordered
  • 35,000 metres of network cabling have been laid for the nurse call system
  • 135,000 metres of cabling for lighting and power sockets have been laid
  • a new bespoke system to ensure oxygen supply to every bed has been put in place with 1,400 medical gas outlets.

The First Minister also urged people across the country to stay at home over the Easter weekend to help slow the spread of coronavirus (COVID-19).

The First Minister said: “Everyone involved in establishing the NHS Louisa Jordan deserves our sincere thanks. They are working tirelessly under extremely challenging circumstances to build a unique national facility.

“While I still hope that it will not be needed, the NHS Louisa Jordan will help our NHS to prepare and provide people with reassurance that we have measures in place to help treat people during this pandemic.

“I urge everyone in Scotland to continue to follow the social distancing advice and to stay at home. By following the social distancing measures, they can help to slow the spread of COVID-19, save lives and protect our NHS. If they do this, the NHS Louisa Jordan will not need to open.”

The NHS Louisa Jordan is an NHS Scotland-run medical facility. It will have an initial 300 beds which could expand to hold more than 1,000 patients if required.

Jill Young, former Chief Executive of the Golden Jubilee Hospital at Clydebank, has been appointed Chief Executive of the temporary hospital.

The facility is named after Sister Louisa Jordan, a First World War nurse who died on active service in Serbia in 1915 while providing much-needed care to an area of dire need as part of the Scottish Women’s Hospitals for Foreign Services. Born in Maryhill, Glasgow, Louisa Jordan signed up to the war effort in December 1914 while working as a Queen’s nurse in Buckhaven, Fife.

Stroke: Act FAST!

A stroke survivor is appealing to people to call 999 if they think they’re having a stroke.

The call comes following interim Chief Medical Officer, Dr Gregor Smith’s statement that some hospital wards are “eerily quiet” amid the coronavirus outbreak.  Charity Chest Heart & Stroke Scotland are concerned that people are putting off going to hospital because of the virus and don’t want to be a burden on the NHS. 

Debbie, 44 from Comrie, has joined forces with the charity to remind people that stroke is a medical emergency and that people still need to seek medical attention if they think they’re having a stroke. 

Chest Heart & Stroke Scotland is urging people to act FAST and call 999 as soon as you experience symptoms.

FAST is a simple acronym to remind people of the key signs of stroke: 

FACE – Can the person smile, does one side of their face droop?

ARM – Can they lift both arms? Is one weak?

SPEECH – Is their speech slurred or muddled?

TIME – If these symptoms are present, call 999

Debbie Matthew, stroke survivor from Comrie, said: “If my husband hadn’t called 999 so quickly and I hadn’t gone to hospital straight away, I can’t bear to think about what position I would find myself in today. 

“It’s been 4 years since I had my stroke and I can’t believe how far I’ve come. I’m just so thankful that my family were able to get me the help I so desperately needed.

 “FAST has become really important to my family. My son, Finlay, got such a fright seeing me after my stroke that he decided spread the FAST message to local school children.

“Finlay feels that it’s especially important for children to learn the message so that that they know what to do if they find themselves alone with a parent or grandparent who might be experiencing a stroke. 

“Hearing that people might not be seeking emergency help is terrifying, it’s more important now than ever to make sure people know to Think FAST and call 999 if you think you’re having a stroke.” 

Jane-Claire Judson, Chief Executive at Chest Heart & Stroke Scotland, said: “Stroke doesn’t stop because of coronavirus; it can happen at any time and anywhere. 

“By the end of today, 25 people across Scotland will have suffered a stroke. The same will happen tomorrow. 

“Coronavirus is at the forefront of our minds right now, but it’s vital that people don’t forget that a stroke is a medical emergency. NHS stroke staff are on-hand to help you and save people’s lives.

 “It is important that people are aware of the signs and symptoms of stroke and phone 999 immediately if someone needs urgent medical attention. 

“These symptoms aren’t something for deliberation, if you see these signs, act FAST and save a life.”

 Scottish Conservative health spokesman Lothian MSP Miles Briggs said: “NHS Scotland have rightly shifted their focus to fighting to Covid-19, but people are still going to get ill and emergency services are continuing as normal.

“It is vital that if you, or someone you are with, is showing symptoms of having a stroke, that you call 999 immediately, to be taken to hospital. The FAST acronym is an easy way to remember the signs of a stroke – Face, Arms, Speech and Time.

“This is an important message, not just for people who are showing signs of a stroke, but for anyone who is having a medical emergency during the Coronavirus outbreak, call 999 immediately.”

Government sets out plan for national effort on PPE

  • To date, over 761 million pieces of PPE delivered across the UK
  • Full, 24/7 military operation underway to manage supply and demand right across the UK
  • New domestic PPE manufacturing effort with Rolls Royce and McLaren to make more protective equipment
  • Website launching to enable primary, social, and community care providers to request critical PPE

A UK-wide plan to ensure that critical personal protective equipment (PPE) is delivered to those on the frontline responding to coronavirus (COVID-19) was announced yesterday by Health and Social Care Secretary Matt Hancock.

The 3-strand plan launched on Friday will provide clear guidance on who needs PPE and when they need it, ensure those who need it can get it at the right time and set out action to secure enough PPE to last through the crisis.

A full, 24/7 military operation is already underway to deal with the unprecedented, global demand for PPE as a result of this pandemic.

A new national supply and logistics network has been created from scratch in a matter of weeks to manage supply and demand across the UK, and to make sure appropriate PPE reaches those who need it.

A new website, developed with the help of the military, is being rolled out in the coming weeks to improve distribution and will enable primary, social and community care providers in England to order critical PPE.

In addition, a new PPE hub provides easy access to all the government’s guidance on PPE in one place – a one-stop shop people can visit to understand what PPE they need.

This is in addition to a 24-hour helpline that already allows providers to request emergency drops of PPE to meet immediate need.

Health and Social Care Secretary Matt Hancock said: “I will stop at nothing to protect those on the frontline who are fighting this virus.

“Our heroic health and care staff are working around the clock and my absolute priority is to support them. Our new online ordering tool for PPE is supported by a 24/7national supply and logistics network.

“There is a herculean effort behind the scenes, supported by the military, to get the right kit to our frontline heroes. These new supply chains, matched with a call to arms for more businesses and organisations to join this national effort, will help save lives.”

The 3-strand plan sets out:

  1. guidance: being clear who needs PPE and when, and who does not, based on UK clinical expertise and WHO standards. This will ensure workers on the front line are able to do their jobs safely, while making sure PPE is only used when clinically necessary and isn’t wasted or stockpiled
  2. distribution: making sure those who need PPE can get it and at the right time. The government will ensure those who need critical PPE receive it as quickly as possible by setting up a new national supply system
  3. future supply: taking action to secure enough PPE to see us through the crisis. The actions being taken to ensure we have enough critical PPE to last the UK through the pandemic, working alongside industry to boost future supply. The government has already co-ordinated deliveries of PPE directly to health and care providers and to 38 local resilience forums across England. These efforts are being co-ordinated across all 4 nations of the UK to ensure appropriate distribution of critical PPE

Since the beginning of the coronavirus (COVID-19) outbreak, over 761 million items of PPE have been delivered across the UK to 58,000 different settings, including hospitals, hospices, care homes, home care providers, GPs, pharmacists and dentists to ensure our frontline is protected. This includes 158 million masks, 135 million aprons and 360 million pairs of gloves.

The plan also emphasises the need to ramp up domestic production of PPE. The government is calling on industry to join forces to manufacture more protective equipment to support the national effort.

Already companies such as Burberry, Rolls-Royce, McLaren, Ineos and Diageo have started work to produce equipment including gowns, visors and hand hygiene products.

Last week, following extensive consultation with the Medical Royal Colleges, all 4 UK governments published updated guidance for PPE for health and care workers. This covers doctors, nurses, midwives, paramedics, social workers and social care staff.

Critical PPE guidance has also been published for cleaners, funeral directors and first responders. Beyond these roles in settings including supermarkets and public transport, the clinical evidence, which is kept under review, does not suggest widespread benefit from wearing PPE over and above social distancing, social isolation and good hand hygiene.

In addition to this a new dedicated team has been set up to focus on securing supplies and identifying PPE suppliers from across the globe to meet the increasing demand for a growing list of products, with a call to arms to businesses to turn their manufacturing efforts to this response to meet technical specifications published by government.

Businesses and organisations including Kingfisher Group, Apple, Huawei and BP have also stepped up to the plate to generously offer their own PPE for use by the NHS and public organisations.

But health professionals say they need more than warm words and three point plans at this critical time – they need ACTION, in the form of vital PPE equipment NOW.

The British Medical Association has learned that personal protective equipment (PPE) supplies in two large areas of England are running at dangerously low levels, and that some pieces of equipment are no longer available – forcing doctors into impossible situations and ultimately, putting their lives at risk.

The doctors’ union understands that current PPE supplies in London and Yorkshire are not sufficient to deal with the COVID-19 outbreak. This means staff and patients are increasingly being placed in harm’s way as they battle against the virus.

The Government is therefore, forcing doctors to place themselves and their patients in grave danger by expecting them to treat COVID-19 patients without adequate PPE.

The evidence comes just two weeks after the Government said that supplies of PPE were plentiful, and that equipment was flowing out to trusts.

According to a recent survey(1) by the BMA, however, more than half of doctors working in high-risk environments(2) said there were either shortages or no supply at all of adequate face masks, while 65% said they did not have access to eye protection.

Futhermore, 55% said they felt pressurised to work in a high-risk area despite not having adequate PPE.

Dr Chaand Nagpaul, BMA council chair, said: “No doctor should ever have to be in harm’s way when they go to work, and in these unprecedented times, this has never been more important.

“This is not the flu. We are dealing with an unknown, highly-infectious, and potentially deadly virus that has already claimed the lives of several healthcare workers, including 11 doctors in the UK. It is absurd that the people trained to treat this disease are the ones who are not being appropriately protected – and without them, we face real disaster.

“It’s unclear whether the lack of PPE is directly linked to the recorded deaths of doctors so far, but we know that no healthcare workers have been infected in a hospital in Italy precisely because their PPE supplies are sufficient and of high-quality.

“This must be replicated here, in every healthcare setting, as a matter of urgency. Without it, doctors are being forced into a corner, facing heart-breaking decisions over whether to carry on caring for patients without proper protection and put themselves and patients at risk.

“This is an immensely difficult position to be in, but is ultimately down to the Government’s chronic failure to supply us with the proper equipment. We cannot continue like this, and need to see enough, adequate PPE delivered to staff across the country as soon as possible, not just for our health, but also, and most importantly, our patients’.

“We note the Government’s announcement this afternoon and its three-strand PPE Plan. However, PPE should not be a ‘precious resource’ and for NHS staff facing shortages of protection they need today, they don’t want to hear of a plan, but that this vital equipment is made available to the front line now.”

GP practices and pharmacies open for Easter

Extended opening hours to ensure services available

General practices and community pharmacies will remain open on Good Friday and Easter Monday to help relieve pressure on out-of-hours services this weekend.

GPs will be open to offer treatment for non-coronavirus (COVID-19) related health issues, where it is safe to do so. Community pharmacies have also been requested to remain open where possible to support the wider efforts of the NHS.

Patients with coronavirus (COVID-19) symptoms are asked to check nhsinform.scot/coronavirus first for advice or dial NHS 24 on 111, day or night, if their symptoms worsen or do not improve after seven days.

Health Secretary Jeane Freeman said: “I want to thank all health and social care staff for their continuing extraordinary efforts as we face this pandemic.

“Given ongoing demand on our NHS, I have taken the unusual step of asking GP practices and community pharmacies to remain open on Good Friday and Easter Monday – but only if it is safe to do so.

“Working with the Scottish GP Committee of BMA Scotland, the Scottish Government has agreed an additional £15 million to help GP practices meet the costs of responding to COVID-19.

“Part of this will help to cover the cost of remaining open on Good Friday and Easter Monday and the remainder will help to meet other costs being faced by practices during this difficult time. I have also been clear that the Scottish Government will meet any additional costs incurred by community pharmacies to remain open on these bank holidays.

“As always – if you have a critical medical emergency, whether related to coronavirus or not, phone 999.”

NHS Inform’s coronavirus webpage is still the fastest way for people to get the latest health advice and information.

Extra support for people affected by drug and alcohol use

Extra support for people affected by alcohol and drug use during the coronavirus (COVID-19) pandemic has been announced by the Minister for Public Health Joe FitzPatrick.

Funding of £166,000 from the Scottish Government will support:

• a programme to increase access to naloxone in new settings, including investment in kits to add to the existing outlets for naloxone supply
• increased capacity within the Know the Score helpline and webchat service
• a COVID-19 publicity campaign signposting support for alcohol and drug users during the pandemic
• funding to link people with others in recovery through the Scottish Recovery Consortium

Help will also be available for those affected by another’s alcohol and drug use through the Supporting Families Fund. This includes a discretionary emergency fund for families, online wellbeing activities, family meals, wellbeing packs and counselling support.

Mr FitzPatrick said: “Responding to the coronavirus pandemic is one of the biggest challenges of our lifetime and it will disrupt so many lives like never before. Protecting and supporting everyone during these unprecedented times is our priority.

“We’ve worked closely with organisations on the frontline to create this package of measures to ensure we continue to support those affected by alcohol and drug use.

“By working together and observing the latest guidance, we can all play our part in keeping everyone safe.”

Boris Johnson admitted to hospital

Prime Minister Boris Johnson has been admitted to hospital for tests, ten days after testing positive for coronavirus.

While the Queen was addressing the nation in a television broadcast last night, Boris Johnson (55) was on his way to hospital, where he remains this morning.

Foreign Secretary Dominic Raab will chair this morning’s Coronavirus update cabinet meeting in Downing Street.

A statement issued by 10 Downing Street last night said: “On the advice of his doctor, the Prime Minister has tonight been admitted to hospital for tests.

“This is a precautionary step, as the Prime Minister continues to have persistent symptoms of coronavirus ten days after testing positive for the virus.

“The Prime Minister thanks NHS staff for all of their incredible hard work and urges the public to continue to follow the Government’s advice to stay at home, protect the NHS and save lives.”

Catherine Calderwood resigns

Scotland’s Chief Medical Officer Dr Catherine Calderwood resigned from the Scottish Government late last night.

Dr Calderwood had earlier offered an apology for ignoring public health guidelines on not travelling away from home – not once, but twice – at a deeply uncomfortable press conference.

Ms Calderwood’s apology was never going to be enough to appease growing public anger, however. To break your own rules once is perhaps a mistake, but to repeat the offence a week later is quite simply unforgiveable. Scotland’s senior health official had to go – and really should have resigned sooner.

First Minister Nicola Sturgeon tried to protect Ms Calderwood at yesterday’s media briefing, but it later became clear that public furore was not dissipating.

The Chief Medical Officer’s position as one of the most recognised faces of Scotland’s fight against the coronavirus was untenable.

With public confidence draining, Ms Calderwood bowed to the inevitable and tendered her resignation. In a statement issued late last night, Dr Calderwood said: “I am deeply sorry for my actions and the mistakes I have made.

“The First Minister and I have had a further conversation this evening and we have agreed that the justifiable focus on my behaviour risks becoming a distraction from the hugely important job that government and the medical profession has to do in getting the country through this coronavirus pandemic.

“Having worked so hard on the government’s response, that is the last thing I want.

“The most important thing to me now and over the next few very difficult months is that people across Scotland know what they need to do to reduce the spread of this virus and that means they must have complete trust in those who give them advice.  It is with a heavy heart that I resign as Chief Medical Officer.

“I will work with my team over the next few days to ensure a smooth transition to my successor.”

Catherine Calderwood’s actions really could not have come at a worse time. The coronavirus is yet to peak in the UK, and Ms Calderwood had a key role in getting the public health message out to Scots during these hugely difficult times.

The Chief Medical Officer’s departure is undoubtedly a personal blow to First Minister Nicola Sturgeon – it’s a distraction she could well have done without as she leads the country in the great challenges we face.

First Minister Nicola Sturgeon said last night: “Dr Calderwood’s advice to me, to the government and to people across Scotland over the past few weeks has been the right advice. People should continue to stay at home to protect the NHS and to save lives.

“It is however clear that the mistake she made – even though she has apologised sincerely and honourably for it – risks distracting from and undermining confidence in the government’s public health message at this crucial time. That is not a risk either of us is willing to take.

“Catherine has been a transformational CMO, bringing changes to the way medicine is delivered in Scotland and in particular using her experience to bring an overdue focus to women’s health. Also, as I said earlier, her advice to me on Coronavirus will be missed – which is why she will work to ensure a smooth transition in the days ahead.

“While she has made a very serious mistake in her actions, that should not detract from the fact that as CMO she has made a highly valuable contribution to the medical profession and to health in Scotland, and I have no doubt she will continue to do so in future. She leaves office with my thanks and admiration.”

 

Smokers at greater risk of severe respiratory disease from COVID-19

Emerging evidence from China shows smokers with COVID-19 are 14 times more likely to develop severe respiratory disease.

If you smoke, you are not only putting yourself at greater risk of developing severe disease from the COVID-19 virus, but those around you exposed to second hand smoke, including children, are also put at increased risk.

Smoking tobacco is known to damage the lungs and airways causing a range of severe respiratory problems. The evidence clearly shows COVID-19 virus attacks the respiratory system, which explains why smokers are at greater risk. A small but highly impactful survey from China finds that smokers with COVID-19 are 14 times more likely to develop severe disease.

In addition, the repetitive hand to mouth movement provides an easy route of entry for the virus, putting smokers at greater risk of contracting COVID-19.

Professor John Newton, Director of Health Improvement at Public Health England said: “In light of this unprecedented COVID-19 pandemic, there has never been a more important time to stop smoking. Not only for your own health but to protect those around you.

“It will also help alleviate the huge pressures on the NHS.

“It is never too late to quit, no matter your age.”

Once smokefree, there are very real health benefits with the body continuing to repair the longer you stay smokefree.

The more immediate benefits include:

  • after 48 hours carbon monoxide is eliminated from the body. Lungs start to clear out mucus and other smoking debris
  • after 72 hours breathing becomes easier as bronchial tubes begin to relax
  • after 2 to 12 weeks blood circulation improves, making physical activity like walking and running easier

To help reduce your risk of contracting the virus and developing severe disease from coronavirus, you can use the smokefree app to access advice and support on how you can best stop smoking. Search ‘Smokefree’.

Follow the Smokefree Action Coalition #quitforcovid campaign on Twitter.

Deliveries begin for high risk groups

People in Scotland at highest risk of severe illness from coronavirus (COVID-19) will begin to receive home deliveries of essential groceries today.

Letters from the Chief Medical Officer have been issuing this week to those who are at greatest risk of COVID-19, to provide bespoke guidance on shielding from infection and information about the support available, which includes access to home deliveries through a text message service.

People who have received the letter this week and signed up to the service have been texted with the option of starting their weekly deliveries of essential food items including soup, pasta, rice, fruit, vegetables, tea, coffee and biscuits, as well as toiletries such as shower gel and toilet roll, on Friday.

Other measures being put in place include:

  • Specialist medicines such as chemotherapy drugs delivered through local health boards
  • Local Resilience Partnerships working with Community Pharmacy to scale up deliveries of pharmacy medicines
  • Work with supermarkets to ensure priority delivery slots for people at high clinical risk

Deputy First Minister John Swinney said: “These new services are available to those at the highest risk of severe illness from COVID-19 who do not have support structures around them to help.

“This includes people with specific forms of cancer, severe respiratory conditions, certain rare diseases, recipients of organ transplants, those on immunosuppression therapies and pregnant women with congenital heart disease.

“Many people will have support from friends and family but I would encourage everyone who receives a letter and requires support to sign up to the service immediately – this will ensure you have adequate supplies of food and essential items during these challenging times.

“It is vitally important that people at highest clinical risk are shielded as much as possible, and our advice alongside this text service will help protect people from the detrimental effects of the virus, including disruption to health and social care and key services.

“Our local services must prioritise those most in need and – by doing so – we will protect them, reduce the burden on the NHS and save lives. By continuing to work together, we can all play our part in keeping everyone safe.” 

Those in the high risk group who do not have access to mobile phones will be able to register for deliveries through their local authority.

Contact details are on the NHS Inform website and can also be accessed through the main switchboard number for local councils.

The grocery delivery service will be led by Brakes and Bidfood with the first deliveries expected on 3 April.

The six categories of risk – as agreed by the UK’s Chief Medical Officers – are:

1. Solid organ transplant recipients

2. People with specific cancers:
a. People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
b. People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
c. People having immunotherapy or other continuing antibody treatments for cancer
d. People having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
e. People who have had bone marrow or stem cell transplants in the last six months, or who are still taking immunosuppression drugs

3. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD

4. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell)

5. People on immunosuppression therapies sufficient to significantly increase risk of infection

6. People who are pregnant with significant congenital heart disease

Initial estimates of the numbers involved were 150,000-200,000, however, a large number of people have been found to qualify in more than one category, and examination of patient records has identified patients who do not fall into the categories and do not need to apply such stringent measures to protect themselves.

In Awe of our Carers

SCOTS are being urged to show their appreciation for the work of Scotland’s vast army of social care workers who are continuing to provide vital services to older and vulnerable people during the Coronavirus crisis.

Leading housing and care provider Blackwood is promoting a campaign to shine a light on the important front-line role care employees are playing – and to encourage businesses and individuals to look at ways they can show their gratitude.

Across Scotland, it is estimated that up to 150,000 staff work in the social care sector, providing care to people in care homes and retirement developments as well as care-at-home services.

Blackwood Chief Executive Fanchea Kelly said:  “Many older and vulnerable people could require hospital care without the help of our wonderful care staff. This vital support is happening in our communities in an almost invisible way during the COVID-19 crisis.

“In Blackwood we believe it is essential to recognise this important work publicly. We’d like to let care staff know that they are appreciated, keeping morale high at a time where many people are going way beyond their normal duties. If you can do anything to show your support, we’d love to hear from you.

“The first thing you can do is to join our campaign #ImInAwe so please tweet, retweet and share far and wide to get behind our carers and show how much they are valued.

“And I want to say thanks to members of Edinburgh Sports Club for volunteering to help drive our carers to their shifts as public transport services decrease.

“If you or your business can help in your own way, get in touch, we would love to hear from you to put a collective show of support across Scotland. But most importantly use ‘#ImInAwe‘ to show you care.”

Blackwood aims to help people live their life to the full, by providing services which support individuals to live independently. It specialises in technology and design innovation to support the role of its housing and care staff across Scotland.

For more information, please visit: https://www.blackwoodgroup.org.uk