From Scotland with love

Vital equipment on it’s way to fight Covid-19 crisis in Malawi, Rwanda and Zambia

A grant of more than £270,000 from the Scottish Government’s International Development Fund will fund the supply of 300 items of vital equipment to treat Covid-19 patients in Africa.

The funding will allow Kids Operating Room, a Scottish-based global health charity, to distribute 100 oxygen concentrators each to Malawi, Rwanda, and Zambia.

Covid-19 cases in Malawi, Rwanda and Zambia are rising quickly, with the health system in Zambia especially under severe stress.

One of the biggest impacts of the rise in Covid-19 cases is a shortage of oxygen, and oxygen concentrators are easy to use, are suitable for patients of all ages, and can be used throughout the health service.

External Affairs Secretary Angus Robertson said: “The Covid situation in Malawi, Rwanda and Zambia has become very serious, very quickly, and we know that the pressure on health services are putting great stress on their infrastructure, especially in relation to the delivery of oxygen to patients.

“This funding for oxygen concentrators will go some way to help ease the current stress on the health services in our three African partner countries, and we are delighted to work with Kids Operating Room to make sure this vital equipment is put to use as soon as possible.

“Scotland remains fully committed to playing our part in tackling shared global challenges, and we are committed to increase the International Development Fund (IDF) by 50% to £15 million.

“As the global pandemic continues, we firmly believe this is not the time to turn our back on the poorest and those in dire need – instead, this is precisely the moment when we should be living up to our core values.”

David Cunningham, the chief executive officer of Kids Operating Room, said: “Our model is to listen to doctors, then give them what they need – right now, the message is coming back loud and clear that what they need is access to more oxygen to fight Covid-19.

“Oxygen concentrators are key pieces of equipment that are needed to meet the region’s critical oxygen shortage. They are suitable for all ages and durable for years to come post-Covid, making them incredibly essential to support the health services in the long-term.”

Kids Operating Room is a Scottish global health charity with bases in Edinburgh, Dundee and Nairobi. It works directly with local surgeons and their teams across Africa and South America to transform hospital spaces into dedicated operating rooms for children’s surgery.

Oxygen concentrators provide a sustainable and cost-effective source of medical oxygen – they draw air from the environment and then concentrate that room oxygen to therapeutic levels for delivery to patients.

The charity will coordinate the distribution of the oxygen equipment.  They will arrange for delivery to doctors in Lusaka, Lilongwe and Kigali, and have the equipment distributed to the most in-demand hospitals.

First dose phase of vaccination programme nears completion

Health Secretary Humza Yousaf has visited a drop-in vaccination clinic in Arbroath as the national programme nears completion of first doses for all adults who attended their scheduled appointments on Sunday.

The clinic in Arbroath is one of many additional walk-in and pop-up facilities operating across the mainland to encourage people to get Jagged in July and Mr Yousaf urged anyone who is yet to take up their offer of a vaccine for whatever reason to come forward now.

No appointment is necessary at drop-in clinics and people can attend whether they are due a first dose or second dose, if eight weeks have passed. Anyone who wishes to book an appointment can do so at NHS Inform.

Mr Yousaf said: “I am pleased to see people making use of the vaccination clinic in Arbroath and urge others to do the same at their local drop-in venues if they haven’t yet come forward to be vaccinated.

“Getting vaccinated has never been easier. Simply head to a drop-in or pop-up clinic – the most up-to-date details of clinics near you can be found on your local NHS board’s social media posts or book an appointment online in a location which suits.

“The vaccination programme is working – evidence shows vaccination is weakening the link between case numbers and severe acute illness. However, case numbers are still high and vaccination continues to be the best way to protect yourself and those around you.

“We are currently working through the final group on the JCVI priority list – those aged between 18 and 29 – and we know that the extra drop-in clinics being operated by mainland health boards until Sunday make it easier for them to fit getting vaccinated into their busy lives. Walk-ins will still be available after this week but now is the time to take advantage of all the additional facilities on offer.

“I want to thank all those involved in setting up these clinics and of course, everyone involved in the national vaccination programme. It has been a huge success and without doubt, represents our best way out of the pandemic.”

NHS Tayside Director of Public Health Dr Emma Fletcher said: “Drop-in vaccination clinics are running at venues right across Tayside to make it as easy as possible for people to get vaccinated. No appointment is necessary and anyone over 18 can drop-in. 

“So far, uptake of vaccinations in Tayside has been very good. We have delivered over 532,500 vaccines in Tayside with 300,000 people, 86% of the adult population, having one dose and around 232,500 people, 66%, having had both doses but we need that uptake to be higher to stop the spread of the virus.  

“We know that getting both doses of the vaccine offers maximum protection against the virus and we are particularly encouraging people aged 18-29 to come forward as early as they can. So if you have not yet had your first jab, or you are longer than eight weeks from your first jab and are due your second jab, come along to your nearest clinic and we will get you vaccinated.” 

£698,000 set to support 6,821 families in Edinburgh to buy school clothes

The Scottish Government has set to support 6,821 school children in Edinburgh with £698,000 of support to buy school clothes through the School Clothing Grant.

The School Clothing Grant was increased this month by the Scottish Government and provides families with primary school children with £120 per child and £150 per child in secondary school.

The support helps families pay for school clothes and shoes.

Applications are still open for eligible parents to apply for the start of the new school year. To apply, parents should visit www.edinburgh.gov.uk/food-clothing/free-school-meals-school-clothing-grants.

SNP MSP for Edinburgh Pentlands, Gordon MacDonald  said: “The SNP Scottish Government has already helped a significant number of families in Edinburgh with buying school clothes and shoes, and applications are still open for eligible families to apply for the start of the new school year.

“Meeting the costs of buying school clothes can be very challenging for thousands of families across Scotland and the SNP Scottish Government has introduced the School Clothing Grant to ensure every child in Scotland doesn’t miss out.

“Being in a uniform not only breaks stigma in school but gets young people in the right mindset for learning.

“This is another demonstration of our tale of two governments – one in Edinburgh building a social security system built on dignity, fairness and respect, in stark contrast to the one in Westminster preparing to cut Universal Credit which could plunge 20,000 children in Scotland into poverty.”

The number of children and young people estimated will benefit from the minimum school clothing grant, broken down by local authority area, is provided within the following table:

Local AuthorityEstimated number of children and young people (in each LA area)
  
Aberdeen City3,471
Aberdeenshire3,376
Angus2,473
Argyll and Bute1,463
Clackmannanshire1,349
Dumfries and Galloway3,374
Dundee City6,045
East Ayrshire4,167
East Dunbartonshire2,014
East Lothian1,682
East Renfrewshire1,714
Edinburgh, City of6,821
Eilean Siar (Western Isles)416
Falkirk4,678
Fife11,882
Glasgow City28,464
Highland4,333
Inverclyde3,114
Midlothian2,018
Moray1,434
North Ayrshire5,186
North Lanarkshire10,234
Orkney Islands227
Perth and Kinross1,850
Renfrewshire5,498
Scottish Borders2,220
Shetland Islands309
South Ayrshire2,926
South Lanarkshire10,622
Stirling1,692
West Dunbartonshire3,530
West Lothian6,498
  
SCOTLAND145,080

The funding allocation of the £11.8 million in additional funding for the school clothing grant, broken down by local authority area, is provided within the following table:

Local AuthorityAdditional funding for school clothing grants
  
Aberdeen City£351,000
Aberdeenshire£371,000
Angus£239,000
Argyll and Bute£155,000
Clackmannanshire£136,000
Dumfries and Galloway£354,000
Dundee City£357,000
East Ayrshire£334,000
East Dunbartonshire£146,000
East Lothian£218,000
East Renfrewshire£147,000
Edinburgh, City of£698,000
Eilean Siar (Western Isles)£43,000
Falkirk£363,000
Fife£935,000
Glasgow City£1,940,000
Highland£469,000
Inverclyde£161,000
Midlothian£191,000
Moray£187,000
North Ayrshire£379,000
North Lanarkshire£929,000
Orkney Islands£40,000
Perth and Kinross£274,000
Renfrewshire£363,000
Scottish Borders£245,000
Shetland Islands£29,000
South Ayrshire£237,000
South Lanarkshire£678,000
Stirling£161,000
West Dunbartonshire£234,000
West Lothian£436,000
  
SCOTLAND£11,800,000

Government announces increased funding for affordable homes

Scotland’s councils are to share more than £3.2 billion in grant funding over five years to deliver more affordable homes. 

Local authorities will benefit from an increase of more than £541 million on the previous five year allocation – an uplift of more than 20%.

Housing Secretary Shona Robison said: “We have already delivered more than 102,000 affordable homes since 2007. Building on this, our aim is to deliver 100,000 affordable homes by 2032, with at least 70% of these for social rent.

“Meeting this ambition will require continued collaboration across the private and public sectors. I’m pleased to be increasing significantly the available affordable housing grant funding for council areas to help with this important work.

“The five-year allocations will provide the certainty and assurance the housing sector needs to deliver the ambitious affordable homes target set out in our Housing to 2040 strategy.”

COSLA Resources spokesperson Councillor Gail Macgregor said: “We welcome the Scottish Government’s commitment to contributing to the cost of affordable housing in Scotland. The priority for councils, and housing associations, is ensuring rent affordability and warm, safe, comfortable homes for current and future tenants.

“As we look to recover from the impacts of the pandemic, councils are working side by side with their communities.  We maintain a focus on our shared ambitions around tackling child poverty and climate change, alongside building more houses.”

The City of Edinburgh Council also welcomes the announcement from Scottish Government on a five-year funding package for local authorities and housing associations in Scotland to deliver new affordable homes.

Over the next five years Edinburgh will receive £233.8m grant funding from a pot of more than £3.2 billion announced today which will be shared across all Scottish council areas.

Edinburgh is one of the most pressured housing markets in the country and needs more affordable homes to meet the needs of its growing population.  

City of Edinburgh Council’s Convener for Housing, Homelessness and Fair Work, Councillor Kate Campbell said:This announcement of £233.8m funding for housing in Edinburgh from the Scottish Government over the next five years is hugely welcome. Having certainty over future funding puts us in a strong position to continue building that pipeline of social and affordable homes that we so desperately need.

“This will allow us to plan ahead and acquire sites, design and develop new homes and appoint contractors. And not only do we have certainty, we also have an increase of almost £44m from our baseline allocation over the last five years.

“Having recently met with the Cabinet Secretary to set out the challenges in Edinburgh, and the further investment we need, this is a positive response.

“We’ve also consistently received in-year allocations of extra funding when other local authorities have had underspends in their grant. Over the last five years this has amounted to about £40m. Our aim is to continue making the case for any future underspends to come to Edinburgh by making sure that we continue our strong track record on delivery of homes.

“And, because the need for permanent, secure and affordable housing in our city is so great, we’ll also continue to make the case for additional funding for Edinburgh from the national housing budget. But having certainty for the next five years, and an increase in funding, puts us in a fantastic position just now, and gives us a really strong platform to build from.”

Vice Convener for Housing, Homelessness and Fair Work, Councillor Mandy Watt, said: “We have ambitious plans to grow the number of homes we own, which we’ll do by purchasing homes and by building homes through our own housing development programme.

“Alongside this, we’ve got to find ways to deliver more affordable housing through our planning policies. Currently, the minimum amount of land for affordable homes is 25% of any major development. We are proposing that the minimum allocation is increased to 35%.

“As a Council, we’re committed to ending poverty and becoming more sustainable. Our house building programme will make a major contribution towards achieving that.”

Then Play On: Music tuition and core curriculum fees removed

Fees for children learning a musical instrument at school will be removed thanks to more than £7 million funding from the Scottish Government.

Councils will also receive £6 million to waive core curriculum charges which can be levied on families for things including materials for home economics or theatre trips associated with drama qualifications.

The agreement with COSLA covers the 2021-22 academic year and marks the delivery of two further commitments for the first 100 days of this Government.

Education Secretary Shirley-Anne Somerville said: “My priority is to ensure the best possible outcomes for all of Scotland’s children and young people, whatever their background.

“All children should have the best start in life and the ability to take part in core elements of education should never be limited by a child’s ability to pay.

“Today’s announcement means families will not see bills for musical tuition or core curriculum activities in the new school year. I will continue to work with COSLA and local authorities to develop a sustainable and funded model for future years.”

COSLA Children and Young People spokesperson Councillor Stephen McCabe, said: “Councils recognise the importance of instrumental music tuition for the learning and development of our children and young people.

“Where fees were in place for tuition this is due to a range of local pressures on core council budgets. The one year funding package agreed between COSLA Leaders and Scottish Government will allow for the removal of fees in the coming academic year and the maintenance of existing levels of provision, so that fees and charges are not a barrier to learning an instrument. 

“We welcome the commitment from the Cabinet Secretary for Education and Skills to work with COSLA and partners in the sector to consider the intent, impact, and broader implications of this Scottish Government policy intervention and to develop a model for the long-term sustainability of  instrumental music tuition services across Scotland which must include sustainable funding arrangements for all councils.”

Balearic Islands removed from travel green list

Changes take effect from 19 July

Rising case rates have led the Balearic Islands – Majorca, Minorca and Ibiza – to be removed from the international travel green list for Scotland.

The decision was taken on a four nations basis, and will also see the British Virgin Islands removed from the green list.  Both islands will become amber, and travellers must follow isolation and testing rules that apply.

An improved position in Bulgaria, Croatia, Hong Kong and Taiwan mean they are all added to the green list.

Four countries will be added to the red list, with arrivals required to enter quarantine hotels for 10 days. These are Cuba, Indonesia, Myanmar and Sierra Leone.

These changes all come into effect at 4am on Monday 19 July.

The previously announced change for UK residents who have been fully vaccinated by the NHS returning from amber list countries will also come into force then.

Minister for Environment, Biodiversity and Land Reform Mairi McAllan said: “From the outset we have said caution is required regarding international travel and people should think very carefully about travelling abroad as situations can suddenly change.

“When we added the Balearic Islands to the green list we said we would be closely monitoring the data, and the increase in cases we have seen means we now have to take it off the green list.”

Research highlights challenges for Scotland’s unpaid carers and carer support workers during pandemic

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Carers Trust Scotland today is releasing research about the experiences of the pandemic among unpaid carers and carer service support workers across Scotland. More than 500 participants shared the challenges of caring, and supporting unpaid carers, throughout the pandemic.

The pandemic has been difficult for unpaid carers, with 90% of respondents stating they are spending more time caring and 82% saying they have had no respite since the beginning of the pandemic.

With lockdowns and restrictions, many unpaid carers have been unable to share the responsibilities with family and friends and many services have had to pause or reduce their input.

These challenges also impact those carer service workers supporting unpaid carers. As other services paused, 76% of carer support workers that participated found their workload increased. 65% say that their job role has changed, as delivery of support moved online.

Carer support workers highlighted the emotionally demanding calls from unpaid carers, and the challenges of taking these calls in a home working environment without the support of colleagues that you would have in an office.

Hannah Martin, Research and Engagement Officer for Carers Trust Scotland, said:The pandemic has been a very challenging time for both unpaid carers and carer support workers.

“The challenges unpaid carers have faced, have directly impacted those supporting them. Through the lived experience of unpaid carers and carer support workers, this research illuminates those challenges throughout this unprecedented time.”

In addition to providing an evidence base of experiences, the research puts forward recommendations and suggestions to support carer services and staff as they move out of the crisis phase of the pandemic. This includes recognising and valuing the incredible contribution of unpaid carers, and carer support workers over the pandemic period.

World-leading researcher on unpaid carers’ rights and Carers Trust Ambassador, Professor Saul Becker, said: “During the pandemic, unpaid carers of all ages, have been spending more time caring and more people than ever before have taken on unpaid caring responsibilities while statutory and other support services have been reduced or not available.

“This has also added additional pressures on carer support services that have had to adapt their practices quickly and provide holistic support to unpaid carers during very challenging circumstances.

“I welcome this COVID-19 in Scotland impact report on unpaid carers and carer service workers and believe every effort should be made to support the implementation of the report recommendations and suggestions, which could further improve the lives of unpaid carers and recognise and value the vital role of carer support services.”

Mental Wellbeing and Social Care Minister Kevin Stewart, said: “Carers, and the services that support them have done a remarkable job in very difficult circumstances over this past year during the pandemic. I want to thank them for all their hard work and effort.

“During the pandemic, we have invested an additional £1.9 million in extra carer support via carer organisations. The Scottish Government continues to work closely with the Carers Trust and national care organisations to ensure that carers continue to receive the support and the services they rely on. We will continue to do so as we move into a new phase of the pandemic and society starts to open up.

“The Scottish Government is committed to establishing a National Care Service by the end of this parliament to oversee the delivery care, invest in better terms and conditions for the workforce and provide better support for unpaid carers.”

A ‘modified’ level zero: Covid rules relaxed but masks to remain

Level 0 from 19 July

People should continue to follow public health measures to protect one another as all of Scotland prepares to move to Level 0 at 00:01 on Monday 19 July.

Confirming the change to Level 0, the First Minister urged people to adhere to protective measures and sensible precautions to suppress coronavirus (COVID-19) to help create conditions that allow Scotland to move beyond Level 0 on 9 August.

From 00:01 on Monday 19 July, physical distancing in Level 0 will reduce to 1 metre in all indoor public settings and outdoors. Additionally, informal social gatherings of up to 15 people from 15 households will be permitted outdoors without physical distancing. Gatherings of up to 10 people from four households will be permitted in all indoor public settings with 1 metre physical distancing.

Other easings to Level 0 taking effect at that time include:

  • under-12s will no longer count towards the number of households that can gather indoors in public spaces and homes
  • hospitality settings can open till midnight, if their current licence permits that, and customers will no longer be required to pre-book a two-hour slot to go to a pub or restaurant but will still be required to provide contact details to assist Test & Protect
  • up to 200 people will be able to gather at weddings and funerals

Employers are asked to continue to support home working where possible until we move beyond Level 0.

From 04:00 Monday 19 July, travellers who are fully vaccinated through a UK vaccination programme and children arriving into Scotland from Amber List countries will no longer be required to self-isolate and take a day eight test, but adults and children over 12 will still take tests before travelling and on day two after arrival. Anyone testing positive for or experiencing symptoms of COVID-19 will still require to isolate for 10 days.

A survey is being launched for those at highest risk from COVID-19 to gather views on what additional support might be needed as restrictions ease. Later this week, the Chief Medical Officer will also write to this group with advice on what moving to Level 0 will mean for them.

First Minister Nicola Sturgeon said: “While Scotland will move to Level 0 from next Monday, we will do so with certain modifications to our original indicative plans. This is intended to ensure that our pace of easing restrictions is sensible in light of the challenge we continue to face from the Delta variant.

“There is no doubt that Delta has become, unfortunately, something of a game-changer – even for countries on course to achieving full vaccine protection – so COVID does remain a threat that we must treat seriously.

“The Scottish Government understands the temptation to lift more restrictions more quickly. In our view, and in line with clinical advice and modelling, a gradual approach stands the best chance of minimising further health harm and loss of life – and also because a gradual approach stands the best chance of being a sustainable approach, it will be better in the long term for the economy as well.

“We are easing restrictions next week – but we are not abandoning them. We will also keep in place for now certain other measures – such as the requirement to wear face coverings, co-operate with test and protect teams, and comply with advice on good hygiene and ventilation.

“If we do all of this, frustrating though it all continues increasingly to be, we will help protect ourselves and our loved ones. As we continue to complete the vaccination programme, which does offer us still the route back to greater normality, we will make it easier for more restrictions to be gradually and sensibly lifted in the weeks ahead.”

Statement given by the First Minister Nicola Sturgeon to the Scottish Parliament on Tuesday, 13 July 2021:

Presiding Officer,

I will update parliament today on the decisions the government has reached in relation to the current Covid restrictions.

In doing that, I will reflect on the mix of positive and more challenging developments we have experienced recently.

And I will emphasise that this is a time for continued caution – for government to take the tough decisions necessary to help safeguard the health and wellbeing of the country.

That means that while Scotland will move to level 0 from next Monday, we will do so with certain modifications to our original indicative plans.

This is intended to ensure that our pace of easing restrictions is sensible in light of the challenge we continue to face from the Delta variant.

And I will confirm that certain mitigations – such as the mandatory wearing of face coverings – will remain in place not just now but, in all likelihood, for some time to come.

It is important to stress that measures like the continued wearing of face coverings are important, not just to give added protection to the population as a whole, but also to give protection and assurance to those amongst us who are particularly vulnerable and who previously had to shield.

Lifting all restrictions and mitigations right now would put all of us at greater risk – but in particular it would make it much more difficult for the most clinically vulnerable to go about their normal lives. It would risk the imposition of shielding by default and, in my view, that is not something we should do.

Before I turn to the detail of all of this, let me summarise today’s statistics.

The total number of positive cases reported yesterday was 2,529 – 11.5% of all tests.

The total number of confirmed cases is now 318,566.

There are currently 506 people in hospital – 37 more than yesterday.

And 41 people are in intensive care – 1 more than yesterday.

Sadly, 4 more deaths were reported in the past 24 hours, taking the total number of deaths registered, under this daily definition, to 7,761 .

As always, my condolences go to everyone who has lost a loved one.

3,941,571 people have now received a first dose of the vaccine – an increase of 7,163 since yesterday.

And 10,286 people got a second dose yesterday, bringing the total number of second doses to 2,903,557.

The continued success of the vaccination programme continues to give us real hope.

We are in the final stages of offering first doses to all adults.

More than 80% of 30 to 39 year olds have had a first dose, along with around two thirds of 18 to 29 year-olds.

All 18 to 29 year olds have now had a first dose appointment scheduled.

Turning to second doses.

Virtually all over 60 year olds have now had both doses – uptake is 96% among 55 to 59 year olds, 89% in 50 to 54 year olds, and 61%, so far, in 40 to 49 year olds. 

Second dose appointments are being scheduled for 8 weeks after the first dose – so in the next couple of weeks, coverage of 40 to 49 year olds will get much closer to the levels achieved for older age groups.

Walk-in vaccination centres are now open in all mainland health board areas for anyone over 18 who has not yet received a first dose, or who received a first dose eight weeks or more ago.

I appeal to everyone due to receive a first or second dose to get it as quickly as possible. It is the single most important thing we can all do to protect ourselves and each other.

As I said earlier, in coming to today’s decisions, the government has had to weigh up both positive and more challenging developments. The continued progress of the vaccination programme is obviously positive.

Also encouraging is that case numbers – which were rising sharply two weeks ago – now appear to have levelled off. In fact, they have fallen in recent days.

In the week to 4 July, an average of 3,300 positive cases per day were recorded. 

That is now just under 2,700 – a reduction of more than 15%.

However, cases are still high – more than twice the level when I last updated parliament.

And not all cases are confirmed by testing. So although the current fall is encouraging, we continue to monitor all data – including, for example, on wastewater sampling – to get the fullest possible picture.

Another positive is that vaccination is definitely weakening the link between case numbers and severe acute illness.

In January more than 10% of people who tested positive for Covid had to go to hospital. That is now around 3%. It is also the case that people admitted to hospital with Covid are being discharged more quickly.

All of this reflects the fact that a much greater proportion of cases now are in younger people who are much less likely to become seriously ill.

However, for all the welcome signs, there are still reasons to be concerned – and certainly not complacent – about the current level of infection.

Firstly, if case numbers are high, even just 3% ending up in hospital puts pressure on the NHS.

We can see that already.

Three weeks ago, there were 171 people with Covid in hospital, and 18 in intensive care.

Today, it is 506 and 42 respectively.

Hopefully, with new cases starting to fall, we will also see hospital admissions fall over the next few weeks.

But at the moment, the pressure on the NHS is of concern.

First and foremost, it means a significant number of people suffering illness. It also means more pressure on a workforce that has already given so much.

And it holds back NHS recovery. Every hospital bed occupied by a Covid patient is one less bed available to tackle the backlog of non Covid care.

Another reason to take the current level of infection seriously is the risk of long Covid.

Many people, including young people, who get the virus but never need hospital care will still suffer long Covid.

This is a condition that experts still don’t yet fully understand – but we do know that it is causing misery for many.

Indeed, it is one of the main reasons that, in my view, we cannot be complacent about young people getting this virus.

To say that it just doesn’t matter – when we don’t yet fully understand what the long term consequences might be for some young people – would risk treating them as an experiment and it won’t surprise anyone to hear that i don’t think we should do that.

These are just some of the reasons for continued caution – even as our optimism about the impact of vaccination continues to grow.

That sense of caution is reinforced by looking at the international situation and listening to the WHO.

Several countries across Europe – for example Portugal and Spain – are now dealing with very sharp rises in cases. Holland has just reintroduced restrictions that were lifted at the end of June.

Israel has also seen a significant rise in cases as a result of Delta – despite its very high level of vaccination.

And some countries which did well in suppressing the virus last year – for example in the Asia and Pacific region – are now seeing cases rise. Japan, for example, has decided not to allow spectators at the Olympics.

As the Delta variant becomes more dominant in more countries, we are likely to see resurgences elsewhere too.

There is no doubt that Delta has become, unfortunately, something of a game-changer – even for countries on course to achieving full vaccine protection. 

So Covid does remain a threat that we must treat seriously.

The Scottish Government understands, I understand, the temptation to lift more restrictions more quickly – of course we understand that.

But in our view, and in line with clinical advice and modelling, a gradual approach stands the best chance of minimising further health harm and loss of life.

And also because a gradual approach stands the best chance of being a sustainable approach, it will be better in the long term for the economy as well.

So we will continue to ease restrictions, we are not slamming on the breaks, but we will do so carefully.

Let me turn then to the detail of our decisions.

From Monday 19 July, all parts of Scotland not currently there will move to level 0.

However, this move will be made with certain modifications – applied consistently across the country – to ensure that we are not easing up faster than is sensible.

Full details are on our website.

However I will highlight some key points just now

In level 0, up to 8 people from up to 4 households can meet indoors at home – compared to 6 people from 3 households in levels 1 and 2.

Up to 10 people from up to 4 households can meet in a public indoor space – such as a pub or restaurant.

And up to 15 people from up to 15 households can meet outdoors – whether in a private garden or public place.

Children under 12 already don’t count towards the total number of people. From Monday, they will not count towards the total number of households ether.

In level 0 up to 200 people can attend weddings and funerals.

Soft play centres can open – as they could at level 1, but not at level 2.

And for hospitality businesses, at level 0 – unlike in level 2 – there is no requirement for customers to pre-book a two-hour slot to go to a pub or restaurant.

However, customers will still be required to provide contact details to assist Test & Protect. And they will still be required to wear face coverings except when seated.

There will still be limits on the size of events and stadia attendances – but these will increase outdoors to 2000 seated and 1000 standing, and indoors to 400.

As of now, organisers will be able to apply to stage larger events.

Let me turn now to the modifications to our indicative plans.

Firstly, hospitality venues in level 0 – in all parts of Scotland – will require to close at midnight. This is a change to what we had previously indicated for level 0 – that venues should follow local licensing rules.

This reflects the fact that indoor hospitality – despite the sector’s sterling efforts – remains a relatively risky environment, particularly later at night when people may be less likely to follow rules. A midnight closing time represents progress from level 1 and 2 but it will help mitigate some of this risk.

The second modification is to physical distancing. Let me be clear, what I am about to set out applies to public places. We have already removed the requirement to distance for groups of family and friends meeting in private houses or gardens – as long as these are within the permitted limits.

In indoor public places – as indicated previously – where there isn’t already a 1m rule in place, the physical distance requirement will reduce from 2m to 1m and will apply between different household groups.

The main modification is in relation to outdoor public places.

We had hoped to lift physical distancing outdoors completely and, by extension, remove any limit on the numbers who can gather together outdoors.

However, for precautionary reasons at this stage, we intend to keep in place a limit on the size of outdoor group gatherings – as indicated earlier, this will be up to 15 people from up to 15 households.

Because meeting outdoors is less risky than indoors, there will be no requirement to distance within these groups of 15. However, for the next 3 weeks at least, there will be a requirement for 1m distancing between different groups of 15.

The Economy Secretary intends to work with the events sector on guidance to explore how events already organised might still go ahead, with appropriate modifications.

The final and perhaps most substantial modification to what we had indicatively planned relates to working from home.

We had indicated that a gradual return to the office could begin from level 0.

However, given the current situation we intend to postpone this until we move beyond level 0 – which we still hope will be on 9 August.

Until then we will continue to ask employers to support home working where possible.

I know this will be disappointing for many businesses – and also some employees who are finding home-working hard.

But this will reduce the extent to which people are meeting up in enclosed environments or travelling together, and so will help to contain transmission during this phase.

Presiding Officer

I hope that the move to level 0 – albeit in a modified form – will be welcomed.

It is not a complete and wholesale lifting of all restrictions – it was never intended to be.

However, it does restore yet more freedom to all of us.

Indeed, it is worth emphasising that we are no longer in lockdown – nothing like it. Life is much more normal than at any time since the start of this pandemic.

However, the gradual approach we are taking means that sensible precautions will remain in place to limit transmission while we make even more progress on vaccination.

To that end, as I indicated earlier, we will also keep in place for now certain other measures – such as the requirement to wear face coverings; co-operate with test and protect teams; and comply with advice on good hygiene and ventilation.

On the issue of mandating mitigations like face coverings, let me say this.

It is my view that if government believes measures like this matter – and we do – we should say so, do what is necessary to ensure compliance, and take any resulting flak from those who disagree.

We shouldn’t lift important restrictions to make our lives easier and then expect the public to take responsibility for doing the right thing anyway.

Presiding Officer

I have addressed today the move to level 0.

We previously indicated that we hope to move beyond level 0 on 9 August. That remains our expectation.

By then almost everyone over the age of 40 will have had their second vaccine dose at least two weeks previously.

However, as with today’s decisions, we will assess the data before coming to a final decision nearer the time, and I will provide a further update to Parliament in the week before 9 August.

Presiding Officer

Finally, today I want to confirm our future intentions in relation to the requirement for close contacts of positive cases to self isolate. We know how onerous and disruptive this is.

So, firstly, when we move beyond level 0, we intend to remove the blanket requirement for close contacts to self isolate, as long as they are double vaccinated – with at least two weeks having passed since the second dose – and take a PCR test that comes back negative. We will publish guidance on the practical operation of this shortly.

Secondly, as part of our wider preparations for the new academic term, we have asked our education advisory group for advice on whether, to what extent and with what mitigations we can remove the self isolation requirement for young people in education settings who are close contacts of positive cases. We will set out our conclusions well in advance of the new term.

We are of course still waiting for advice from the JCVI on whether children over 12 should be vaccinated.

Lastly, from next Monday, 19 July, self-isolation will no longer be required for people arriving from countries on the amber list, provided they are fully vaccinated through a UK vaccination programme and take a PCR test on the second day after arrival.

We will continue to take a precautionary approach to the inclusion of countries on the amber list.

And, notwithstanding this change, we continue to advise against non essential overseas travel at this time.

For the avoidance of doubt, let me be clear that anyone testing positive for, or experiencing symptoms of, Covid will still require to isolate for ten days.

The decisions I am setting out today show that – despite the impact of Delta – vaccination is allowing us to continue easing restrictions, albeit cautiously.

That will be a relief to the vast majority. But it will be a source of anxiety to some.

So let me address again those at the highest clinical risk – many of whom previously shielded.

I know that many of you feel anxious about any easing of restrictions – particularly if you cannot have the vaccine; or have conditions, or are on treatments, that suppress your immune system.

The Scottish Government is very aware of that. We will not abandon you.

For as long as necessary we will ask people to take sensible precautions – like the wearing of face coverings – to allow you, like everyone else, to enjoy more normal life again.

We are also launching a survey this week for those on the highest risk list to tell us what additional support you need.

And the Chief Medical Officer will write to you this week with further advice.

Lastly, we know that there are around 13,000 people at high clinical risk who haven’t yet had both doses of vaccine.

If you are one of them – and if you are able to get the vaccine – please do so.

Presiding Officer

That final note of caution explains again the careful balance at the heart of our decisions today.

The vaccination programme is working, it definitely is working, and that gives us confidence to ease restrictions further.

But case numbers are still high. Covid still poses a risk to the health of many.

In the race between the vaccine and the virus, we believe the vaccine will win. But we cannot allow the virus to run too far ahead.

So we must stick to a cautious approach.

We are easing restrictions next week – but we are not abandoning them.

And even when we move beyond level 0, we will continue to require some baseline measures such as face coverings for a period longer. 

I will end by emphasising again what we can all can do to protect each other.

First, get vaccinated. If you are over 18 and haven’t had a first dose appointment – or if you are 8 weeks or more from your second dose – register on the NHS Inform website for an appointment or go to a drop-in clinic.

Second, please get tested regularly.  

Free lateral flow tests are available by post through NHS Inform, or for collection from test sites and local pharmacies.

If you test positive through one of these devices – or if you have symptoms – make sure you self-isolate, and book a PCR test as quickly as possible.

Third, stick to the remaining rules, and follow basic hygiene measures.

Meet other people outdoors as much as possible.

If you are meeting indoors, stick to the limits on group sizes. And open windows – the better ventilated a room is, the safer it is.  

And remember physical distancing, hand-washing, the cleaning of surfaces, face coverings – all of these basic measures are as important now as ever.

If we do all of this, frustrating though it all continues increasingly to be, we will help protect ourselves and our loved ones. And as we continue to complete the vaccination programme which does offer us still the route back to greater normality, will make it easier for more restrictions to be gradually and sensibly lifted in the weeks ahead.

THE STUC HAS WELCOMED THE ANNOUNCEMENT

STUC General Secretary, Roz Foyer, stated: “We welcome the more cautious approach set out today by the First Minister. The trade union movement has consistently called for a cautious approach to easing restrictions, based on the data in conjunction with vaccine uptake.

“Many workers will be breathing a sigh of relief at the continuation of mandatory use of face masks. However, for hospitality staff, many of whom will not yet be fully vaccinated, the announcement of larger indoor events may understandably cause fear and worry.

“When planning for the return to office working, we need employers to work with trade unions and employees to consider a phased and flexible approach for their return to work, ensuring workers’ health and wellbeing is protected while working from home or in the office.”

Another £12 million to health boards for emergency care

The Scottish Government has released £12 million in additional funding to health boards across Scotland to support non-COVID emergency care.

This immediate action will help put measures in place to reduce waiting times for urgent or emergency treatment, with a focus on boosting staffing levels and available beds.

Health Secretary Humza Yousaf said: “We are acutely aware that hospitals are facing significant challenges due to a rise in non-Covid attendances and that some health boards are taking necessary measures to protect urgent and emergency care capacity.

“This £12 million will support them to do so. We are working closely with those Health Boards experiencing the greatest challenges to ensure the funding delivers the improvements required.

“Our NHS staff continue to work tirelessly to respond to the pandemic whilst providing vital non-Covid treatment and safe patient care. Any reductions to service will be short term to ensure those of most critical need have immediate medical attention. Urgent treatment, including vital cancer treatment will continue during this challenging period.”

Chief Executive of NHS Lothian Calum Campbell said: “Hospitals across Scotland are dealing with the pandemic, while seeing an increase in non-covid patients arriving at their doors.

“We are grateful to the Scottish Government for working with us to ensure everyone who needs urgent or emergency care is prioritised – such as vital cancer treatment or accident and emergency care for life-threatening conditions.

“This funding will be vital in helping to provide extra staffing and bed capacity to further enhance improvements in unscheduled care and support delivery of the NHS Recovery Plan.

“NHS Lothian will use this funding to increase beds in the community, relieving pressures on acute hospitals, and to support staff in treating patients as quickly as possible.”

The public can do their part to help the NHS by considering options closer to home when they need medical attention.

Advice is available online at NHS Inform, or they can contact their GP practice or visit their local pharmacy who can help and prescribe treatment.

They can also call NHS 24 on 111 if they can’t wait for their GP practice to open, or they think they need emergency treatment which is not life-threatening.

Do not ease COVID restrictions, warn doctors

The British Medical Association (BMA) has urged the UK Government this week to rethink its plan to relax all restrictions owing to the surge in COVID-19 infection rates. 

The association has been a leading voice in the debate on the issue on the national and international media.

Senior BMA members including chair of council Chaand Nagpaul and co-chairs of the BMA’s public health committee Penelope Toff and Richard Jarvis co-signed a letter in The Lancet published on Thursday – which described the easing of restrictions as ‘reckless’. 

Dr Nagpaul also appeared on the BBC’s Newsnight last night (9 July) saying it was ‘folly’ for the UK Government to press ahead with easing all restrictions on 19 July. He pointed to the growing evidence of spiralling infections leading to growing hospitalisations as well as wider effects on public health.

‘We need to dispel the idea we’ve broken the link with hospitalisations. It’s diluted but we have about three times as many people on ventilators than this time last month and two and a half times more people in hospital than last month,’ he said and added that if the trends continue this will further increase the pressures on the NHS. 

Dr Nagpaul added that this was not simply a secondary care issue but there were now growing numbers of the population suffering from the condition not going to hospital many of whom will go on to have long COVID.  

Chaand Nagpaul

The BMA is arguing for the UK Government to maintain some targeted control measure in place after 19 July including the requirement to continue wearing face coverings in indoor public settings and improved messaging on social distancing and meeting outdoors where possible. 

Dr Nagpaul (above) said full easing on the timescale proposed ‘defied public health logic’ – further unlocking of restrictions was a matter of timings rather than ‘indefinite restrictions’. Dr Nagpaul also appeared on CNN on Thursday arguing for targeted restrictions to remain. 

Following Monday’s press conference by the prime minister, the chief medical officer and the chief scientific adviser,  the BMA issued a statement describing the proposed easing of restriction as ‘incredibly concerning’.

‘There is a clear disconnect with the actions the Government is planning to take and the data and views of the scientific community and medical profession,’ it says.

On Monday evening deputy council chair David Wrigley appeared on Channel 5 News  to reflect on the announcement and said getting rid of restrictions was ‘reckless’ and was a ‘recipe for seeing an increase in infections which is not good for the NHS and not good for patients’. 

The BMA believes targeted measures and support are needed beyond 19 July 

The situation in Scotland remains concerning, where Covid levels are among the highest in Europe and hospitals are coming under increasing pressure.

The Scottish Cabinet meets on Tuesday morning and First Minister Nicola Sturgeon will update Holyrood on Scotland’s plans for moving to Level 0 on Tuesday afternoon.

The Scottish Government had originally planned that all parts of Scotland woud be in level zero from 19 July, allowing some additional relaxation to rules on physical distancing and outdoor gatherings.

Following these initial easings in July, the plan is that more restrictions will be removed on 9 August, including lifting the legal requirement to physically distance indoors.

However the Scottish Government has repeatedly said it will be driven by ‘data not dates’ and First Minister Nicola Sturgeon said earlier this week that these dates are not written in ‘tablets of stone’.