Scottish COVID-19 Inquiry: Let’s Be Heard sessions in Leith

YMCA Edinburgh, in partnership with Bethany Christian Trust and Harbour, are organising two opportunities to share your experiences of the Covid-19 pandemic is part of the Lets Be Heard programme.

We are trying to reach as many people in Leith as possible so the voices and stories of Leiths pandemic experiences are heard.

Our sessions will be on the 24th of October at 1 p.m and 6p.m at the Harbour offices.

The events are open to anyone over 16 who live, work or volunteer in Leith and were here during lockdown.

To register to take part, email louisa@ymcaedinburgh.com or call 0793 541 9067.

Prime Minister to create ‘smokefree generation’ 

UK Government to introduce ‘historic’ new law to protect future generations of young people from the harms of smoking

  • Government to introduce historic new law to protect future generations of young people from the harms of smoking.
  • Smoking is the UK’s biggest preventable killer – causing around 1 in 4 cancer deaths and 64,000 in England alone – costing the economy and wider society £17 billion each year.
  • Move would be the most significant public health intervention in a generation, saving tens of thousands of lives and saving the NHS billions of pounds. 
  • Further crackdown on youth vaping will see government consult on restricting disposable vapes and regulating flavours and packaging to reduce their appeal to children. 

The Westminster government is set to introduce a new law to stop children who turn 14 this year or younger from ever legally being sold cigarettes in England, in a bid to create the first ‘smokefree generation’. 

Proposed new legislation will make it an offence for anyone born on or after 1 January 2009 to be sold tobacco products – effectively raising the smoking age by a year each year until it applies to the whole population. This has the potential to phase out smoking in young people almost completely as early as 2040.

Smoking is highly addictive, with 4 in 5 smokers starting before the age of 20 and remaining addicted for the rest of their lives. By stopping young people from ever starting to smoke, the government will protect an entire generation of young people from the harms of smoking as they grow older. 

Smoking is the UK’s biggest preventable killer – causing around 1 in 4 cancer deaths and leading to 64,000 deaths per year in England. It puts huge pressure on the NHS, with almost one hospital admission every minute attributable to smoking and up to 75,000 GP appointments each month taken up by smoking-related illness. 

It is also one of the biggest drivers of health inequalities across the country – deaths from smoking are more than two times higher in the most deprived local authorities, where more people smoke, compared to the most affluent. Smoking rates in pregnancy also vary hugely, with as many as 20% of pregnant women smoking in some parts of the country – increasing the chance of stillbirth by almost 50%. 

Smoking also costs the economy £17 billion a year, through smoking related lost earnings, unemployment, early deaths and costs to the NHS. 

These changes amount to one of the most significant public health interventions by the government in a generation. If the government does not act, the independent review published in 2022 estimated that nearly half a million people will die from smoking by 2030. 

More broadly it is expected to mean up to 1.7 million fewer people smoke by 2075 – saving tens of thousands of lives, saving the health and care system billions of pounds and boosting the economy by up to £85 billion by 2075. It would also avoid up to 115,000 cases of strokes, heart disease, lung cancer and other lung diseases.

Smoking will not be criminalised, and our phased approach means anyone who can legally buy cigarettes now will not be prevented from doing so in future.

Prime Minister Rishi Sunak said: “No parent ever wants their child to start smoking. It is a deadly habit – killing tens of thousands of people and costing our NHS billions each year, while also being hugely detrimental to our productivity as a country.  

“I want to build a better and brighter future for our children, so that’s why I want to stamp out smoking for good. These changes will mean our kids will never be able to buy a cigarette, preventing them getting hooked and protecting their health both now and in the future.”

Professor Chris Whitty, Chief Medical Officer, said: Smoking damages many lives. It causes stillbirths, asthma in children, heart disease, stroke and dementia in addition to causing most lung cancer and increasing risk of many other cancers. 

“Becoming addicted to cigarettes in early life is one of the worst things that can happen for future health. Preventing people becoming addicted to smoking, and helping those who smoke to quit are two of the most important measures we can take to improve health.”

Health and Social Care Secretary Steve Barclay said: “Smoking kills, places a huge burden on the NHS and costs the economy billions every year. 

“Through this landmark step we will protect our children, grandchildren and the health service from the dangers of smoking long into the future.

“And while vaping is an effective tool for adults quitting smoking, we are determined to tackle the concerning surge in children vaping, driven by marketing and flavouring which appears to specifically target young people.”

The government has also announced a further major crackdown on youth vaping, by announcing an intention to consult on plans to reduce the appeal and availability of vapes to children. 

Vaping is rightly used by adults as a tool to quit smoking, but the health advice is clear – if you don’t smoke, don’t vape and children should never vape. It is already illegal for children to vape but in a worrying trend, youth vaping has tripled in the last three years, and more children now vape than smoke. 

To ensure we get the balance right between protecting our children and supporting adult smokers to quit the government will bring forward a consultation.

The consultation will look at:

  • Restricting the flavours and descriptions of vapes so that vape flavours are no longer targeted at children – we want to ensure this is done in a way that continues to support adult smokers to switch.
  • Regulating point of sale displays in retail outlets so that vapes are kept out of sight from children and away from products that appeal to them, such as sweets.
  • Regulating vape packaging and product presentation, ensuring that neither the device nor its packaging is targeted to children.
  • Restricting the sale of disposable vapes, which are clearly linked to the rise in vaping in children. These products are not only attractive to children but also incredibly harmful to the environment.

We will also close loopholes in the law which allow children to get free samples and buy non-nicotine vapes.

Enforcement activity will also be strengthened, with an investment of £30 million to support agencies such as local trading standards, HMRC and Border Force to take action to stop underage sales and tackle the import of illicit tobacco and vaping products at the border.  

Professor Sir Stephen Powis, NHS National Medical Director, said: “Smoking is the single biggest cause of preventable death and costs the NHS billions of pounds each year. Almost every minute of every day someone is admitted to hospital because of smoking.

“This is a momentous public health intervention and we welcome the government’s bold and ambitious action which will lead to longer and healthier lives. A smokefree generation will relieve an enormous burden on our NHS. 

“Stop smoking services help hundreds of thousands of people every year quit for good. With double the funding – now £140 million – even more people will be able to access this free service to kick the habit once and for all.”

Cancer Research UK’s Chief Executive, Michelle Mitchell OBE, said: “Raising the age of sale on tobacco products is a critical step on the road to creating the first ever smokefree generation.

“The Prime Minister deserves great credit for putting the health of its citizens ahead of the interests of the tobacco lobby. Investing more in stop smoking services is essential for the nation.

“Smoking places huge pressure on the NHS and the economy – with over 500,000 hospital admissions every year in England attributable to smoking. 

“We will support the UK Government to quickly implement legislation to raise the age of sale, alongside their investment of more money in stop smoking services.”

Professor Sir Nilesh Samani, Medical Director of the British Heart Foundation, said: “Smoking is a major risk factor for cardiovascular diseases, such as heart attacks and strokes, needlessly taking many lives prematurely. 

“We welcome this important initiative from the Prime Minister to limit its damage to the health and well-being of our nation.”

Deborah Arnott, Chief Executive of Action on Smoking and Health, said: “The Prime Minister has today announced an unprecedented set of measures to protect the next generation and hasten the day when smoking is obsolete. 

“Children are four times as likely to start smoking if they grow up with smokers, and once they do it’s highly addictive and difficult to quit. 

“The twin track approach of raising the age of sale and tougher enforcement to stop young people starting, matched by substantial additional funding to motivate addicted smokers to quit and provide them with the support they need to succeed, will help get us on track to a smokefree future. 

“We look forward to the day when smoking is no longer responsible for avoidable ill health and perinatal mortality in babies and young children, nor the leading cause of premature death in adults.”

The government will also continue to drive forward its agenda to support current smokers to quit for good, by:

  • More than doubling the current funding for stop smoking services, investing an additional £70 million a year to expand locally delivered and cost-effective services. This will support around 360,000 people to quit smoking;
  • Providing an additional £5 million this year and then £15 million a year thereafter to fund national tobacco marketing campaigns to explain the changes, the benefits of quitting and support available; 
  • Rolling out a new national ‘swap to stop’ scheme – supporting 1 million smokers to swap cigarettes for vapes – the first national scheme of its kind in the world.

It comes on top of previous interventions such as the introduction of plain packaging on tobacco products, raising the age of sale from 16 to 18 and banning smoking in public places – all of which have had a significant impact on smoking rates.

In particular, raising the age of sale reduced the prevalence of smoking among 16/17-year-olds by 30%.

Overall, the number of people who smoke has reduced by two thirds since 1974, when smoking was at its peak.

Dr Camilla Kingdon, President of the Royal College of Paediatrics and Child Health, said: As a children’s doctor, I am in no doubt that both smoking and vaping are terrible for the health of babies, children and young people. 

“The prime minister’s announcement is hugely welcome.”

Dr Jeanette Dickson, Chair of the Academy of Medical Royal Colleges, said: “The Chair of the Academy of Medical Royal Colleges welcomes the Prime Minister’s bold announcement to effectively end smoking in the UK.

“The damage done by smoking affects everyone, from unborn babies through to our oldest family members.  The best way to prevent these harms is to reduce and ultimately bring an end to smoking in the UK.”

Professor Kamila Hawthorne MBE, GP, said: “As a GP of 35 years’ standing, I have seen the terrible irreversible damage that smoking does to health.

“It is much easier to never have started smoking, than trying to stop once a habit has formed. Opportunities to smoke must not be available to children, and anything that prevents a smoking habit is worth supporting.”

Tim Mitchell, President of the Royal College of Surgeons of England, said: “Smoking is a major cause of cancer and many other conditions that require surgery, as well as affecting recovery after an operation.

“By reducing the number of people who smoke, these measures will save lives and reduce the need for surgery.”

Dr Sarah Clarke, President of the Royal College of Physicians and Consultant Cardiologist at Royal Papworth Hospital Cambridge, said: I welcome all measures to reduce uptake of smoking and make it obsolete once and for all.

“Investment in Public Health messaging and cessation services will all contribute to this. I see too many lives ruined by smoking.”

Health is a devolved issue and the Scottish Government has yet to announce it’s response to Westminster’s initiative.

Public Health Scotland welcomes consultation on single-use vapes

Action to protect young people and the planet

Single use vapes could be banned in Scotland, as part of plans to protect public health and the environment.

The Programme for Government outlined a commitment to take action to reduce vaping among non-smokers and young people and to tackle the environmental impact of single-use vapes, including consulting on a proposal to ban their sale and other appropriate measures.

Research suggests that almost one in five (18%) of adolescents have tried vapes. Zero Waste Scotland estimates that up to 26 million disposable vapes were consumed and thrown away in Scotland in the last year, with 10 per cent being littered and more than half disposed of incorrectly.

With millions of vapes littered every year, there is a significant and increasing cost to local authorities through litter clear up and waste management.

Following a request of Scottish Ministers, the Circular Economy Minister and Public Health Minister will meet with counterparts in the UK Government, Welsh Government and Northern Ireland Executive to discuss the findings of recent research and potential policy responses.

In addition, action to help ensure that children, young people and non-smokers do not use these devices will also be set out in this year’s refreshed Tobacco Action Plan, which will set out our road map to 2034.

After publishing his first Programme for Government, First Minister Humza Yousaf said: “Disposable vapes are a threat to both public health and the environment.

“We know that the bright colours and sweet flavours catch the eye of children and young people in particular. The World Health Organisation has said there is evidence to suggest that young people who have never smoked but use e-cigarettes, double their chance of starting to smoke tobacco cigarettes in later life.

“Last year we consulted on restrictions on the advertising and promotion of vaping products. Any action we seek to take will build on the regulations already in place to restrict the marketing, promotion and sale of vaping products to under 18s and the findings will be used to inform the refreshed Tobacco Action Plan.

“On the environment, the evidence is undeniable – from litter on our streets, to the risk of fires in waste facilities, there are issues which demand action.

“We will be working constructively with retailers and other stakeholders to come up with solutions. While we will be asking for views on a ban, we are also keen to explore other interventions that could have a more immediate impact. 

“Of course, this is not just an issue for Scotland – these problems are being experienced all over the UK and we will soon be holding discussions on potential solutions.”

Public Health Scotland (PHS) welcomes the Scottish Government’s commitment to consult on plans to ban the sale of single use e-cigarettes (also known as vapes), following today’s Programme for Government announcement.

PHS wants to see ambition and clear action around measures that will improve human health and protect the environment. A ban on disposable vapes is one example of a measure that can benefit both people and planet.

PHS is working with the Scottish Government, academics and the third sector to better understand and address this important issue.

Dr Garth Reid, Consultant in Public Health at PHS, said: “The rise in youth vaping in Scotland is deeply concerning. E-cigarettes contain nicotine which is addictive and the long-term negative impacts of vaping are not yet clear. They can be a gateway to smoking and are not products for children.

“PHS welcomes a ban on the sale of disposable e-cigarettes as part of a comprehensive approach to tackling youth vaping and wider efforts to improve population health.”

ASH Scotland is welcoming today’s Programme for Government announcement by the First Minister, Humza Yousaf MSP, that a consultation on banning the sale of disposable e-cigarettes will be carried out by the Scottish Government.

Sheila Duffy, Chief Executive of ASH Scotland said: “We have been alarmed for some time about the upsurge of children across Scotland using disposable e-cigarettes so welcome the Scottish Government’s commitment to consulting on proposals that include an outright ban on the health harming recreational vaping products.

“Young people who use e-cigarettes are three times more likely to start smoking cigarettes and only a ban would ensure the availability of single-use health-harming products that have become so popular with children are off the market as soon as possible.

“France is currently in the process of banning disposable e-cigarettes and their law could be enacted before the end of this year. Several other European countries are considering bans too so Scotland has a great opportunity to re-establish itself as a leading public health nation by prohibiting the sale or use of these products in 2024.

“Throughout the consultation period we expect the Scottish Government to ensure that interference by the tobacco industry and its vested interests, including retailers, to influence policy development is not permitted, as part of the good global health governance for which Scotland is known internationally.

“Under the World Health Organisation Framework Convention on Tobacco Control (FCTC) Article 5.3, WHO describes tobacco industry interests as ‘fundamentally and irreconcilably opposed’ to the aims of public health and, through their long record of denial and deceit, tobacco companies have shown they cannot be trusted to tell the truth about their own health harming products, and have sought to disrupt or delay health regulations designed to reduce use of tobacco and related products such as electronic nicotine and non-nicotine devices.

“By implementing a ban on the sale of disposable e-cigarettes, Scotland can start to address the exponential rise in young people vaping which is being driven by these products, safeguard public health and mitigate the environmental impacts.”

New inserts in cigarette packs to help smokers quit?

UK Government seeks views on adding pack inserts to tobacco products to encourage smokers to quit

  • Pack inserts are used internationally including in Canada and Israel, and proven to encourage people to give up smoking
  • Initial report on the Major Conditions Strategy to be published today

The UK government will seek views on adding pack inserts into tobacco products to encourage more smokers to quit as it launches a new consultation today.

Placed inside the packaging of cigarettes and hand rolling tobacco, they would contain positive messages to encourage people to quit and signpost them to advice and support.

The messages set out the health benefits of quitting – for example, improvements to breathing within a matter of days and a 50% reduction in the risk of heart attack within a year – as well as showing smokers how much money they stand to save by giving up, with the average person likely to save over £2,000 per year if they quit.

Smoking remains the single leading preventable cause of illness and mortality in the UK. It results in nearly 4% of all hospital admissions each year – equivalent to almost 450,000 admissions. Tobacco-related harms are also estimated to cost taxpayers an estimated £21 billion every year, including over £2 billion in costs to the NHS.

Although smoking rates in the UK are at an all-time low, by taking further action, the government will seek to cut waiting lists and reduce the burden on the NHS. Introducing pack inserts into all tobacco products in the UK could lead to an additional 30,000 smokers giving up their habit – delivering health benefits worth £1.6 billion.

Health and Social Care Secretary Steve Barclay said: “Smoking places a huge burden on the NHS, economy and individuals. It directly causes a whole host of health problems – including cancers and cardiovascular disease – and costs the economy billions every year in lost productivity.

By taking action to reduce smoking rates and pursuing our ambition to be smokefree by 2030, we will reduce the pressure on the NHS and help people to live healthier lives.”

The consultation – which opens today – will seek views on the introduction and design of pack inserts.

Pack inserts are already used in other countries – including Canada and Israel, with Australia also announcing its intention to introduce them – and there is evidence that they can be an effective means of encouraging smokers to quit.

An evaluation of the policy’s impact in Canada found that almost 1 in 3 smokers had read the inserts at least once in the past month, and that those who were exposed to the inserts multiple times were significantly more likely to try to give up smoking.

The consultation builds on a recent package of measures designed to drive the government’s ambition to be smokefree by 2030 – which means reducing smoking rates to 5% or less.

These measures include:

  • Funding a new national ‘swap to stop’ scheme – the first of its kind in the world – to offer a million smokers across England a free vaping starter kit, alongside expert support
  • Launching a financial incentive scheme – in the form of vouchers alongside behavioural support – to support pregnant women to stop smoking, with an aim to reach all pregnant smokers by the end of next year
  • A new strategy to combat illicit tobacco, which will outline efforts to catch and punish those involved in the illegal market

Deborah Arnott, chief executive of Action on Smoking and Health (ASH), said: “Smoking is very addictive, and it takes smokers on average thirty attempts before they succeed in stopping, so encouraging them to keep on trying is vital.

“Pack inserts do this by backing up the grim messages about death and disease on the outside with the best advice about how to quit on the inside.

“They will help deliver not just the Smokefree 2030 ambition, but also the Major Conditions Strategy, as smoking is responsible for all six major conditions from cancer to cardiovascular and respiratory disease, as well as dementia, mental ill health and musculoskeletal disorders.”

The consultation launch comes as the government publishes an initial report on its Major Conditions Strategy – which covers the six groups of conditions accounting for 60% of all ill-health and early death in England.

One in four people in England live with two or more major long-term conditions, and the initial report sets out the direction for the strategy to tackle these groups of conditions – cancers, cardiovascular diseases (including stroke and diabetes), musculoskeletal disorders, mental ill health, dementia and chronic respiratory conditions.

This includes by addressing key risk factors and lifestyle drivers of ill-health and disease, including smoking, which is a direct contributor to all six groups of conditions covered by the strategy. For example, it is the biggest cause of cancer, with one in every five cancer deaths in England connected to smoking.

A world leader in reducing smoking rates, UK levels are currently at their lowest on record at 13.3%. But across the UK, 1 in 7 adults still smoke – around 6.6 million people – and the impacts on the NHS and economy are significant.

Tobacco also costs the economy in England an estimated £14 billion in lost productivity every year, due to lost earnings, unemployment and early deaths. The average smoker stands to save approximately £2,000 per year from giving up their habit.

UK Health Secretary offers waiting list support to Wales and Scotland

The UK Health and Social Care Secretary has invited the devolved administration for talks to discuss lessons learnt and tackle waiting lists across the UK

The UK Government Health and Social Care Secretary Steve Barclay has written to the devolved administrations inviting them for talks about how all parts of the UK can work together to tackle long-term waiting lists in all parts of the UK.

NHS services across the UK are a devolved matter, but Prime Minister Rishi Sunak has made cutting waiting lists a priority across the UK. Although approaches taken across England, Scotland, Wales and Northern Ireland share many common features, significant variations in outcomes exist.

In Wales, more than 73,000 people are waiting over 77 weeks for treatment, and at least 21,600 people are waiting over 78 weeks for an outpatient, day case or inpatient appointment in Scotland. In England, waiting times for patients over 78 weeks have been virtually eliminated.

The Secretary of State is inviting health ministers from the devolved administrations to discuss what lessons can be learnt from the different approaches taken.

In England for example, NHS patients are offered a choice of provider at GP referral – NHS or independent sector – provided that it meets NHS costs and standards. And from October we will proactively notify patients waiting over 40 weeks for treatment of their right to choose to be treated elsewhere.

In his letter, the Secretary of State writes that he would be open to requests from the devolved administrations to allow patients in Wales and Scotland who are waiting for lengthy periods to choose to be treated at providers in England, NHS or independent sector – building on the current arrangements for cross-border healthcare.

The Secretary of State has also asked UK health ministers to discuss how health data can be made more comparable across the UK. Northern Ireland official counterparts have also been invited to the ministerial meeting.

Health and Social Care Secretary Steve Barclay said: “I hugely value being able to share knowledge and experiences on the joint challenges facing our healthcare systems. I want to support collaboration between our nations to share best practices, improve transparency and provide better accountability for patients.

“This will help to ensure we are joined up when it comes to cutting waiting lists – one of the government’s top five priorities – and will allow us to better work together to improve performance and get patients seen more quickly.”

The letter reads:

Dear Michael and Eluned,

Thank you for a constructive meeting last month.

As you know, the NHS is at the forefront of people’s minds, and the Prime Minister has made cutting waiting lists a priority to ensure people across the UK get the care they need more quickly. We must continue to take steps to support the NHS and reduce waiting times to ensure no part of the UK is left behind. I am therefore concerned by the variation in performance across NHS services.

As we look to address this issue, it is important that the UK Government and Devolved Administrations work together to ensure that no matter where you are in the country, citizens can access vital services quickly.

In England, we are delivering on the actions set out in the NHS’s Elective Recovery Implementation Plan published last February. Our target to virtually eliminate waits of longer than two years by July 2022 was achieved on time and waits for treatment of more than 78 weeks have been virtually eliminated. Although data is not collected on the same basis across the UK, recent figures show more than 73,000 people are waiting over 77 weeks for treatment in Wales, and at least 21,600 people are waiting over 78 weeks for an outpatient, daycase or inpatient appointment in Scotland.

Whilst there are common features across the approaches of England, Wales and Scotland, one area of difference relates to patient choice. In England, patients have the legal right to choose the provider for their first outpatient appointment (at the point of GP referral) for many healthcare services. Patients may choose to be treated free of charge at any provider – NHS or independent sector – provided they meet NHS standards and costs and hold a contract for the provision of services to the NHS. A Patients Association study has found that this can reduce a patient’s waiting time by up to 3 months.

From October, we will proactively notify patients in England who have been waiting over 40 weeks of their right to request to be treated at a different provider if clinically appropriate, again in the NHS or in the independent sector, provided they meet NHS standards and costs, and they hold a contract for the provision of services to the NHS.

The Secretaries of State for Scotland and Wales share my desire to see patients across the UK have the same rights when it comes to accessing treatment. I would therefore be happy to facilitate a Ministerial working group session (with NI official counterparts) to share how we are implementing this choice approach in England, and to share lessons on work across the UK to tackle the elective waiting list. I would also be open to considering any request from you for patients waiting for lengthy periods for treatment in Scotland and Wales to be able to choose from alternate providers in England – NHS or independent sector – in line with the approach we are taking here, and building on the existing arrangements for cross-border healthcare.

I also believe we need to work together to ensure that health data is more comparable across the UK. It is important that all our citizens can understand the performance of the health services they are receiving and that we can learn from what has been tried and tested in one part of the UK to improve services across the country. I welcome the work our respective teams have been doing to improve data comparability, for example through the Office for National Statistics’ work to improve key UK-wide health performance metrics.

I am very keen to see this work progress and ask for your continued support in prioritising this moving forward.

In the absence of Ministers in Northern Ireland, I am copying this letter to the Department of Health in Northern Ireland and the Secretary of State for Northern Ireland.

Yours sincerely,

RT HON STEVE BARCLAY MP

COVID-19 testing guidance update

Testing to be based on clinical need in hospitals, care homes and prisons

Routine COVID-19 testing in hospitals, care homes and prisons is to be substantially reduced following clinical and scientific advice.

Due to the success of the vaccination programme and improved treatments, Public Health Scotland and Antimicrobial Resistance & Healthcare Associated Infection Scotland have recommended a return to pre-pandemic testing.

This means testing will be based on person-centred clinical decisions, rather than a routine policy for all individuals. Routine testing will continue for patients moving from hospitals to care homes and will be reviewed based on future advice and outbreaks. Tests will also continue to be available for those eligible for antiviral treatment.

The new guidance will come into effect by 30 August 2023.

Chief Medical Officer Professor Sir Gregor Smith said: “Due to the success of vaccines in protecting people, and the availability of improved treatments, now is the right time to revise the advice on routine COVID-19 testing across health and social care settings and prisons. This will ensure the testing regime remains effective and proportionate.

“Routine testing will remain when patients are discharged from hospital to care homes, to provide additional reassurance for these settings, and testing will still be required when clinically appropriate.

“The clinical advice tells us that focusing on the risk to individuals under general infection control procedures will allow our hospital, social care and prison staff to better protect those in their care and that there is no longer a requirement to apply separate COVID-19 guidance across the board when so many are now protected from its worst harms.”

COVID CASES ON THE RISE

This UK Health Security Agency fortnightly flu and COVID-19 report brings together the latest surveillance data along with the latest public health advice.

The latest report was produced on 3 August:

COVID-19 case rates continued to increase this week compared to our previous report. 5.4% of 4,396 respiratory specimens reported through the Respiratory DataMart System were identified as COVID-19. This is compared to 3.7% of 4,403 from the previous report.

The overall COVID-19 hospital admission rate for week 30 was 1.97 per 100,000 population, an increase from 1.17 per 100,000 in the previous report.

ICU admission rates have decreased to 0.05 compared to 0.07 in the previous report.

Those aged 85 years and over continue to have the highest hospital admission rates; these have increased to 20.49 per 100,000 from 9.8 per 100,000 in the previous report.

Admission rates among those aged 75 to 84 years have increased to 9.45 per 100,000 from 5.54 in the previous report.

Dr Mary Ramsay, Head of Immunisation at the UK Health Security Agency (UKHSA), said: “We continue to see a rise in COVID-19 cases in this week’s report. We have also seen a small rise in hospital admission rates in most age groups, particularly among the elderly.

“Overall levels of admission still remain extremely low and we are not currently seeing a similar increase in ICU admissions. We will continue to monitor these rates closely.Regular and thorough hand washing helps protect you from COVID-19 and other bugs and viruses.

“If you have symptoms of a respiratory illness, we recommend staying away from others where possible.

“The NHS will be in contact in autumn 2023 when the seasonal vaccine is available for those who are eligible due to health conditions or age, and we urge everyone who is offered to take up the vaccine when offered.”

Life and Death: MSP calls for a defibrillators to be installed at train stations across Lothian

Scottish Conservative and Unionist MSP for Lothian Miles Briggs is calling for a defibrillator to be installed at every train station in Lothian.

Mr. Briggs’ call comes following a response received by Scottish Conservative MSP Jamie Greene from former SNP transport minister Kevin Stewart.

The Transport Minister’s response highlighted the 56 Scottish train stations that are currently equipped with a defibrillator, including some of the country’s busiest such as Central and Queen Street in Glasgow and Edinburgh Waverley.

Kevin Stewart also confirmed to Jamie Greene that plans to install further defibrillator devices across the ScotRail network are being developed.

However, with Scotland having 359 railway stations in total, Miles Briggs says it is crucial that more passengers and staff are able to access defibrillators as soon as possible.

He says having quick and easy access to the device on site at busy stations such as Livingston North could help to save lives in an emergency.

At present, the train stations in Lothian without access to a defibrillator are: Drem, Dunbar, Haddington, Longniddry, Musselburgh, North Berwiick, Prestonpans, Wallyford, Eskbank, Gorebridge, Shawfair, Wallyford, Addiewell, Armadale, Blackridge, Breich, Fauldhouse, Kirknewton, Livingston North, Uphall and West Calder.

Mr. Briggs added that he hopes that people across Scotland will get behind the campaign and ensure that stations across the country are fitted with defibrillators.

Scottish Conservative and Unionist MSP Miles Briggs said: “Having easy access to a defibrillator device can often be the difference between life and death.

“While it is welcome that over 50 stations in Scotland now have them on site, this is only the beginning. It is imperative that we do what we can to ensure that stations across the country have access to a defibrillator.

“You never know when a defibrillator might be required, and the eventual goal should be to ensure that every station in Scotland can get one.

“An emergency situation might arise at any moment, so having a defibrillator on hand to use before emergency services arrive, would be of great help.

“In my region of Lothian, we have busy stations such as Livingston North and North Berwick that are without defibrillators. I believe it is common sense for devices to be installed in these areas.

“As it stands, it is not good enough that only 6 railways stations across Lothian have access to a defibrillator.

“I will continue to encourage SNP ministers to guarantee ScotRail will have the resources they need to rollout further defibrillator devices, including hopefully at each Lothian station in the near future.”

Legionella bacteria at Western General: Investigations underway

Investigations are being carried out at the Western General Hospital following detection of Legionella bacteria in water supplying parts of the radiotherapy treatment area.

The source has been isolated and there have been no cases of infection in patients or staff.  The type of Legionella detected does not usually cause infection in humans. 

In line with national guidance, a thorough programme of disinfection and cleaning is being carried out and services temporarily relocated to minimise any potential risk.

Essential patient services are continuing to be provided in other areas of the building.

Two specialist radiotherapy treatment machines (Linacs) have been temporarily closed while remedial works continue. Patients who are normally treated on these Linacs will be reallocated to one of the other five treatment machines at the Western General Hospital which are not affected.

The remaining radiotherapy machines will be run for extended hours to ensure patient appointments continue to be allocated and carried out as quickly as possible.

Alison MacDonald, Nurse Director, NHS Lothian said: “Legionella bacteria was detected during routine water sampling as part of our building monitoring and hygiene vigilance measures.”

“The risk to patients and staff is low but we’ve enhanced infection and control measures across the building as a precaution. 

“We assure patients that radiotherapy treatments will continue to be carried out as quickly as possible and apologise to anyone who has been affected or had their appointment rescheduled.”

The situation is being closely monitored and continuously assessed. Patients will be kept informed of any changes and should speak to their treatment team if they have any concerns.

Record medical trainee recruitment levels in Scotland

New starts will begin training this August

More medical training posts have been accepted at this stage of the recruitment year than ever before – exceeding last year’s record by 100 posts.

NHS Education for Scotland data as of 25 July 2023 shows that 1,061 posts have been filled so far this year from 1,137 advertised.

This includes 100% fill rates at entry level in General Practice, Psychiatry, Anaesthetics, Radiology and Emergency Medicine.

These trainee doctors will take up post in August 2023. Another recruitment round will be held before the end of the year for those taking up post in February 2024.

Minister for Public Health Jenni Minto said: “I am delighted to see that Scotland continues to be recognised as a highly desirable place both to live and pursue a career in medicine.

“This is testament to our world-class medical education and training system as well as those working hard to prepare the next generation of doctors who will look after us in the future. 

“These results show that NHS Scotland continues to grow accordingly to meet the needs of its patients and I look forward to welcoming these new doctors into the health service.”

NHS Education for Scotland Medical Director Dr Emma Watson said: “As of today, 93% of posts advertised for August 2023 start dates in Scotland are filled.

“Many programmes have filled at 100% and in programmes which have not filled, we are working to understand why. There has also been a significant expansion of training posts across Scotland, particularly in General Practice which has a current fill rate of 100%.”

NHS highlights importance of measles vaccination to safeguard public health

NHSGGC has emphasised the importance of being vaccinated against measles, mumps and rubella following an increase in cases across the UK and Europe.

Measles is one of the most highly infectious diseases and can lead to serious and potentially life-threatening complications if it is not treated. Symptoms of measles include a high fever, rash, cough, runny nose and watery eyes. In the most severe of cases, measles can develop into more threatening conditions such as pneumonia, especially in those with a weakened immune system.

To combat this, NHSGGC strongly recommends members of the public are up to date with their vaccines to ensure protection against the disease. The normal course is two doses of MMR vaccine in childhood. It can also be given to adults, and if you have missed a dose, for whatever reason, you remain eligible and your GP can refer you in to one of the health board’s vaccine clinics.

The immunisation is provided from the health board free of charge and can be administered at a range of healthcare facilities across the city and at other locations in the NHSGGC area.

Iain Kennedy, Consultant in Public Health Medicine, said: “Getting vaccinated against measles helps prevent the spread of the disease and by increasing vaccination coverage, we can create a shield of immunity that safeguards individuals and the wider community.

“As we have noticed an increase in cases across the UK, it is important to ensure the safety of each other and in particular, young children.

“Measles can spread easily and quickly though droplets from the nose and mouth when an infected person coughs or sneezes.

“We would encourage all parents to ensure their child has had two doses of the MMR vaccine before they start school to help reduce the spread of infection.

“The best way to stay safe and healthy is to get vaccinated against the disease and collectively reduce the risks of outbreaks.”

For more information on measles and how you can stay protected, please visit NHS Inform.