Tag: public health

Front line role for community pharmacies

Community pharmacists are to perform an enhanced role during the Coronavirus (COVID-19) outbreak.

Pharmacists will be able to support more patients, reducing the pressure on other parts of NHS Scotland through the extension of the Minor Ailment Service.

The Scottish Government has also accelerated plans to expand access to Emergency Care Summary (ECS) data, which mainly contains medication information, to pharmacists.

Health Boards have been asked to provide access to this information to pharmacists and pharmacy technicians working in communities.

More than a thousand community pharmacies provide a range of NHS Pharmaceutical Care services on behalf of the NHS in Scotland.

Health Secretary Jeane Freeman said: “The vital work of community pharmacies up and down the country is key in ensuring that we continue to reduce the burden across the NHS, and patients continue to get the necessary medicines they need to stay healthy.

“Many people visit a community pharmacy every day, with these numbers increasing in the current COVID-19 outbreak.

“This makes them the most accessible healthcare professionals on the front line of community health services, and a valuable resource to NHS Scotland.

“Strengthening the role of pharmacists, and easing some of the pressure from frontline NHS services, is therefore an important step in our wide ranging response to the current crisis.”

LOCKDOWN

The First Minister has tonight called for an immediate stop to public gatherings of more than two people in Scotland in a bid to flatten the curve of Covid-19 spread and protect the NHS.

Following a meeting of the UK Government’s COBR committee, an effective ban is in place on gatherings in public places, excluding household groups or in a work-related capacity.

In addition – as the First Minister set out earlier – all non-essential shops should be closed, as well as public spaces such as libraries, communal parks and playgrounds, and places of worship.

“The ban extends to ceremonial social events, such as weddings and christenings, with the exception of funerals which will be restricted to immediate family only. The First Minister was clear that these decisions are not taken lightly ‘but are essential for the protection of all of us.’

From tonight the only permissible reasons to leave your home are as follows:

  • To shop for basic necessities and that should be limited to once a day
  • To take exercise once a day – but alone or with your own household, not in groups
  • For medical reasons or to care for a vulnerable person
  • To travel to essential work if that cannot be done at home. Further guidance to employers is pending.

In agreement with Police Scotland, officers will be permitted to deploy ‘soft enforcement’ of these measures, prior to the Scottish Government taking legal powers from Thursday.

The First Minister reiterated guidance of the Scottish Government for people to stay home and only venture outside when absolutely necessary. In line with existing advice, non-essential retail units are now required to close and shopping for basic necessities kept to a minimum.

First Minister Nicola Sturgeon said: “Some of what is being outlined is already active advice in Scotland. But I want to ensure that the latest position is set out clearly and comprehensively.

“Let me be blunt: these stringent restrictions on our normal day to day lives are difficult and unprecedented but they are essential for the protection of all of us. What I am telling people across Scotland that they now must do to help us fight this virus is stay at home.

“Gatherings of more than two people in public will be prohibited – unless it is a household group or work related. Social events must not take place. That includes weddings and christenings. The exception is funerals but we are asking – in what is undoubtedly the hardest thing I will say tonight – that they are restricted to immediate family only.

“I fully expect the vast majority of people will do the right thing and for that, we thank you. Later this week emergency legislation will give us powers of enforcement and we will use them if necessary.

“But from tonight, if the police find people or premises flouting these rules they will give strong advice to cease and do the right thing. Within days they will be able to follow that up with enforcement.

“All of this will take effect immediately. It is effectively what some have described as a lockdown. So please do not think any of this is being done lightly – it is not. They are essential to slow down the spread of this virus, to reduce the peak impact of it, to prevent our NHS being overwhelmed – they are essential to save lives.”

Parent Club support for parents and families

Advice for parents and carers on managing the impact of Covid-19 on their child’s learning and family life is now available.

Following school closures, a new hub of information has been created on parentclub.scot covering health information, advice on how to talk about Covid-19 and ideas on helping children through this time.

In addition; councils and headteachers can also advise parents and carers on the continued provision of education and childcare for key workers.

Deputy First Minister John Swinney said: “This is the biggest challenge of our lives and my priority is to ensure the health and wellbeing of children and young people, and as far as possible, to minimise disruption to learning.

“My message for parents and carers is clear – you are not alone and we are here to help you. We do not expect you to be teachers or set up a classroom, but there are ways you can support your child or children at home which will help their continued wellbeing and learning.

“Our Parent Club website offers valuable tips for families on managing the impact of Covid-19 and ways to support children through this uncertain period.

“I would also highlight the excellent advice already provided by many organisations like Young Scot or Children 1st that talk directly to young people about their concerns.”

Tourism Secretary slams ‘irresponsible behaviour’

Rural Economy and Tourism Secretary Fergus Ewing is urging people to stop travelling to the Highlands and Islands in a bid to avoid the Coronavirus.

People with second homes and campervans have been reportedly travelling in large numbers to the area in recent days.

Mr Ewing said: “I am furious at the reckless and irresponsible behaviour of some people travelling to the Highland and Islands. This has to stop now. Let me be crystal clear, people should not be travelling to rural and island communities full stop. They are endangering lives. Do not travel.

“Panic buying will have a devastating impact on the livelihoods of rural shops and potentially puts unwanted pressure on NHS services in our rural communities.

“The Scottish Government’s advice is that essential travel only should be undertaken. We have been in touch with CalMac and industry leaders to discuss what further measures may be required to deal with this issue.”

Major new measures to protect those at highest risk

  • Government urges up to 1.5 million people in England who face the highest risk of being hospitalised by the virus to shield themselves and stay at home
  • People with specific underlying health conditions, including some being treated for cancer, will be contacted by the NHS this week
  • Plans also unveiled to deliver groceries and medicines for those most at risk from the virus where needed

Up to 1.5 million people in England identified by the NHS as being at higher risk of severe illness if they contract coronavirus should stay at home to protect themselves, the Government urged today.

They will receive communication shortly with detailed advice on behalf of their GP practice or specialist on how best to protect themselves.

A raft of new measures, including a helpline for the most in need of support, have been set out for those considered to be extremely vulnerable due to their medical conditions, so people know exactly how to care for themselves and others in the coming months.

It was also announced that a new Local Support System will make sure those individuals self-isolating at home and who are without a support network of friends and family will receive basic groceries. Community pharmacies will support those who need help getting their medicines delivered.

The Government is working with a partnership of the groceries industry, local government, local resilience and emergency partners, and voluntary groups, to ensure that essential items can start to be delivered as soon as possible to those who need it. The people identified as the most vulnerable in their communities will be contacted directly – including in person where necessary – as a priority.

Members of the armed forces, already in local communities helping Local Resilience Forums and local councils on their coronavirus response plans, will support this effort and are at the heart of local planning in response to this crisis.

Communities Secretary Rt Hon Robert Jenrick MP said: “Public safety and making sure that those most at risk from the virus continue to get the support they need throughout this period is the Government’s top priority. People should stay at home, protect our NHS and save lives.

“This will be an especially worrying time for those with serious underlying health conditions and that is why we are urgently acting to ensure extremely vulnerable individuals are taking extra steps to shield themselves, and that the essential items they need are supplied to them.

“We will ensure that vulnerable and older people in our society are left in no doubt of their importance to us and our determination to protect them as best we can. More people will be required to be by themselves at home. While they are on their own, let’s guarantee that they are never alone.”

Up to 1.5 million people in England currently live with conditions, or are taking medication or receiving treatment, which health experts have identified puts them at a much greater risk of developing serious complications if they get the virus, which may mean they need hospital treatment.

This includes, for example, those who have received organ transplants, are living with severe respiratory conditions such as cystic fibrosis and severe chronic bronchitis (COPD) or specific cancers like of the blood or bone marrow.

And some – though not all – of those receiving certain types of drug treatments including ones which suppress the immune system – leaving the body less able to fight off the virus.

People identified as belonging to one or more of the at-risk groups will be contacted by their GP practice, specialist or both strongly advising them to stay at home for a period of at least 12 weeks.

In the first instance they will receive a letter this week and, where mobile number is known, the NHS will also send frequent text messages shortly to those in this group, to reach the most at risk as quickly as possible with advice.

These communications will set out to reassure them that their ongoing medical needs will be met by the NHS, and contain advice and guidance on how to manage their condition while self-isolating, including getting prescriptions delivered and accessing support for daily living.

For the individuals most at risk of the illness, these actions will save lives.

Health and Social Care Secretary Matt Hancock said: “We are working incredibly hard, day and night, to protect the nation’s public health whilst supporting our NHS so it can continue to look after patients in need of care.

“It is vital that we do everything we can to protect ourselves, our families and our friends from being impacted by the virus. But for those who are at the highest risk in our society, we have to do even more to ensure they’re kept safe.

“Whether it’s going shopping for a neighbour in need, or keeping inside if you know you’re at risk, we all have a part to play in protecting the welfare of those who are most vulnerable.”

Dr Paul Johnstone, Director at Public Health England, said: “The NHS are contacting the people who are most vulnerable to developing a very serious illness as a result of COVID-19 with specific advice to stay at home for at least 12 weeks.

“If you receive a letter it is vitally important that you act on it for your own protection, don’t attend any gatherings of friends or families and don’t go out for shopping, leisure or travel.

“Those of us who are less at risk can play our part in protecting other people by following the government’s advice on social distancing and volunteering to give extra support to vulnerable people who are staying at home.

The guidance for people at the highest risk is:

  • Strictly avoid contact with someone who is displaying symptoms of coronavirus (COVID-19). These symptoms include high temperature and/or new and continuous cough;
  • Do not leave your house for at least 12 weeks starting on Monday 22 March.
  • Do not attend any gatherings. This includes gatherings of friends and families in private spaces e.g. family homes, weddings, parties and religious services.
  • Do not go out for shopping, leisure or travel and, when arranging food or medication deliveries, these should be left at the door to minimise contact.
  • Keep in touch using remote technology such as phone, internet, and social media.
  • Do use telephone or online services to contact your GP practice or other essential services as and when you need.

NB: This information affects the NHS England area – expect similar advice from NHS Scotland soon.

Who are the Key Workers?

What is a key worker? The UK Government gives the following information:

If your work is critical to the COVID-19 response, or you work in one of the critical sectors listed below, and you cannot keep your child safe at home then your children will be prioritised for education provision:

Health and social care

This includes but is not limited to doctors, nurses, midwives, paramedics, social workers, care workers, and other frontline health and social care staff including volunteers; the support and specialist staff required to maintain the UK’s health and social care sector; those working as part of the health and social care supply chain, including producers and distributers of medicines and medical and personal protective equipment.

Education and childcare

This includes childcare, support and teaching staff, social workers and those specialist education professionals who must remain active during the COVID-19 response to deliver this approach.

Key public services

This includes those essential to the running of the justice system, religious staff, charities and workers delivering key frontline services, those responsible for the management of the deceased, and journalists and broadcasters who are providing public service broadcasting.

Local and national government

This only includes those administrative occupations essential to the effective delivery of the COVID-19 response, or delivering essential public services, such as the payment of benefits, including in government agencies and arms length bodies.

Food and other necessary goods

This includes those involved in food production, processing, distribution, sale and delivery, as well as those essential to the provision of other key goods (for example hygienic and veterinary medicines).

Public safety and national security

This includes police and support staff, Ministry of Defence civilians, contractor and armed forces personnel (those critical to the delivery of key defence and national security outputs and essential to the response to the COVID-19 pandemic), fire and rescue service employees (including support staff), National Crime Agency staff, those maintaining border security, prison and probation staff and other national security roles, including those overseas.

Transport

This includes those who will keep the air, water, road and rail passenger and freight transport modes operating during the COVID-19 response, including those working on transport systems through which supply chains pass.

Utilities, communication and financial services

This includes staff needed for essential financial services provision (including but not limited to workers in banks, building societies and financial market infrastructure), the oil, gas, electricity and water sectors (including sewerage), information technology and data infrastructure sector and primary industry supplies to continue during the COVID-19 response, as well as key staff working in the civil nuclear, chemicals, telecommunications (including but not limited to network operations, field engineering, call centre staff, IT and data infrastructure, 999 and 111 critical services), postal services and delivery, payments providers and waste disposal sectors.

If workers think they fall within the critical categories above, they should confirm with their employer that, based on their business continuity arrangements, their specific role is necessary for the continuation of this essential public service.

If your school is closed, then please contact your local authority, who will seek to redirect you to a local school in your area that your child, or children, can attend.

We are grateful for the work of teachers and workers in educational settings for continuing to provide for the children of the other critical workers of our country. It is an essential part of our national effort to combat this disease.

What is Social Distancing?

This guidance is for everyone. It advises on social distancing measures we should all be taking to reduce social interaction between people in order to reduce the transmission of coronavirus (COVID-19).

It is intended for use in situations where people are living in their own homes, with or without additional support from friends, family and carers. If you live in a residential care setting guidance is available.

We are advising those who are at increased risk of severe illness from coronavirus (COVID-19) to be particularly stringent in following social distancing measures.

This group includes those who are:

Note: there are some clinical conditions which put people at even higher risk of severe illness from COVID-19. If you are in this category, next week the NHS in England will directly contact you with advice the more stringent measures you should take in order to keep yourself and others safe. For now, you should rigorously follow the social distancing advice in full, outlined below.

People falling into this group are those who may be at particular risk due to complex health problems such as:

  • people who have received an organ transplant and remain on ongoing immunosuppression medication
  • people with cancer who are undergoing active chemotherapy or radiotherapy
  • people with cancers of the blood or bone marrow such as leukaemia who are at any stage of treatment
  • people with severe chest conditions such as cystic fibrosis or severe asthma (requiring hospital admissions or courses of steroid tablets)
  • people with severe diseases of body systems, such as severe kidney disease (dialysis)

What is social distancing?

Social distancing measures are steps you can take to reduce the social interaction between people. This will help reduce the transmission of coronavirus (COVID-19).

They are:

  1. Avoid contact with someone who is displaying symptoms of coronavirus (COVID-19). These symptoms include high temperature and/or new and continuous cough
  2. Avoid non-essential use of public transport, varying your travel times to avoid rush hour, when possible
  3. Work from home, where possible. Your employer should support you to do this. Please refer to employer guidance for more information
  4. Avoid large gatherings, and gatherings in smaller public spaces such as pubs, cinemas, restaurants, theatres, bars, clubs
  5. Avoid gatherings with friends and family. Keep in touch using remote technology such as phone, internet, and social media
  6. Use telephone or online services to contact your GP or other essential services

Everyone should be trying to follow these measures as much as is pragmatic.

We strongly advise you to follow the above measures as much as you can and to significantly limit your face-to-face interaction with friends and family if possible, particularly if you:

  • are over 70
  • have an underlying health condition
  • are pregnant

This advice is likely to be in place for some weeks.

Handwashing and respiratory hygiene

There are general principles you can follow to help prevent the spread of respiratory viruses, including:

  • washing your hands more often – with soap and water for at least 20 seconds or use a hand sanitiser when you get home or into work, when you blow your nose, sneeze or cough, eat or handle food
  • avoid touching your eyes, nose, and mouth with unwashed hands
  • avoid close contact with people who have symptoms
  • cover your cough or sneeze with a tissue, then throw the tissue in a bin and wash your hands
  • clean and disinfect frequently touched objects and surfaces in the home

What should you do if you develop symptoms of coronavirus (COVID-19)

The same guidance applies to the general population and those at increased risk of severe illness form coronavirus (COVID-19). If you develop symptoms of COVID-19 (high temperature and/or new and continuous cough), self-isolate at home for 7 days. You can find the full guidance at stay at home.

How can I get assistance with foods and medicines if I am reducing my social contacts?

Ask family, friends and neighbours to support you and use online services. If this is not possible, then the public sector, business, charities, and the general public are gearing up to help those advised to stay at home. It is important to speak to others and ask them to help you to make arrangements for the delivery of food, medicines and essential services and supplies, and look after your physical and mental health and wellbeing.

If you receive support from health and social care organisations, for example, if you have care provided for you through the local authority or health care system, this will continue as normal. Your health or social care provider will be asked to take additional precautions to make sure that you are protected. The advice for formal carers is included in the Home care provision.

What should you do if you have hospital and GP appointments during this period?

We advise everyone to access medical assistance remotely, wherever possible. However, if you have a scheduled hospital or other medical appointment during this period, talk to your GP or clinician to ensure you continue to receive the care you need and consider whether appointments can be postponed.

What is the advice for visitors including those who are providing care for you?

You should contact your regular social visitors such as friends and family to let them know that you are reducing social contacts and that they should not visit you during this time unless they are providing essential care for you. Essential care includes things like help with washing, dressing, or preparing meals.

If you receive regular health or social care from an organisation, either through your local authority or paid for by yourself, inform your care providers that you are reducing social contacts and agree on a plan for continuing your care.

If you receive essential care from friends or family members, speak to your carers about extra precautions they can take to keep you safe. You may find this guidance on Home care provision useful.

It is also a good idea to speak to your carers about what happens if one of them becomes unwell. If you need help with care but you’re not sure who to contact, or if you do not have family or friends who can help you, you can contact your local council who should be able to help you.

What is the advice if I live with a vulnerable person?

If you live in a house with a vulnerable person refer to our household guidance.

How do you look after your mental wellbeing?

Understandably, you may find that social distancing can be boring or frustrating. You may find your mood and feelings are affected and you may feel low, worried or have problems sleeping and you might miss being outside with other people.

At times like these, it can be easy to fall into unhealthy patterns of behaviour which in turn can make you feel worse. There are simple things you can do that may help, to stay mentally and physically active during this time such as:

  • look for ideas of exercises you can do at home on the NHS website
  • spend time doing things you enjoy – this might include reading, cooking, other indoor hobbies or listening to the radio or watching TV programmes
  • try to eat healthy, well-balanced meals, drink enough water, exercise regularly, and try to avoid smoking, alcohol and drugs
  • keep your windows open to let in fresh air, get some natural sunlight if you can, or get outside into the garden

You can also go for a walk outdoors if you stay more than 2 metres from others.

Further information on looking after your mental health during this time is available.

What steps can you take to stay connected with family and friends during this time?

Draw on support you might have through your friends, family and other networks during this time. Try to stay in touch with those around you over the phone, by post, or online. Let people know how you would like to stay in touch and build that into your routine. This is also important in looking after your mental wellbeing and you may find it helpful to talk to them about how you are feeling.

Remember it is OK to share your concerns with others you trust and in doing so you may end up providing support to them too. Or you can use a NHS recommended helpline.

Advice for informal carers

If you are caring for someone who is vulnerable, there are some simple steps that you can take to protect them and to reduce their risk at the current time.

Ensure you follow advice on good hygiene such as:

  • wash your hands on arrival and often, using soap and water for at least 20 seconds or use hand sanitiser
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately and wash your hands afterwards
  • do not visit if you are unwell and make alternative arrangements for their care
  • provide information on who they should call if they feel unwell, how to use NHS 111 online coronavirus service and leave the number for NHS 111 prominently displayed
  • find out about different sources of support that could be used and access further advice on creating a contingency plan is available from Carers UK
  • look after your own well-being and physical health during this time. Further information on this is available here

Summary of advice

Summary of advice on social distancing broken down into action to be taken and group of people it relates to.

* if one member of your family or household has a new continuous cough or high temperature
** if you live alone and you have a new continuous cough or high temperature
*** for example cinema, theatre, pubs, bars, restaurants, clubs
**** for example via telephone or internet
1 such as anyone instructed to get a flu jab each year

Meeting to discuss community response to Coronavirus pandemic

North Edinburgh activists are to meet tomorrow to formulate a community response to tackling problems caused by the coronavirus pandemic. The meeting will take place in West Pilton Neighbourhood Centre at 2.30pm.

Meeting organiser Willie Black said: “We have already seen communities coming together to do what they can to help their neighbours and our more vulnerable residents, and  the purpose of tomorrow’s meeting is to co-ordinate this community response to make sure no person is being missed or left out.

“By working together and pooling our resources we can better respond to the challenges posed to our community by this pandemic.”

Local voluntary sector organisations, food banks, community centre representatives, council officers, community councils and local elected politicians have all been invited to attended.

What can you do to help? Why not attend the meeting and find out!

 

Coronavirus: keep kids informed

The British Psychological Society says it is vital to talk openly to children and reassure them about the changes they are seeing around them due to Coronavirus.

Some of the changes, like people wearing face masks or empty supermarket shelves, can be scary for children and they are likely to need to talk to someone they trust about some of the imaginative misinformation they might have heard from friends at school.

The advice stresses that it is important to be truthful, but remember your child’s age. An honest and accurate approach is best, giving them factual information, but adjusting the amount and detail to fit their age.

For example, you might say ‘we don’t yet have a vaccination for Coronavirus, but doctors are working very hard on it’  or ‘a lot of people might get sick, but for most people it is like a cold or flu and they get better’.

Other advice from the BPS’s Division of Educational and Child Psychology includes:

  • Younger children might understand a cartoon or picture better than an explanation. We also recommend that adults watch news programmes and then filter this information to their child in a way that’s right for their development.
  • Allow children to ask questions: It is natural that children will have questions and worries about Coronavirus. Giving them the space to ask these questions and have answers is a good way to alleviate anxiety. It is ok to say you don’t know – at the moment, there are questions we don’t have answers to about Coronavirus. You can explain this to your child and add in information about what people are doing to try to answer these questions. Maybe your child has an idea too – let them tell you or draw them.
  • Try to manage your own worries: Uncertainty can make all of us feel anxious or worried. Identify other adults you can talk to about your own worries and questions. What things usually help to make you feel a bit calmer? If you are at home, music, breathing and relaxation techniques, distraction (such as watching something funny), and time with family members or pets can all help. Talk to your children when you feel calm to reassure them.
  • Give practical guidance: Remind your child of the most important things they can do to stay healthy – washing their hands and the ‘catch it, bin it, kill it’ advice for coughs and sneezes. Help your child practise and increase their motivation for keeping going (maybe thinking of a song they want to sing while washing their hands).

The BPS will continue to post advice on its website on ways to cope with the Coronavirus pandemic in the coming days and weeks.

A Message from Morrisons

This is a message of thanks to our customers for their patience and support and to our colleagues and suppliers for their hard work in dealing with the uncharted challenges and uncertainty presented by the spread of Coronavirus (COVID-19).

Whilst customers are stocking up, our colleagues are working around the clock to fill our stores with what you need, to serve our customers and communities and take care of one another when we need each other most.

We want to let you know that looking after our customers and colleagues is our priority at Morrisons, ensuring we all have a clean, safe place to shop and work.

We are working hard to fill our shops and online stores:

• We are a Foodmaker and Shopkeeper and we’re increasing the amount of food we make in our British manufacturing sites to meet customers’ needs
• We’ve increased the amount of stock being sent to stores from our warehouses, with colleagues working incredibly hard
• We’re extending our home delivery service so we can deliver to more customers on their doorstep at the times they need us
• We’re introducing temporary purchase limits on products where there is high demand, so they remain available for longer for more customers to buy
• Cleaning in our stores is being increased throughout the day to ensure high standards of food safety and store cleanliness are maintained

We are following guidance provided by the Government, working closely with our suppliers and ensuring we collectively do everything possible to help the country in these challenging times.

I want to personally thank all our dedicated colleagues who are working very hard in very challenging circumstances, to serve our customers, support our communities and take care of one another.

We expect the days, weeks and months ahead to be testing. I know that working together to support each other we will meet the many challenges we will face.

We have plans in place to respond as the situation develops and we are working every day to meet the changing nature of the impact of this pandemic.

I would like to ask all our customers, when shopping with us, to please consider others even more so everyone can buy what they need, especially those who are most vulnerable in our society. Please continue to treat our colleagues on the front line with the greatest respect.

Thank you for shopping with Morrisons. We promise to do our very best to work together, to support our customers and each other as we face into this challenge.

Sincerely

David

Chief Executive