Tag: public health

Key Workers: further guidance published

Employers are being urged to think critically about what staff are considered key workers. The plea from the Scottish Government and COSLA comes as further guidance on key workers is published.

Before seeking childcare places, employers should consider:

• working with unions and workers to identify only those staff absolutely necessary to deliver the COVID-19 response and to provide essential and safe services
• introducing new shift patterns, working from home, recruiting more staff or dropping non-essential tasks
• having discussions with staff to identify if they can access any appropriate alternative childcare. This may include another parent or carer who is not a key worker

Deputy First Minister John Swinney said: “We all have a vitally important role to play in the fight against COVID-19. For some that will involve a front line role in a hospital, but for others, staying at home to care for your children will also help to save lives.

“Where children are unable to safely stay at home, including vulnerable children, local authorities are providing childcare. However, only key workers who cannot fulfil their critical functions when they are working remotely from home may qualify for critical childcare provision.

“The number of children taking up these places must be kept to an absolute minimum. The priority must be for children of the most critical key workers and for the most vulnerable children in our society.

“I would urge employers to look at the guidance and consider if there is any way they can provide their essential services in a way that enables children to stay at home.”

Alison Evison, President of COSLA, said: “We recognise the extreme pressures faced by all businesses and employers at this very difficult time. Our priority is to ensure that vital services continue as far as possible.

“Local authorities have worked tirelessly to ensure that there is provision available for the children of key workers in an extremely tight timescale. However, our capacity to do so needs to be established in line with public health advice.

“The safety of our children, young people and staff is paramount. This guidance is aimed at making sure we all work together to get through this crisis while trying to minimise the impact on our society and economy.”

Guidance on key workers 

Coronavirus: NHS Lothian launches new Community Hub

NHS Lothian has announced the launch of a new Community Hub to help reduce pressures on GP practices and hospitals amid the coronavirus (COVID-19) outbreak.

The Hub, which is part of a national approach, will be staffed by a mixture of nurses and doctors. The Hub will handle calls with members of the public, triaged initially through NHS 24’s 111 phone line, who may be experiencing symptoms of coronavirus (COVID-19) and who may need further assessment and advice.

As well as providing information and reassurance, The Hub service will facilitate face to face scheduled appointments for those individuals who may need further clinical assessment, but who do not need emergency care.

David Small, Director of Primary Care Transformation, NHS Lothian said: “For many weeks now, we have been working hard to increase capacity across our services.

“The launch of the new Community Hub will help ease some of the pressure that both GP practices and NHS24 have been experiencing as a result of coronavirus (COVID-19).

“At one Lothian GP practice alone, we experienced over 150 extra calls in a single day from patients worried about coronavirus (COVID-19). The Hub will help to better manage this demand, providing information, advice and clinical assessment, meaning that both GP and hospital resources can focus on managing patients with other conditions.

“In what is no doubt a challenging and unsettling time for many, I hope that by sharing these plans, it will offer some reassurance.”

The public should continue to use NHS Inform for information and advice, and to call NHS24 (111) if they have symptoms of coronavirus (COVID-19) which are not improving. Calls will be triaged to the Community Hub if they require more specialist advice.

To stay up to date with the latest coronavirus (COVID-19) advice, visit NHS Inform: https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/coronavirus-covid-19

A free helpline has been set up for those who do not have symptoms but are looking for general health advice. This can be accessed by calling 0800 028 2816. The helpline is open Monday to Friday, 8:00am – 10:00pm, Saturday and Sunday, 8:00am – 6:00pm.

Drylaw Neighbourhood Centre closed

Unfortunately the Neighbourhood Centre has closed its doors until further notice. We are expected to be closed for at least the next three weeks and will then be guided by Government directives.

Emails to the Neighbourhood Centre will be remotely monitored by Roy and Lynda as will our Twitter and Facebook accounts.

Emails to info@drylawnc.org.uk is the preferred method of contact.

We hope to see you all very soon and will let you know when we are open for business. Until then stay safe.

Coronavirus: Tailored support for those at highest risk

New guidance and local support is being implemented to help shield around 200,000 of the most at-risk Scots from coronavirus (COVID-19).

The measures are tailored towards supporting people with the highest risk of severe illness from the virus, as identified by the UK’s Chief Medical Officers. Scotland’s CMO Dr Catherine Calderwood will also be writing to those identified as being at greatest risk in the coming days to provide further information and bespoke guidance on how to best protect themselves from infection.

The new support being offered will help people self-isolate – thereby making it less likely that they will contract the virus – and protect them from the detrimental effects of self-isolation, including disruption of crucial health and social care, and social isolation and loneliness.

Deputy First Minister John Swinney has ordered the establishment of Humanitarian Assistance Centres across the country as soon as possible.

Mr Swinney said: “Responding to the coronavirus pandemic is the biggest challenge of our lifetimes, and we must do all we can to slow it down and save lives.

“That’s why we are asking people at the highest clinical risk to self-isolate for a long period, and our local services must prioritise them. This will help protect them, minimise the loss of life from Covid-19, and reduce the burden on the NHS in responding to patients who are likely to become severely unwell.

“I have every confidence in the capability of Scotland’s resilience community to effectively lead what will be the biggest response effort ever undertaken in peacetime. We know that it won’t be easy, but by working together everyone can play their part in keeping people safe.”

The new support will be made available through GPs and local resilience partnerships, and will include help with medical conditions, access to medicine and services, and also access to food and supplies.

The Deputy First Minister has written to Local Resilience Partnerships around the country asking them to set up Humanitarian Assistance Centres (HAC) or an equivalent arrangement.

The Scottish Government is engaging with suppliers to put in place a national framework to ensure supplies can be secured at a local level.

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 6 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

The first port of call for anyone looking for information is the NHS Inform website.

Coronavirus: New NHS 24 arrangements

Patients worried about symptoms should dial 111 if they need help

Patients with coronavirus (COVID-19) symptoms are now asked to dial NHS 24 on 111, day or night, if their symptoms worsen or do not improve after seven days.

Please do NOT call your GP or go to the surgery. If you require a sick note due to coronavirus, you can get this from the NHS Inform website.

This improvement provides patients with a straightforward dedicated route to clinical advice and support, as well as freeing up GP practices to treat and care for all non-COVID-19 health conditions.

Callers to the 111 helpline will be assessed and, if necessary, transferred to a local community hub staffed by clinicians from across the healthcare system to ensure patients get the best possible advice at the right time.

Depending on their assessment, patients may be given advice to help them continue self-isolating at home or be given an appointment to attend a local assessment centre for further treatment.

NHS Inform’s coronavirus webpage is still the fastest way for people to get the latest health advice and information. There is also a free NHS 24 helpline for people without symptoms looking for general information on coronavirus.

For patients who do not have any coronavirus symptoms, they should continue to telephone their GP when open and not call NHS 24.

In the out of hours period, when displaying symptoms other than coronavirus, you should only call 111 if you need urgent assessment and cannot wait until your GP is open.

Health Secretary Jeane Freeman said: “This change means that anyone who has coronavirus symptoms and needs additional help or advice can now call the same number any time, day or night, seven days a week.

“As the number of people presenting with symptoms continues to grow, we must adapt to manage the daily growth in demand. As well as ensuring people are getting the right help at the right time, this step will also help ensure GP capacity to provide care for people in the community is protected and that only those cases that need to be admitted to hospital are admitted.”

NHS 24’s Director of Service Delivery Steph Phillips said: “NHS 24 has been at the forefront of supporting Scotland’s response to the coronavirus pandemic, through the NHS Inform website, the special helpline and the 111 service.

“This change will make it easier for people who are concerned about their symptoms to get the help they need as quickly as possible. Please help us to help you.”

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

If you need a sick note due to coronavirus, don’t contact your GP or NHS 24. You can download an isolation note directly from NHS Inform.

The latest numbers of test results are published at 2pm each day on the Scottish Government website.

Common symptoms of coronavirus include:

  • high temperature or fever
  • cough
  • shortness of breath

Patients should only call NHS 24 (on 111) if their symptoms:

  • have not improved after 7 days
  • are severe or they have shortness of breath
  • worsen during home isolation

For any other health related concerns, make NHS Inform your first point of contact or call your GP during opening hours. If your GP practice is closed and your query can’t wait you can still call NHS 24 (on 111).

If you don’t have symptoms and are looking for general information on coronavirus, call NHS Inform’s free helpline: 0800 028 2816

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.