Tag: public health

New guidelines to protect frontline staff

New guidance on personal protective equipment (PPE) has been published for health and social care workers responding to coronavirus (COVID-19) in Scotland.

The guidance, which has been agreed by the four UK Chief Medical Officers and Chief Nursing Officers, follows an urgent review of the existing guidance against the latest evidence and WHO advice, on the safest way to protect health and social care staff.

The new guidance includes:

  • what type of PPE to use in secondary, primary and community care settings, and when to wear it
  • when clinicians need to wear a higher level of protective equipment, and in which settings
  • detailed advice around risk assessing use of PPE in a range of different clinical scenarios, including community settings, such as care homes and caring for individuals in their own homes

Health Secretary Jeane Freeman said: “Protecting staff working on the frontline is an absolute priority and I want to thank each and every one of them for their hard work and commitment in this incredibly challenging situation.

“I want our staff to feel as safe as possible and this updated guidance provides clarity so that health and social care staff caring for patients feel confident in which PPE they need to wear in different situations and settings.”

Scotland’s Chief Medical Officer Dr Catherine Calderwood said: “The updates to the guidance reflect the fact that COVID-19 is now widespread in the community, so health and social care workers are more likely to see patients with the virus, some of whom will not have symptoms yet.

“We have introduced new measures to improve the distribution of PPE, including a single point of contact for all health boards to manage local PPE supply and distribution, and an email address for NHS staff to contact if they do not have what they need. This is covid-19-health-PPE@gov.scot. It will be monitored continuously and allow us to act to resolve any specific supply issues more quickly.

“A helpline has also been set up for registered social care providers having problems accessing PPE, with extra staff to prepare orders for social care, additional delivery drivers, longer delivery hours and use of more external delivery companies to increase capacity. Work continues to source further PPE and ensure there is an appropriate supply for all our workforce.”

The Scottish Government also outlined details of the improved process to report COVID-19 deaths that began yesterday.

As part of this new system, 40 deaths, which would not yet have been reported under the old system – because next of kin had not been informed – have been included and allocated to the last three days as appropriate.

The data below shows the running total of the number of deaths reported, under the old and new systems, of those confirmed to have died from Coronavirus across the last few days. There are now 126 deaths confirmed using the new system:

Tuesday 31 March – 69 (previously 60)

Wednesday 1 April – 97 (76)

Thursday 2 April – 126 (86).

 

Stung into action: Hancock unveils testing plans

England will carry out 100,000 tests for coronavirus every day by the end of this month, Health Secretary Matt Hancock pledged yesterday.

Increased testing for the NHS will form part of a new 5-pillar plan, bringing together government, industry, academia, the NHS and many others, to dramatically increase the number of tests being carried out each day.

Mr Hancock’s announcement comes following increasing criticism of the government’s slow response to both testing for coronavirus and provision of vital personal protective equipment (PPE).

On Wednesday, trade unions urged the government to ensure essential workers get access to live-saving protective equipment in an open letter to ministers.

The letter, signed by the TUC, UNISON, RCM, GMB, Unite, BDA and CSP, said: “Our members care for the sick and the elderly, they look after our children and keep them safe, they make sure there is food on the supermarket shelves, they keep the lights on and the water running.

“We are weeks into fighting Covid-19. It is now clear that the lack of personal protective equipment for frontline workers has become a crisis within a crisis.”

The letter adds: “Workers are being exposed to unreasonable and unnecessary risk by the ongoing failure to provide key workers with adequate PPE.

“Every day we hear from our members that despite repeated assurances from government, people are being asked to work with inadequate or out of date protective equipment – and that is where PPE is being provided at all.”

The letter states starkly the risks faced by key workers. “They are risking their own health and safety for us. We must be clear what that means, those who are subject to prolonged and direct exposure to the virus – such as health and social care professionals – are risking their lives.”

Calling for urgent government action to increase PPE supply, the letter adds there must be “transparency on procurement, distribution, timescales and exactly how and when workers can expect to get the protection they need and deserve,” adding “we call on the government and employers to guarantee that no member of staff will be put under pressure to perform tasks without adequate protective equipment.”

The call was backed by Labour health spokesperson John Ashworth. “Labour calls on ministers to abandon attempts to gag staff and instead work closely with trade  unions to ensure staff get the PPE that is so crucial to keeping them and patients safe,” he said.

The appeal – and, perhaps more importantly, criticism from loyal government supporting newspapers including the Daily Mail and the Telegraph – appears to have had an effect and the government has been stung into action.

Professor John Newton the Director of Health Improvement for Public Health England, has been appointed to help deliver the new plans and bring together industry, universities, NHS and government behind the ambitious testing targets.

He will coordinate a national effort with global manufacturers encouraged to expand their manufacturing capacity here in England; our strongest, home grown businesses in life sciences and other industries are encouraged to turn their resources to creating and rolling out mass testing at scale, and the government will support anyone with a scalable scientific idea or innovation to start a business.

New testing capabilities for the NHS and their families will support staff who are isolating at home to return safely to work if the test is negative, and keep themselves and others safe if the test is positive.

Significant progress to increase testing has already taken place across the country to protect the vulnerable, support our NHS, and ultimately save lives. New testing centres have been established at the main hotspots of the disease, and the UK has already conducted more than 152,000 tests. The 5-pillar plan sets targets to expand the England’s capability further.

The new 5-pillar plan outlines the ambitions to:

  • 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 by mid to late April;
  • Deliver increased commercial swab testing for critical key workers in the NHS, before then expanding to key workers in other sectors;
  • Develop blood testing to help know if people have the right antibodies and so have high levels of immunity to coronavirus;
  • Conduct surveillance testing to learn more about the spread of the disease and help develop new tests and treatments; and
  • Create a new National Effort for testing, to build a mass-testing capacity at a completely new scale.

Once widespread testing is available, we will prioritise repeated testing of critical key workers, to keep them safe and make sure that they do not spread the virus.

Over time, plans announced today will also see increasing focus on testing to see if people have already had the virus, to identify if they have the antibodies that will give them immunity against catching it again. This science is new and developing, but the aim is for a successful test that can be rolled out at scale, that could allow critical workers – and then the wider population – to return to work and their daily lives.

The Health Secretary also announced that over £13 BILLION of debt will be written off as part of a major financial reset for NHS providers – and community pharmacies will also receive a £300 million boost.

Seems the government has found that magic money tree after all!

Health workers do-it-themselves to tackle ventilator shortages

The First Minister has thanked clinical physics teams across Scotland in Parliament for their efforts on increasing ventilator capacity by repurposing equipment.

NHS staff have helped boost the stock of ventilators, crucial for the care of those suffering from coronavirus (COVID-19), by repurposing more than 200 anaesthetic machines.

These machines, normally used in operating theatres outwith intensive care units (ICU), will supplement the stock of specialised ICU ventilators.

NHS boards will deploy them as an interim measure with staff currently being retrained to use them in this way.

The use of repurposed machines increases ICU bed availability to more than 500. More ventilators for the NHS in Scotland have been ordered from a range of manufacturers and these will arrive in the coming weeks.

First Minister Nicola Sturgeon said: “Expert NHS clinicians, medical physicists and technicians have worked tirelessly, particularly over the last few days, to increase the ventilation capacity in our NHS by repurposing anaesthetic machines in response to COVID-19.

“Their remarkable work means our NHS has not just doubled ICU capacity, but has tripled it, ahead of the arrival of the additional ventilators we have ordered.

“We are now working to quadruple ICU capacity for COVID-19 patients to beyond 700 ICU beds, as soon as that can be achieved.

“These measures are part of our concerted and sustained response to an unprecedented health emergency. I am deeply grateful to our NHS staff for their ongoing commitment, expertise and bravery during this outbreak.”

Consultant Intensive Care Anaesthetist and Scottish Critical Care Clinical Lead Dr Rory Mackenzie said: “Over the last month ICU clinicians across Scotland have been fully committed to delivering detailed plans to increase the number of ventilator beds to meet the anticipated demand due to COVID-19.

“These plans include expanding into new spaces not normally used for critical care and repurposing anaesthetic machine ventilators, normally used in the operating theatre environment, to supplement specialised ICU ventilators.

“Most importantly, staff with previous ICU experience and others released from elective care programmes have gone through additional training.

“This is to ensure they can provide essential support and assistance to core critical care staff in the delivery of invasive ventilation, within these significantly enlarged units, to the sickest patients for whom this treatment provides a realistic prospect of survival.”

Scottish Government Senior Medical Advisor and Consultant Intensive Care Anaesthetist Dr John Colvin said: “From working collaboratively with clinical and technical staff across NHS Scotland, we are now confident that we are able to provide more than three times the normal number of ICU beds, and are on course to quadruple Intensive Care Capacity.

“A key advantage is that the extra medical and nursing staff from anaesthetics who will be contributing to the ICU escalation care will be familiar and confident with this equipment. ”

NHS Greater Glasgow and Clyde’s clinical physics team have converted 100 anaesthetic machines to ventilators. 

The First Minister thanked clinical physics teams across Scotland in Parliament today for their efforts on increasing ventilator capacity by repurposing equipment.

This is part of the board’s overall mobilisation plan to quadruple critical care capacity to cope with COVID-19, as requested by the Scottish Government.

Patients with coronavirus often have difficulty breathing and ventilators are used in hospital to help with this.

A team of 12 technicians in the past few days converted the medical equipment at Glasgow Royal Infirmary, Queen Elizabeth University Hospital and Royal Alexandra Hospital.

They were able to do this by changing the machines’ inner tubing to use air instead of oxygen to operate the ventilator. The machines were then tested, calibrated and are now approved for use to treat patients with coronavirus.

The clinical physics team at NHS Greater Glasgow and Clyde maintain the medical equipment in our hospitals.

This is part of NHS Greater Glasgow’s overall response to COVID-19 as the board aims to protect its patients, staff and wider public.

Ted Mullen, Head of Medical Equipment Management, part of the wider Clinical Physics Team, NHS Greater Glasgow and Clyde (above), said: Our team of experts did an incredible job this past weekend to convert our anaesthetic machines to much-needed ventilators.

“I want to thank them for their tireless work on this. These ventilators will help our frontline staff treat patients with coronavirus.”

The rights and health of refugees, migrants and stateless must be protected

A joint press release from The Office of the High Commissioner, United Nations Human Rights; International Organisation for Migration; World Health Organisation:

In the face of the COVID-19 crisis, we are all vulnerable. The virus has shown that it does not discriminate – but many refugees, those forcibly displaced, the stateless and migrants are at heightened risk.

Three-quarters of the world’s refugees and many migrants are hosted in developing regions where health systems are already overwhelmed and under-capacitated. Many live in overcrowded camps, settlements, makeshift shelters or reception centers, where they lack adequate access to health services, clean water and sanitation.

The situation for refugees and migrants held in formal and informal places of detention, in cramped and unsanitary conditions, is particularly worrying.

Considering the lethal consequences a COVID-19 outbreak would have, they should be released without delay. Migrant children and their families and those detained without a sufficient legal basis should be immediately released.

This disease can be controlled only if there is an inclusive approach which protects every individual’s rights to life and health. Migrants and refugees are disproportionately vulnerable to exclusion, stigma and discrimination, particulary when undocumented.

To avert a catastrophe, governments must do all they can to protect the rights and the health of everyone. Protecting the rights and the health of all people will in fact help control the spread of the virus.

It is vital that everyone, including all migrants and refugees, are ensured equal access to health services and are effectively included in national responses to COVID-19, including prevention, testing and treatment. Inclusion will help not only to protect the rights of refugees and migrants, but will also serve to protect public health and stem the global spread of COVID-19.

While many nations protect and host refugee and migrant populations, they are often not equipped to respond to crises such as Covid-19. To ensure refugees and migrants have adequate access to national health services, States may need additional financial support. This is where the world’s financial institutions can play a leading role in making funds available.

While countries are closing their borders and limiting cross-border movements, there are ways to manage border restrictions in a manner which respects international human rights and refugee protection standards, including the principle of non-refoulement, through quarantine and health checks.

More than ever, as COVID-19 poses a global threat to our collective humanity, our primary focus should be on the preservation of life, regardless of status. This crisis demands a coherent, effective international approach that leaves no-one behind.

At this crucial moment we all need to rally around a common objective, fighting this deadly virus. Many refugees, displaced, stateless people and migrants have skills and resources that can also be part of the solution.

We cannot allow fear or intolerance to undermine rights or compromise the effectiveness of responses to the global pandemic. We are all in this together. We can only defeat this virus when each and every one of us is protected.

 

 

Coronavirus: latest update

Business Secretary Alok Sharma gave yesterday’s (1 April 2020) daily press briefing on the UK government’s response to the COVID-19 pandemic:

Good afternoon and thank you for joining us for the daily briefing on our fight against coronavirus. I am joined today by Dr Yvonne Doyle who is the medical director of Public Health England.

Before Yvonne provides an update on the latest data from our COBR coronavirus fact file, I would like to update you on the steps that we are taking to defeat this pandemic.

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 ability of the NHS to cope.

Throughout our response to coronavirus, we have been following the scientific and medical advice. 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 number of beds, key staff and life-saving equipment on the front-line to provide the care when people need it most.

The daily figures show that a total of 152,979 people in the UK have now been tested for coronavirus. Of those, 29,474 have tested positive.

The number of people admitted to hospital in England with coronavirus symptoms is now 10,767, with 3,915 of those in London and 1,918 in the Midlands.

Of those hospitalised in the UK, sadly 2,352 have died. This is an increase of 563 fatalities since yesterday. The youngest of them was just 13 years old.

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

This is more tragic evidence that this virus does not discriminate.

The coronavirus pandemic is the biggest threat our country has faced in decades, and we are not alone. All over the world we are seeing the devastating impact of this invisible killer.

We recognise the extreme disruption the necessary actions we are asking people to take are having on their lives, businesses, jobs and the nation’s economy.

And I want to thank everyone across our whole country for the huge effort that is being made, collectively, in tackling the COVID-19 pandemic.

To the frontline workers treating and caring for patients, the people delivering supplies to their neighbours, and the millions staying at home: thank you. You are protecting the NHS and saving lives.

And I want to thank businesses too.

Through your support for your workers and your communities, and through your willingness to support our health service, you are making a real difference.

Whether it’s INEOS building a new hand sanitiser plant near Middlesbrough in just ten days;

Or UCL engineers working with Mercedes Formula One to build new Continuous Positive Airway Pressure machines, which help patients to breathe more easily;

Or broadband providers giving their customers unlimited data to stay connected;

Or indeed London’s ExCel Centre being converted into the NHS Nightingale Hospital with space for 4,000 patients.

These are just a few of the examples of businesses from across our great nation supporting lifesaving work.

There are also thousands of businesses, large and small, which have worked with staff to ensure they are supported in the days and weeks ahead.

Whether that is through ensuring PHE guidelines are followed on site, implementing furlough schemes, carrying over annual leave, or providing the means to work from home.

I want to convey my heartfelt thanks to all of those businesses, up and down the country, which are working to keep our economy going.

So that when this crisis passes, and it will, we are ready to bounce back.

Our businesses are doing all they can to support our people, and I want to make it clear that government, in turn, will do all it can to support our businesses.

We have taken unprecedented action to support firms, safeguard jobs and protect the economy.

From today businesses will start benefiting from £22 billion in the form of business rates relief. And grants of up to £25,000 which are being paid into the bank accounts of the smallest high street firms.

On Saturday, I said that we had provided funds to councils in England for grants to small businesses.

As of today, these local authorities have received more than £12 billion.

This afternoon I held a call with hundreds of local authorities across England and made clear that this money must reach businesses as quickly as possible. And I know that businesses across England have already started to receive these grants.

We know high street banks are working really hard to support the UK through this period, including through mortgage holidays and increased credit facilities.

Loans for businesses are also being issued through the Coronavirus Business Interruption Loan Scheme since it came into operation last week.

The Chancellor, together with the Bank of England and Financial Conduct Authority, wrote to the chief executives of the UK banks to urge them to make sure that the benefits of the Loan Scheme are passed through to businesses and consumers.

And it would be completely unacceptable if any banks were unfairly refusing funds to good businesses in financial difficulty.

Just as the taxpayer stepped in to help the banks back in 2008, we will work with the banks to do everything they can to repay that favour and support the businesses and people of the United Kingdom in their time of need.

Of course, this is a brand new scheme and, as with all new schemes, it will not be perfect from the outset.

We are listening all the time. And in response to concerns that we’ve heard from businesses, we are looking at ways in which we can ensure they get the support they need. The Chancellor will be saying more on this in the coming days.

It is crucial that when we overcome this crisis, as in time we will, that businesses are in a good position to move forward.

Times are tough, and we have harder times ahead of us.

But I know that together, we will pull through.

Coronavirus appeal: Don’t order unnecessary prescriptions

GPs and Pharmacists across Greater Glasgow and Clyde have faced a high demand for prescriptions since the COVID-19 outbreak began and the country’s biggest health board is urging patients to not request or fill unnecessary repeat prescriptions.

It’s an appeal that will be echoed across the country.

GP practices and community pharmacies continue to operate. Patients are asked to phone in the first instance for any queries that are not coronavirus-related. For any patients with coronavirus symptoms, they are urged to consult NHS Inform or call NHS24 on 111.

Alan Harrison, NHS Greater Glasgow and Clyde, said:  “A huge thank you to all GP practice and community pharmacy teams who continue to care for patients in extremely challenging circumstances.  

“But they are facing an unnecessary strain because individuals are requesting and filling prescriptions when they do not need to.

“That’s why we’re asking the public to please help us and not order unnecessary prescriptions. We’re all in this together.”

Scotland Cares: national volunteering plan launched

A new ‘Scotland Cares’ campaign has been launched to encourage people to volunteer during the coronavirus (COVID-19) pandemic.

While the most important ask for the public remains to stay at home and follow the essential public health guidance, people who are healthy and not at risk can volunteer to provide practical or emotional help to those most in need.

A similar campaign launched in England last week has seen more than 750,000 volunteers sign up.

Those wanting to volunteer to support their communities have three options which are signposted from the Ready Scotland website:

• returning NHS workers will be directed to existing voluntary arrangements in NHS Scotland

• people wishing to offer their support to our public services, including the NHS and local authorities, will be directed to a site co-ordinated by the British Red Cross

• those looking for opportunities with other charities or community groups in their area will be directed to Volunteer Scotland for information

First Minister Nicola Sturgeon said: “We know there are a huge number of people who are already volunteering and many more with a desire to help their communities, public services and voluntary organisations. And for that we are incredibly grateful.

“This site means that those who are able to can contribute in a way which makes a real difference. It helps people to help each other, as we all get through this together.”

Cabinet Secretary for Social Security and Older People Shirley-Anne Somerville said: “The Scottish Government is working closely with local government and a range of partners to co-ordinate the volunteering effort across Scotland.

“By providing this national portal we will be able to connect people to where their contribution is most needed in their local community, ensuring everyone can play their part in helping Scotland come through this pandemic.

“For some, that may involve roles responding to specific needs in health and social care. For others, it may be that we draw on their skills, enthusiasm and energy in the weeks and months to come.

“It is important to remember that the most helpful thing many of us can continue to do to help the NHS is to stay at home and follow all COVID-19 guidance.”

Volunteers who want to support their communities should visit www.ReadyScotland.org to find out how they can help.

The website is being constantly updated and provides advice on volunteering safely and the organisations to register an interest with such as Volunteer Scotland and the Red Cross.

Businesses who can offer support should email covid19response@gov.scot

In line with Scotland’s current stay at home rules the public can only volunteer to carry out tasks which involve leaving their home, once a day, if you are not required to be isolating and are not in any risk categories.

A similar campaign launched in England last week has seen more than 750,000 volunteers sign up.

Please check the latest advice at www.nhsinform.scot/coronavirus

One in five midwife roles are currently unstaffed

The Royal College of Midwives has today made a plea to NHS leaders to protect the safety of pregnant women by ringfencing maternity services in the current crisis.

There is concern that vital staff, including midwives and maternity support workers, will be redeployed to other areas, at a time when a survey of senior midwives found that the shortage of midwives on NHS maternity units has doubled since the start of the coronavirus outbreak.

The survey of heads and directors of midwifery from across the UK, carried out by the Royal College of Midwives (RCM), found that, even before the outbreak, services were struggling to get by with almost one in 10 midwifery posts vacant.

Survey respondents now report that this shortage has doubled to 20 per cent. The coronavirus itself as well as self-isolation has combined with existing staff vacancies to mean one in five midwife roles are currently unstaffed today.

Commenting on the survey results Gill Walton, Chief Executive of the RCM, said: “While other areas of the health service can postpone and cancel procedures, there is still an ongoing need for maternity services.

“Women are still pregnant, still having babies, and they need the care and support of properly resourced maternity services. We have to ensure that midwives and maternity support workers are ringfenced from any redeployment to ensure that women continue to receive safe care.

“What this survey shows is that coronavirus is exposing the gaps that already exist in maternity services. The shortage of midwives has doubled since the start of the outbreak, a situation which is only likely to worsen as the pandemic spreads further.”

Over a fifth (22 per cent) of survey respondents also reported that local midwife-led maternity units had been closed, with more than a third (36 per cent) of areas also either stopping (32 per cent) or restricting (four per cent) homebirths.

In 11 cases the midwife-led unit has been closed to provide facilities to assess or care for coronavirus patients.

Nearly eight out of 10 midwifery leaders (78 per cent) reported ending routine face-to-face antenatal and postnatal visits, with a further nine per cent restricting just face-to-face postnatal visits.

Heads and directors of midwifery reported confusion about what should happen to midwives with long-term health conditions or who live with someone with conditions that put them at greater risk, and the impact their self-isolation would have on staff shortages. 

Gill Walton continued: “We have to protect the maternity front door and continue to provide the levels of care and support pregnant women need.

“We need to do all we can to make sure the maternity workforce is kept well and healthy as much as possible. The testing of NHS staff is an urgent priority.”

Extra funding for mental health services

Extra funding to develop mental health services to cope with further demand as a result of the coronavirus (COVID-19) pandemic has been confirmed by the Scottish Government.

Minister for Mental Health Clare Haughey has announced a further £3.8 million to begin to increase the capacity of NHS 24’s telephone and online services.

This includes £2.6 million to expand the NHS 24 Mental Health Hub and Breathing Space telephone helpline and web support service and £1.2 million to provide extra capacity for Computerised Cognitive Behavioural Therapy (CCBT). Information about these expanded services will come on line as they become active.

Ms Haughey said: “Dedicated mental health professionals provide high quality care across Scotland – but in these trying times they are needed more than ever.

“The current situation around COVID-19, including concerns around social distancing, is an understandable cause of anxiety for many people. NHS 24 has already begun to see an increase in calls, including to Breathing Space, in recent weeks and anticipate this will continue to grow.

“It is vital that during this period of uncertainty anyone who requires support for their mental health can receive it.”

The additional £3.8 million will support a two-strand approach to the health response to COVID-19, both increasing the capacity of existing services while aiming to reduce demand. 

Funding of £2.6 million will provide additional capacity to the NHS Mental Health Hub of 27 full time equivalent (FTE) Psychological Wellbeing Practitioners, five FTE Mental Health Nurse Practitioners, and two FTE Senior Charge Nurses to provide 24-hour cover. This service is currently only available out of hours during the week and over the weekend.

This will take the total staffing for the hub to 69 PWPs, 20 MHNPs and six SCNs (all FTE).

The number of Breathing Space advisors will increase by 10 FTE workers and two FTE supervisors to expand both the telephone and webchat facilities. NHS 24 will also adapt a number of self-help guides and online resources through the NHS Inform website.

Funding of £1.2 million in the financial year 2020-21 will provide additional capacity to meet the immediate COVID-19 challenge on digital therapies supporting the rise in demand  and addressing the pressure on core  NHS mental health services. This will give support to the public and also to the Health and Social Care workforce and their families.

Update on Tesco response to Coronavirus

We wrote to you last week setting out the measures we are taking to provide more of the food that people need, in a safe and clean environment (writes Tesco CEO DAVE LEWIS).

Our colleagues have risen brilliantly to the challenges of recent days, but this challenge is unprecedented and inevitably, despite our hard work and best intentions, not everything has or will go exactly to plan. But we’ll take learnings, we’ll be informed by the latest guidance from the Government, and we’ll keep going.

Importantly, we need your help to do this.

With that in mind, following the Prime Minister’s recent announcement, we wanted to write and update you on the measures we continue to take, and what new things you will begin to see in our stores in the next few days.

Food for all

  • To ensure more people have access to everyday essentials, we have introduced a store-wide restriction of 3 items per customer on every product line and removed multi-buy promotions.
  • In product areas where demand is particularly high, we have simplified our range to get more of the most popular products on shelves.
  • We have introduced a special hour in stores for NHS workers as a thank you for all they are doing. On Sundays, they can browse our large stores and select their shopping an hour before the checkouts open. All we ask is, if you’re an NHS worker, that you bring a form of ID to store, such as an NHS staff card. We have listened to feedback and are looking at how we can extend this to include extra days from next week.
  • To ensure our more vulnerable and elderly customers can shop for what they need in our large stores, we have prioritised one hour every Monday, Wednesday and Friday morning between 9-10am.
  • We know that it’s difficult right now to get a delivery slot for online shopping. We are at full capacity for the next few weeks and we ask those who are able to safely come to stores to do so, instead of shopping online, so that we can start to free up more slots for the more vulnerable.
  • We are looking at every opportunity to increase the number of slots available. As we increase our capacity, we will also set aside more of these slots for our most vulnerable customers.
  • We have more stock coming into stores every day, with up to double the usual amounts of key essentials arriving – but we need everyone’s help: please buy only what you need, so that there is enough for everyone.

Safety for everyone

To ensure we are doing everything possible to reduce the risk of infection for our customers and colleagues, we will begin to introduce new social distancing measures in stores in the coming days:

  • Floor markings in our car parks will help you to maintain safe distances when queuing.
  • Where necessary, we will limit the flow of people coming into our stores to ensure they don’t get too congested.
  • Hand sanitisers are being placed around our stores for customers and colleagues to use, as well as extra cleaning products to wipe down your trolley or basket.
  • In some stores, we will introduce directional floor markings and new signage, to create a safe flow around the store.
  • New floor markings will help you to keep a safe distance from others while waiting to pay.
  • We are installing protective screens at our checkouts.
  • Where possible, we will create separate entrances and exits to our stores, so that it’s easier to keep a safe distance from other shoppers.

Supporting our colleagues

  • We are fully supporting our team of more than 300,000 Tesco colleagues, many of whom will be affected by this situation personally or will need to care for their own loved ones. The countless messages of gratitude I’ve received are testament to the incredible job they are doing, at a time when our stores have never been busier. Your small gestures and kind words really do go a long way.
  • We have almost 3,000 colleagues over the age of 70 and we are fully supporting them, as well as our vulnerable and pregnant colleagues, with 12 weeks’ fully paid absence.
  • Colleagues who are in isolation are receiving full pay from their first day of absence, so that nobody finds themselves in a situation where they have to work when unwell.
  • To help support our team, we are recruiting an additional 20,000 temporary colleagues. We’ve already appointed 12,500 new colleagues, but we will need more. We are also bringing in 8,000 new colleagues in driving roles, and we are training them as fast as we can.

It’s a challenging time for the whole country, but we are committed to playing our part in feeding the nation and to keeping everyone safe.

We also need your help to change the way you shop with us, so here are a few simple requests to help us serve you better:

  • Please check your store’s opening hours in advance.
  • Before you leave home, please bring enough bags for your shop. If it’s raining, don’t forget an umbrella too, in case you need to queue outside the store.
  • Try to shop with no more than one other person, which will help to reduce the number of people in-store at any one time.
  • Please use our cleaning stations to wipe your trolley, basket, or Scan as you Shop handset.
  • If possible, use card or contactless payments.
  • Please avoid shopping during our dedicated times for vulnerable and elderly people, and NHS workers, and be kind to our colleagues as they’re working hard to serve you; we’re all in this together.

We want to thank our suppliers, our colleagues – and especially you, our customers – for understanding and helping.

We know these are some big changes, and we will all need to do our very best to adjust. We will continue to update you as things change.

Together, we can do this.

Dave Lewis

Tesco CEO