Further route map detail announced

Provisional dates for the relaxation of travel restrictions, restarting of the hospitality industry and reopening of hairdressers are among further route map measures announced yesterday by First Minister Nicola Sturgeon.

Setting out indicative dates, the First Minister stressed that while sustained progress has been made to suppress coronavirus (COVID-19), the changes remain contingent on scientific and public health advice.

Physical distancing of 2 metres continues to be required in Scotland. The First Minister confirmed that the Scientific Advisory Group is providing advice on higher transmission risk settings and physical distancing and that she will provide a further update on 2 July, ahead of the proposed dates for re-opening hospitality.

Detailed sectoral guidance will be published ahead of indicative dates and the Scottish Government will join with the retail sector in a campaign to encourage the use of face coverings in all shops.

Indicative early Phase 3 dates announced today are intended to give businesses time to prepare for reopening while adhering to public health and physical distancing measures to protect workers and customers. Final decisions on moving into Phase 3 will be taken in line with the statutory three-weekly review cycle, due on 9 July.

Indicative Phase 2 dates:

  • 3 July – Travel distance limit for leisure will be lifted
  • 3 July – Self-catering holiday accommodation will be permitted, providing it requires no shared facilities between households
  • 6 July – Outdoor hospitality can commence subject to the Scientific Advisory Group review

Indicative Phase 3 dates:

  • 10 July – People can meet in extended groups outdoors, with physical distancing
  • 10 July – Households can meet indoors with up to a maximum of two households, with physical distancing
  • 13 July – Organised outdoor contact sport can resume for children and young people, subject to guidance
  • 13 July – All dental practices begin to see registered patients for non-aerosol routine care, and work will begin to return aerosol generating procedures to practice safely
  • 13 July – Increasing capacity within community optometry practices for emergency and essential eye care
  • 13 July – Non-essential shops inside shopping centres can reopen, subject to the Scientific Advisory Group review
  • 15 July – All childcare providers can open subject to individual provider arrangements
  • 15 July – All holiday accommodation will be permitted
  • 15 July – Indoor hospitality can reopen, subject to the Scientific Advisory Group review
  • 15 July – Hairdressers and barbers can reopen with enhanced hygiene measures
  • 15 July – Museums, galleries, cinemas, monuments, libraries will reopen with physical distancing and other measures, such as ticketing in advance

Announcing the route map changes, First Minister Nicola Sturgeon said: “The sacrifices that have been made – and I know how hard and at times painful they have been – have suppressed the virus. They have also protected the NHS, and have undoubtedly saved a significant number of lives.

“They have also brought us to the position where we can now look ahead with a bit more clarity to our path out of lockdown, and I hope details announced today will provide people and businesses with more certainty in their forward planning.

“But let me be clear that each step on this path depends on us continuing to beat the virus back. That is why we must do everything in our power to avoid steps being reversed.

“The central point in all of this is the virus has not – and it will not – go away of its own accord. It will pose a real and significant threat to us for some time to come.

“Maintaining our progress also means all of us abiding by public health guidance. Wearing face coverings in enclosed spaces, avoiding crowded places, washing our hands and cleaning surfaces regularly, maintaining physical distancing, agreeing to immediately self-isolate and get a test if we have symptoms – all of these basic protections matter now more than ever as we all get out and about a bit more.”

Previously announced Phase 2 measures commencing Monday:

  • indoor (non-office) workplaces resume once relevant guidance is implemented. This includes: factories, warehouses, labs and research facilities. But excludes: indoor workplaces due to open in Phase 3 (e.g. nonessential offices and call-centres)
  • street-access retail can re-open once guidance is implemented. Interiors of shopping centres/malls remain closed for non-essential shops until Phase 3
  • outdoor markets can re-open once guidance is implemented
  • relaxation on restrictions on housing moves
  • outdoor sports courts can re-open
  • playgrounds can re-open
  • registration offices open for high priority tasks
  • marriages and civil partnerships allowed with minimal attendees, strictly outdoors only
  • zoos and garden attractions can open for local access only (broadly within 5 miles) until 3 July

Read the updated route map.

Scots encouraged to recognise feelings as lockdown measures eased

Advice for those anxious about next steps

The Scottish Government’s Principal Medical Officer has encouraged people to prioritise their mental health, as he acknowledged that changes to lockdown measures can bring new challenges for many.

Research shows that although the vast majority continue to support a slow and gradual lifting of restrictions (81 per cent), at least seven in ten people in Scotland are feeling anxious or concerned about other people not following guidelines, as restrictions ease1.

Consultant Psychiatrist Dr John Mitchell explained that these concerns are normal and shared by everyone to differing degrees – as well as offering advice on how to deal with anxiety as the nation adjusts to increased freedoms.

Suggestions include:

  • recognising how you’re feeling
  • talking to others
  • regular physical activity
  • good sleep, diet and sensible alcohol and caffeine consumption
  • limiting the time you allow yourself to worry, and taking slow deep breaths if you’re feeling anxious

Mentally preparing yourself to do things that you are worried about can also help, rehearsing in your mind the steps you can take to reduce infection risk, such paying contactlessly, staying at a safe two metre distance from others, good hand hygiene, and also using face coverings on public transport which is now required.

The Clear Your Head website – clearyourhead.scot – provides a range of tips to help people look after their mental health during these times, signposting helplines for those who need to talk to someone, including NHS24, Breathing Space, SAMH and the Samaritans.

Principal Medical Officer and Consultant Psychiatrist Dr John Mitchell said: “As restrictions lift, many of us may be struggling with our feelings and emotions, feeling anxious or frustrated for what seems like no reason. 

We may have gotten used to the restrictions, changing how we live, work and interact, and whilst we might expect everyone will be grateful for increased freedoms, many are really anxious about the next steps. It is important that we face our fears and do not avoid them.

“The enjoyment we might get from moving more freely outside, travelling and meeting friends and family is tempered when we are worried about the spread of infection. By sticking to the rules during the gradual lifting of restrictions, we can be confident that risk won’t rise. Less virus around us can be matched with less restriction.

“Although there are practical things we can do to help ourselves cope over the coming weeks, remember that help is available if needed.  We’ve never had to deal with a situation like this before, so be kind to yourself and to others, and reach out if you need to talk to someone. Support is there.”

For practical tips, visit clearyourhead.scot.

Swinney rethink: schools now to open full-time in August

Deputy First Minister John Swinney yesterday updated Parliament on plans to reopen schools:

When I spoke in this chamber on the 19th March, I said that the decision to close schools was one of the very toughest we had needed to take during this crisis. My engagement with teachers, children and parents since has only served to reinforce that view.

For that reason, while it has been critical to suppress the virus, we have been clear that these closures cannot go on for a minute longer than necessary.

We want Scotland’s children back in school full time as soon as possible and as soon as it is safe to do so.

That ambition is shared within the Education Recovery Group – our partnership with local government, unions representing teachers and other school staff and parent representatives.

Presiding Officer, today, I want to set out the government’s ambitions for when that full time return to school might be.

When I published the Strategic Framework from the Education Recovery Group report on 21 May, we had a clear expectation that the outlook on Coronavirus was bleak.

At that point, there were around 20,000 people in Scotland who could transmit the infection. On 21 May, 1,318 people were in hospital with confirmed or suspected COVID-19, including 51 in intensive care. Tragically, over the course of that week 230 people passed away from the virus.

And, not only was that position bleak, but, at that time, the majority view of our Scientific Advisers was that physical distancing would be necessary if schools were to open. Blended Learning was developed therefore to restore some form of face-to-face education against that outlook.

Working through the Education Recovery Group, we built a plan – a plan based on making the very best of the very difficult circumstances that we expected to face.

It was a contingency plan that was and is necessary.  And, for the last month councils and teachers have been working hard to enact that contingency.

Presiding Officer, even while we took this work forward, we continued to make the point that we did not want to see blended learning implemented for a moment longer than necessary.

Now, thankfully, the picture looks more positive. 

Since May, because of the efforts of our fellow citizens to stay at home, we have seen Scotland make significant progress.

There are now only around 2000 infectious people in Scotland – a reduction of around 90% since May. There has been a sustained downward trend in COVID-19 deaths. Intensive care cases now stand at a fraction of what they were.

If we stay on this trajectory – which cannot be taken for granted – by August the position will be even better. That is good news.

That means we are now able to update our planning assumptions.

If we stay on track, if we all continue to do what is right, and if we can further suppress this terrible virus, the Government believes that we should prepare for children to be able to return to school full time in August.

I must stress, this is the aim that the Government is now working towards. However, because it has to be achieved safely, it inevitably remains conditional and dependent upon ongoing scientific and health advice.

Presiding Officer, this will be part of a wider approach. If we continue to make progress at the rate we envisage, by August, it is possible – though of course by no means certain – that we may have successfully achieved, or be well on the way, to Phase 4 of the Scottish Government Routemap.

I have to be honest with Parliament and admit that when we prepared our plans back in May, I frankly could not have imagined that we would be where we are now.

It is this more positive outlook that allows the Scottish Government to make  this change of planning assumption for schools.

But it is a change born out of the hard work and sacrifice of people in every part of the country, sticking to the guidance, staying at home and suppressing this virus.  In particular, we should highlight the many people who as parents have supported their children while continuing to hold down jobs and caring commitments.

It is a change born of the actions of our citizens.

They delivered it.

Now it falls to the Scottish Government, our local government colleagues, teachers and school staff to build on it.

I want to commend the work of local authorities and school and early learning and childcare staff across Scotland for the way in which they have responded to this emergency. They have worked tirelessly to protect the interests of our children and young people – through our childcare hubs, ensuring ongoing provision of free school meals, delivering remote learning, and planning for the next term.

I know they will continue to rise to the challenge as we get ready for the next school year.

Presiding Officer, that is the good news. But I must emphasise the importance of Scotland staying on track if we are to make it a reality. And we must be clear that blended learning is a contingency that we may still need to enact.

While the outlook is more positive now, there are no certainties with this virus. If there is an increase in infection rates, if there are outbreaks that require action to control, then this contingency plan could still be required.

Equally, we still need to protect those in our society who may not be able to attend school for health reasons.  All the work that has gone in to preparing blended learning models for every locality across the country has been essential preparation.  It is vital that we have these models ready if we need them because we may need to turn to them.

We must continue to ensure the safety of pupils, teachers and staff by engaging in such contingency planning, and that is why Her Majesty’s Inspectors of Education will continue with their scrutiny of the plans when the latest versions are submitted by local authorities on Wednesday.

Similarly, we can only move away from blended learning if we stay on track and command the confidence of parents, teachers and children on safety.

But there are important benefits of doing so.

A return to full time schooling would enhance the life chances of our children and young people and start to reverse any damaging impacts of recent months. We know from the Lockdown Lowdown, for example, that young people are concerned about school closures, and about their mental wellbeing.

If we are in a position to ease public health measures in early learning and childcare, particularly small group working, more children and families will be able to benefit from an expanded offer in the year ahead. In parallel, we continue to work in partnership with local authorities to agree a new timetable for delivery of the 1140 hours entitlement to all eligible children.

We are already seeing other countries begin to relax their physical distancing restrictions in schools, for younger children in particular, and others are starting to plan for a more ‘normal’ return after the summer break.

The First Minister confirmed on the 15th June that we will now review the scientific assumptions underpinning education recovery as part of our statutory three-weekly review process.  This will include, for example, reviewing our approach to physical distancing in schools and equivalent measures in early learning and childcare.

As part of that review process, I have established a new sub-group of the Covid19 Advisory Group to specialise on education and children’s issues.  We will get the first review of that material later this week. I would not want to pre-empt such advice, but in order for us to realise our aim to resume full-time schooling, I would expect that various conditions would need to be in place.

First: infection rates must be at a level that is sufficiently low to provide assurance that we can continue to control the virus.

Second: we must ensure that we make use of our full public health infrastructure locally and nationally to get early warning of issues and rapid local action including test and protect.

Third: there must be the right protective measures and risk assessments in place in schools to keep everyone with higher risk factors – including teachers and staff – safe.

In addition to these, the Covid-19 Advisory Group and the new sub-group have been asked for further advice on any tests or indicators which would show we were on track.

In all of this, I will work closely with the Education Recovery Group.  Given the change in our central planning assumption to work towards full-time return to schools in August, we will continue to work together over the summer. Local authorities will then communicate arrangements for the return to school with families in due course.

We will need all possible education resources at our disposal over the next year – to compensate for the loss of learning pupils have faced, as well as to help us should we need to switch to a blended model at any stage.

Even with a return to full time education, it is imperative that we increase levels of digital inclusion, which is why we have already committed to a huge digital boost through the investment of £30 million to provide laptops for disadvantaged children and young peopleThis will include £25 million of funding to enable a roll out of digital devices to school pupils to enable them to study online.

Initial estimates from local authorities are that this funding will be required to provide digital devices to around 70,000 pupils, with up to 40,000 connectivity solutions also needed, although these figures are the subject of ongoing work.

I can also announce today that we will be providing a further £100 million over the next two years to help support the return to school and help children recover any lost ground. This new funding will see us invest to tackle the impact of coronavirus in our schools and ensure that children get the support they need.

We will start with teacher recruitment. Many of this year’s probationer teachers have already secured teaching posts with local authorities. We will now work with local authorities with the objective of ensuring that every probationer teacher who has reached the standard for full registration is able to secure a teaching post for the next school year.

And, of course, we will still look to encourage retired teachers and those who are not currently teaching back into the profession wherever this proves necessary.

I have asked Education Scotland to expand their partnership offer with the ESgoil digital learning platform to develop a strong national e-learning provision. This represents an opportunity to enable all pupils to access high quality lessons – by qualified teachers trained in offering high quality online learning – across as broad a range of subjects and qualification levels as possible.

Finally, while we want to support the wellbeing of all our children and young people, we know lockdown has been particularly difficult for pupils from disadvantaged backgrounds. Reducing the poverty related attainment gap is a defining mission for this government. We will therefore be working alongside partners to increase support to those families and communities who need it most. We will also seek the involvement of the Youth Work Sector in assisting us in this challenge.

Coronavirus has had a massive impact on our education system. It will take a collective endeavour to overcome that, but we have a duty to our children and young people to come together to do just that.

They have played their part in protecting this country from the worst of the pandemic, and now we must repay them that faith by serving their needs at this critical time too.

Education Leaders at the City of Edinburgh Council have welcomed the news that schools may be back full time in August with no physical distancing measures in place.

The Council will continue to make contingency arrangements and yesterday submitted its plans for blended learning to the Scottish Government.

Councillor Ian Perry, Education Convener, said: “This is obviously welcome news and will come as a great relief to all parents and carers across the city. We will make sure we’re doing everything possible to ensure our schools are safe to reopen by following the most up to date Government and Health Protection Scotland advice.

“Obviously the major caveat to this announcement is that the suppression of Coronavirus has to stay on track. That’s why it’s so important we make sure we have robust plans for schools reopening in August with the blended model of learning that may be required.

“Our schools and other Council teams have been working tirelessly on these plans for many weeks and I want to thank them for all their efforts. We submitted our plans to the Scottish Government today and we will continue our dialogue with them over any additional funding that may still be required.

“I really hope that the virus continues to be suppressed and our contingency plans are not required. However, if they are needed, then I am confident the detailed plans we are proposing demonstrate our commitment to ensuring the best teaching and learning for all pupils across the whole city.”

Cllr Alison Dickie, Education Vice Convener, said: “I know parents will be delighted to hear the announcement that schools should be planning for 100% reopening as the past few months have put a terrible strain on family life, with many juggling work commitments and home learning.

“Ultimately though, I’m pleased for the children and young people themselves, particularly those who have already faced challenges in their daily lives and to whom school is a haven. This has been a particularly difficult time for them, and that’s why it’s important that the wellbeing of all our children be placed at the heart of their education on their return.

“Of course we need to have robust contingency plans in place and our plan has always been never to compromise on the quality of learning and teaching and to deliver it in a safe and equitable way.

“Everyone will continue working to achieve the same goal of getting every child and young person back to school where they belong and our detailed preparations for anything other than a 100% school return will continue over the summer.

“We will of course continue to communicate with parents as we move forward together and keep them updated over the summer.”

Teaching union the EIS has noted the statement from the Deputy First Minister in the Scottish Parliament about potential changes to how schools may reopen in August.

Commenting on the statement, EIS General Secretary, Larry Flanagan said, “Clearly, if the suppression of the virus continues to be successful, public health guidance may change and this will impact on schools as well as every other aspect of society.

“It would be a grave mistake, however, to believe that the virus has gone away and therefore in the event of schools reopening more fully than currently planned, appropriate mitigations must be in place to protect staff and pupils and prevent flare-ups either in terms of localised resurgence in infection or even a full second wave.

“In terms of schools, this means looking at measures already being used elsewhere such as mandatory face coverings, protective perspex shields, proactive testing of teachers and an appropriate level of physical distancing between pupils and most certainly between pupils and staff, alongside continued protections for vulnerable groups. The EIS would expect these issues to be agreed within CERG before schools could reopen more fully.

“A great deal of work at school level has already gone into planning for a blended learning model from August 11th, so any change to that will require time to adjust plans and conduct revised risk assessments. Again, this will need to be subject to discussion and agreement.

“Everyone wishes to see schools operate as normal, but this should be done in a way which is demonstrably safe for students and staff, which doesn’t undermine public health messages, and which is done with the interest of school communities being first and foremost and not political expediency.”

The Scottish Tories are taking the credit for forcing this ‘screeching U turn’.

They proclaimed on Twitter: “Our campaign to open our schools has forced the SNP government into a screeching u-turn on its plans for part-time schooling. The SNP must now deliver on its new found promise of full time schooling by August.’

UNISON’s Scottish Secretary Mike Kirby said: “This is a significant about turn which, given the lack of scientific evidence available at this stage, seems to be driven more by politics than by safety.

“The safety of staff and pupils must be paramount and any return to school must be led by the scientific evidence at that time and be dependent on crucial risk assessments to ensure everyone’s safety.

“Education budgets were already squeezed before the pandemic hit. While the Scottish Government’s pledge of £100m over the next two years to support children with their lost learning is to be welcomed, schools also face increased practical costs to implement the required safety measures.

“It is vital the Scottish Government steps up and provides local authorities with the additional funding urgently needed to ensure that schools can open safely whenever science shows the time is right.”

 

 

Working towards economic recovery

Advisory Group report published

Economy Secretary Fiona Hyslop has welcomed the recommendations of the Advisory Group on Economic Recovery.

The group, led by Benny Higgins, was tasked with recommending solutions to ensure transition towards a greener, net-zero and wellbeing economy, and to advise on measures to address different challenges the economy will face as Scotland recovers from the coronavirus (COVID-19) pandemic.

The group’s 25 recommendations, which will now be considered in detail by the Scottish Government and its partners, include:

  • an urgent need to access low cost debt requires an accelerated review of the Fiscal Framework, and a significant increase in access to capital investment to support an investment-led recovery
  • a Scottish jobs guarantee, in partnership between business and government, should be introduced to address unemployment, with refocused skills strategies and decisive steps to align teaching and learning in universities and colleges to the needs of business
  • prioritisation of sector plans to deliver a green recovery, where the coincidence of emissions reductions, the development of natural capital and job creation are the strongest
  • critical investment in the country’s digital infrastructure to improve connectivity, reduce inequalities and build the country’s resilience
  • urgent action to develop a stronger relationship between business and government on the strategy for Scotland’s economic recovery

Ms Hyslop said: “I would like to thank Benny Higgins, the independent Advisory Group members and all who contributed to their work in setting out a route to recovery for Scotland to address the economic impacts of COVID-19.

“Scotland, as with other countries, faces enormous challenges, and we need to all work together as never before to ensure our country emerges through this pandemic with a green economic recovery that has inclusion and wellbeing at its heart.

“We wanted the report to be ambitious and far-reaching, and with this strong and comprehensive set of recommendations this has certainly been achieved.

“The report identifies the importance of employment, the environment, education and equality. I agree that each one of these will be vital as we seek to create a society that is resilient, fair, and one in which everyone has the opportunity to be successful. We will now develop a detailed response to the report which will be published before the end of July.

“This report represents a clear call to action that goes beyond the Scottish Government and the public sector. We will only be able to build the kind of post-COVID-19 recovery we want with the active involvement of the private, cultural and third sectors and, importantly, the public.

“It is therefore vital that everyone continues to work together in the crucial weeks and months to come to deliver the action Scotland needs to recover from the impact of COVID-19.”

Benny Higgins, Chair of the Advisory Group on Economic Recovery, said:  “Scotland faces an economic challenge of monumental scale.  If we do not intervene radically to transform our economy, inequalities will drastically widen with long-term scarring for communities across the country, and for our young people in particular. This cannot be allowed to happen.

“The Advisory Group on Economic Recovery has worked at great speed over the past two months, engaging extensively with businesses and with wider civic society to understand the challenges that we face, but crucially to curate a set of recommendations that emphasise the immediate need to protect and create jobs, reduce inequalities by building a green and technology-led recovery, and make Scotland an attractive place to do business.

“To create a robust, resilient wellbeing economy, the public and private sector must now build a new partnership to prioritise and deliver bold action. And they must do so with purpose and urgency.”

Lord Robert Smith of Kelvin, who led the business engagement for the group, said: “It is evident that Scotland faces a lengthy road back to economic recovery and renewal. To succeed this must be led and delivered by the business community with the active support of government.

“I have engaged broadly with the business community over the last two months and there is consistent feedback. Across almost every sector, businesses are exposed to a collapse in demand and profitability, and with the threat of very significant job losses, generations are exposed to chronic economic harm.

“We need to restart the economy, get people back to work across the country, and invest in jobs and businesses that can succeed sustainably. A large part of that will mean securing a significantly enhanced relationship between government and business to ensure that policy and interventions can be delivered practically and with purpose.

“I therefore welcome the speed and conclusions of Benny’s Advisory Group – it has ambition and sets out a clear path for what is needed next for our economy to recover and renew as the restrictions of activity are lifted.”

towards-robust-resilient-wellbeing-economy-scotland

 

Test and Protect advice leaflet to be sent to Scottish households

Households are to be sent information explaining how the Test and Protect system works and setting out what to do if someone develops coronavirus (COVID-19) symptoms.

NHS Test and Protect is being delivered by NHS Scotland to reduce the risk of the virus spreading. People with symptoms are urged to get tested straight away, with positive cases then referred to contact tracers.

The advice is being issued as the country moves into phase 2 of the Scottish Government’s exit strategy routemap with more restrictions being lifted and the new message to ‘Stay safe. Protect others. Save lives’.

The information will also be available online in 16 languages, large print and audio files.

Cabinet Secretary for Health and Sport Jeane Freeman said: “NHS Scotland’s Test and Protect plays a vital and central role in protecting all of us and will ensure we move through the phases of our exit strategy. It is a collective effort to help us protect others and save lives.

“We will continue to lift restrictions if we break the chain of transmission and supress the spread of the virus. We need everyone who has symptoms of COVID-19 to isolate and book a test immediately and to work with NHS Scotland contact tracers to identify who they may have had close contact with.

“Please keep the leaflet handy so you know exactly what to do if you need to self-isolate and how to access any support you need.

“NHS Test and Protect is central to keeping this virus under control but so too is physical distancing, wearing a face covering, avoiding crowds and good hand and cough hygiene. Together all of this will help us stay safe, protect others and save lives.”

Test and Protect was rolled out across Scotland on 28 May 2020.

People with any of the following symptoms should book a test at nhsinform.scot/test-and-protect or call 0800 028 2816 if they are unable to access the online service:

  • a high temperature or fever
  • a new continuous cough
  • a loss of, or change in sense of smell or taste

The leaflet will be available online from 22 June 2020.

More health services to restart

Patients will be able to access more health care in the coming weeks and months as NHS Scotland prepares to safely, carefully and in a series of stages, resume some services that had to be paused to ensure COVID-19 capacity and prevent further spread of the virus.

As Scotland moves into Phase 2 of the route map for transitioning through and out of the crisis, health boards will use the NHS Re-mobilise, Recover, Re-design framework to safely and incrementally prioritise services whilst ensuring that staff and patients are safe.

As services resume, the patient experience will look and feel different, and may often take longer because of the demands of ensuring safety, such as the need to reduce numbers in waiting rooms, additional cleaning and the extensive use of PPE.

From Wednesday 1 July, NHS Golden Jubilee plans to resume elective ophthalmology, orthopaedics, cardiac surgery and cardiology based on clinical priority. The Board have continued to provide urgent cancer, heart and lung services, including transplants, throughout the period.

Health Secretary Jeane Freeman said: “Throughout the COVID-19 pandemic NHS Scotland has remained open continuing  to provide emergency, urgent, cancer and maternity care, support for social care and maintained COVID-19 capacity and resilience.

“Thanks to the efforts of our health care staff and to all of us for continuing to follow public health advice, we have been able to protect our health service and provide the urgent care required to combat the virus.

“The Scottish Government is working with Health Boards to ensure the safe resumption of paused NHS services.

“We are doing this incrementally to ensure we prioritise patient and staff safety, whilst retaining capacity to treat COVID-19 in our health service, but good progress is being made.

“Patients should not expect to see all NHS services resumed immediately as it will take time ensure physical distancing and other safety measures are in place to protect patients and staff.

“The NHS does not exist in isolation. The ongoing development of these plans needs to be founded on a whole health and care system approach, which involves primary and community care, and engagement with clinical partners, service delivery partners, local authorities and patients.

“As we go forward, our Test and Protect strategy will also be crucial to help break the chains of transmission as lockdown restrictions slowly change. I want to reassure you that we are taking these precautions so that we can safely offer the right care, at the right time, in the right place.”

National Clinical Director Jason Leitch said: “The reality is coronavirus is likely to be with us for some time to come and as we move to restart paused services, we have had to review how we deliver those services to ensure patients both get the treatment they require but also that staff and patients are safe.

“This work takes time and in some cases will mean that how patients access services will look and feel different.

“We would ask the public to keep using NHS Inform as their first source for reliable health information. Community pharmacies remain a widely available resource for minor ailments and General Practice teams are fully available.”

Measures that will come into force in Phase 2 include:

  • Urgent referrals and triage of routine services in key specialties such as Cardiology, Urology, and Trauma and Orthopaedics, will be resumed gradually during phase 2, with patients prioritised by clinical need and in line with guidance to ensure the safety of all patients and staff.
  • Health boards will reintroduce any suspended GP services in a planned and phased way throughout phase 2. The majority of GP practices have introduced a telephone triage system and patients will be navigated to the most appropriate pathway to meet their needs, supporting them to see the right person at the right time.  Patients access to Primary Care Out of Hours Services will continue by contacting NHS 24 on 111.  There will be a greater use of telephone and video consultations and so patients are likely to have a different experience than they had before COVID-19.
  • From Monday 22 June, all dental practices will be able to open and treat patients in need of urgent dental care. The capacity of the urgent dental care centres, established at the start of lockdown, will be increased and will continue to see those patients who require certain treatments involving aerosol generating procedures.
  • From Monday 29 June, health boards will be able to gradually resume some screening services including endoscopies and other diagnostic tests prioritised by clinical need and in line with guidance to ensure the safety of all patients.
  • From Monday 29 June, all community optometry practices will be able to resume seeing patients face-to-face who have emergency and essential eye problems, as well as continuing to manage as many of these patients remotely as possible. The Emergency Eyecare Treatment Centres, which have managed patients with emergency eye problems who needed to be seen face-to-face during lockdown and Phase 1, will close.
  • From Monday 6 July, health boards will reintroduce some chronic disease management, which could include pain services, diabetic services on an incremental basis.

re-mobilise-recover-re-design-framework-nhs-scotland (1)

First Minister: ‘virus in Scotland is firmly in retreat’

Statement given by the First Minister Nicola Sturgeon at the media briefing in St Andrew’s House on Friday 19 June:

Everyone, thank you very much for joining us. I am joined today by the Economy Secretary, Fiona Hyslop and our National Clinical Director, Jason Leitch.

Let me give you the usual update on the COVID-19 statistics.

An additional 27 positive cases were confirmed yesterday – that takes the total now in Scotland  to 18,104.

A total of 904 patients are currently in hospital with the virus either confirmed or suspected.

That is 25 fewer than yesterday and it includes a reduction of 19 in the number of confirmed cases.

A total of 19 people last night were in intensive care with confirmed or suspected COVID-19. That is 4 fewer than yesterday.

Since 5 March, a total of 3,961 patients who had tested positive and been in hospital have been discharged from hospital

And in the last 24 hours, 6 deaths were registered of a patient confirmed through a test as having COVID-19 – the total number of deaths in Scotland, under that measurement, is 2,470.

My deepest condolences are with the families behind these statistics and indeed to everyone who is grieving a loved one because of this illness.

And my thanks go to everyone across our health and care services who continue to care for those affected.

Yesterday I confirmed that we would move into Phase 2 of our exit from lockdown which is good and positive news

That was made possible by the significant progress we have all made over the past three months and I want today again to thank everybody across the country for that.

The virus of course hasn’t gone away that is something we need to continue to keep in our minds but there’s no doubt that the virus in Scotland is firmly in retreat.

That’s why the changes to the rules and the guidance that I announced yesterday, though significant, were also careful because we have to keep the virus in retreat. We have today published the supporting evidence, which informed those decisions that we took and we confirmed yesterday.

Now, I don’t intend to repeat everything I said yesterday, but let me quickly recap on some of the main changes.

The Cabinet Secretary will talk in a moment about the measures that directly affect businesses – and the reopening of our economy.

For my part today, I want to focus on the changes relating to social interaction and leisure.

Ahead of the weekend, just to remind you the new rules for staying safe.

And that’s what we are now asking you to prioritise.

You will see on the lectern in front of me that Stay Home has been replaced with Stay Safe, and now we asking you to focus on Staying Safe, Protecting Others, Saving Lives.

That’s what we are asking you to do. And as we start to go out and about more, we need people to pay more attention to the basic steps we can all take to stay safe.

From today, you can meet with up to two households outdoors – rather than just one.

However, it should be no more than two at a time, and no more than two in a day.  And we are still advising that there should be no more than eight people in any group.

The risk of mixed household gatherings indoors is still too great.   So these meetings still have to take place outdoors.  However, if you are meeting in the garden of another household, we’ve changed the guidance so that you can go indoors to use a toilet.

If you do that – of course – you should avoid touching surfaces, and immediately and thoroughly clean those you do touch. That’s essential in preventing the spread of the virus from one household to another.

We’re continuing at the moment to ask people to stay within or close to their local area.  That means – for leisure and recreation purposes – you should be travelling no more than around five miles or so.  Although let me stress that limit does not apply to meeting with family and friends.

Those are some of the more general measures which apply from today.  But I also want to highlight two sets of changes we’ve made, for specific groups. 

The first relates to people who are shielding.  The guidance for those individuals remains very different to the general population.  And we’re continuing to advise shielding people, to be very cautious because you are most at risk from this virus. 

However, we’ve also announced some careful changes, which will hopefully improve your quality of life.

We’ve said that – unless you live in a nursing or residential care home – you are now able to go outdoors for exercise – for example for a walk or cycle.

You can take part in non-contact outdoor activities – such as golf.

And you can meet outdoors with people from one other household – but in groups of no more than eight.

You should stay at least two metres away from other people at all times, even if you live with the person you’re out with. Do not go inside someone else’s house, or allow someone from another household to go inside yours – even to use the toilet.

And when you go outdoors, see if you can choose times and areas that are quiet and that is all for your own safety but I hope these changes do help to make things better for you because this lockdown has been difficult for everyone we know it has been particular hard for those in the shielding category

The other set of changes I want to briefly highlight are those for people who either live alone, or live only with children, under the age of 18.

From today, people in those circumstances are able to form an ‘extended household group’ with one other household.

Within that extended household, people will be able to meet indoors, without physical distancing, and if you want to, you will be able to stay at each other’s houses overnight.

However, you must if you are in one of these household group, continue to see any other households outdoors only, and stay two metres apart from them.

There are also other conditions, which are necessary to make sure this change can work without significantly increasing the risk of the virus passing from one household to another.

An extended household must not include anyone who is shielding because the risk to the shielding population is still too high. No one in an extended household group should form a similar arrangement with any other household. And if one member of the extended household group gets the virus, all of the group will have to isolate – whether or not they are living in the same house.

So within these conditions, there is a positive change that I hope will help with some of the loneliness and isolation that has been a real cruel feature of the past few weeks.

It won’t benefit everyone this change right now but it will benefit a significant number.

For example, it will allow a grandparent who lives on their own to form a group with another household in their family and see grandchildren – and I’m sure many are taking advantage of this already.  It will allow a single parent and their children to join with another household for support.  And it will allow a non-cohabiting couple, where at least one of them lives alone, to be reunited indoors without the need for physical distancing.

I hope very much we might be able to expand this ‘extended household group’ idea in the not too distant future so it benefits more people and I will keep you updated on that.

All of these changes which I’ve outlined are now in effect.  And if you need more information on them, because as we ease lockdown things get more complicated. So if you want more information and detail please go to the Scottish Government’s website where you will find the guidance and the explanation about what you can do safely.

As I said yesterday it is not possible will the best will in the world for us to provide specific guidance for every single individual circumstances so my advice to you to continue to err on the side of caution, and don’t do it.

One of the consequences of easing restrictions, as I’ve just said, is that the things we’re asking you to do will inevitably become more complex.  So while we still – of course – want people to stay at home as much as possible, we know that the message we’re giving to you needs to adapt, to reflect the phase we’re now in.

That’s why – as I’ve just said – we are now asking you to ‘stay safe, protect others and save lives’.

And that means it is even more important now that people know – and remember – the different things we need you to do.  And so we are launching a new public awareness campaign called FACTS.

Each letter of that word FACTS should serve to remind us all of the key measures we need to comply with. Let me quickly run through them. And those measures are:

  • Face coverings in enclosed spaces
  • Avoid crowded places
  • Clean hands and surfaces regularly
  • Two metre distancing; and
  • Self-isolate and book a test if you have symptoms.

Remember these FACTS and that will help all of us to stay safe and protect each other as well.

Complying with all of that, will be critical in making sure we keep the virus under control  as we start to move back to normal, and that will be important in laying the groundwork and the foundation for further changes that we are going to make in the weeks to come.

I’m going to end with this point.

I’m very aware that as we start to see this virus receding – and as we ease some restrictions – there’s a natural desire to go even faster.

But we cannot afford at this stage to be complacent.  This virus is still out there, it has not gone away.  And as we gradually remove the restrictions that have kept it under control, there’s a real risk is it could start to circulate again. That’s why we need to proceed with purpose – but also with caution. And we all need to continue to play our part, in suppressing this virus.

In these days and weeks to come, the things we do as an individual will have an impact on all of us and they will determine whether we keep this virus under control. So if we all keep doing the right thing I am more optimistic than I’ve been in a long time that we are now firmly on track to getting normality back into our lives and no doubt that is thanks to your sacrifices and your efforts.

So, thank you again very much indeed.

Phase 2: ‘We must still exercise care and caution’

Further changes to lockdown restrictions in Scotland have been announced by First Minister Nicola Sturgeon. The easing of some lockdown measures are the latest steps on the road to the ‘new normal’ – but the First Minister warned that Scots continue to exercise ‘care and caution’.

Those shielding are now able to go outdoors for exercise, and from today (Friday, 19 June) those shielding can take part in non-contact outdoor activities and can meet one other household, in groups of no more than eight outdoors. Physical distancing and strict hygiene measures must still be followed, even if you live with those people.

Also from today, anyone living alone or only with children under 18 can form an ‘extended household group’ with one other household. This does not apply to households with people who are shielding.

Extended household groups can meet indoors with overnight stays permitted and without physical distancing, but any other household meetings must remain strictly outdoors and at a two metre distance. Members of an extended household group should not form a similar arrangement with any other household.

From Monday, 29 June some indoor workplaces can re-open, including factories, labs and warehouses, subject to strict physical distancing, hygiene and health and safety guidance, but non-essential offices and call centres should remain closed.

All retail premises with outdoor entrances and exits can also re-open from 29 June. Ahead of that date local authorities and retailers are urged to plan for the responsible use of public space, such as removing unnecessary street furniture, designing systems to manage queuing and pedestrian thoroughfares, and implementing adequate measures to support physical distancing.

It remains government advice to wear a face covering in enclosed areas where physical distancing is difficult, such as shops, and from Monday, 22 June, it will become mandatory to wear a face covering on all public transport.

There was disappointment for those who were looking forward to a long-awaited drink in a beer garden this weekend. Drinkers learned they must wait a wee while longer.

A date for the re-opening of outdoor hospitality cannot be safely set at this stage. A further update will be provided on 2 July. Further advice from the Scientific Advisory Group has been commissioned based on emerging evidence suggesting communal spaces such as hospitality can present a higher risk of transmission.

Physical distancing guidance remains to stay two metres apart from people outside your household. Advice has also been commissioned on circumstances and settings, including schools and transport, where with additional mitigation it may be possible to balance the risk of a shorter distance.

Announcing the measures, the First Minister said: “Thank you for the personal sacrifices you’re making to tackle this pandemic. You’ve demonstrated remarkable dedication to our national wellbeing – that effort should never be underestimated, and my thanks can never be overstated.

“Because of your actions, we can now – gradually and carefully – change some restrictions.

“In deciding when to implement each measure in our staged approach, we have to think about how a decision in one area affects life in other areas. Our test and protect system is important to our gradual return to living more freely while suppressing the virus, and early indications suggest it’s already working well.

“I know for those shielding, the requirement to stay indoors at all times, without meeting up with anyone, has been incredibly tough. I hope that this change to our advice can provide a real improvement to your quality of life, without significantly increasing the risks you face.

“Our extended household groups will allow a grandparent who lives on their own to form a group with another household in their family, a single parent and their children to join with another household for support, and it will allow a non-cohabiting couple, where at least one of them lives alone, to be reunited. It will, I hope, help to ease some of the isolation which is one of the cruellest consequences of tackling this virus.

“I appreciate today’s announcement will be hard for the hospitality industry but I want to give an assurance that we will continue to support preparations for re-opening.

“Ultimately, this is a social bargain. The prize for going a bit more carefully now is a recovery that is much more sustainable and will, I hope, allow more normality to be restored to our everyday lives while suppressing the virus.”

Route map Phase 2 changes

From Friday 19 June:
• Those advised to shield will be able to take part in non-contact activities such as golf, angling, kayaking, and meet members of another household outdoors, up to a suggested maximum of eight in the group. Most importantly in both instances, strict physical distancing of two meters must be followed at all times, and they should wash their hands for at least 20 seconds when they return home
• A household not shielding can meet two other households, outside, up to a suggested maximum of eight people in the group
• Those visiting another household in a private garden will be permitted to use the household toilet, with increased hygiene measures urged. This does not include a household of someone who is shielding
• Single person households, including single parents households with children under the age of 18, will be able to form an extended household with another
• People should continue to stay in their local area as much as possible and should not travel more than around five miles for leisure or recreation

From Monday 22 June
• Construction sector to implement remaining stages of their own phased return
• Dental practices open to see patients with urgent care needs
• Resumption of professional sport, following public health advice
• Places of worship open for individual prayer and contemplation
• Limited College and University staff return for essential preparations for re-opening in Phase 3
• Mandatory face coverings on public transport (please see Transport Scotland for more detail)
• Accommodation can be provided for workers whose workplaces are open in the relevant phase and who need to stay away from home for work

From Monday 29 June
• Indoor non-office workplaces (including factories, warehouses and labs) can resume once relevant guidance is implemented. This does not include non-essential office, call-centre, culture, leisure and hospitality premises
• Restrictions of house moves relaxed
• Public gardens and zoos can open but should remain limited to local access only in this phase
• Outdoor sports courts reopen
• Playgrounds can reopen
• Registration offices can open for priority tasks
• Marriages and civil partnerships allowed with minimal attendees outside
• Street-access retail can re-open once guidance is implemented. Interiors of shopping malls/centres remain closed for non-essential shops until Phase 3
• Reintroduction of some chronic disease management
• Phased resumption of some screening services
• Phased safe resumption of essential optometry and ophthalmology services
• Outdoor markets can reopen once guidance is implemented

Scaling up throughout Phase 2
• Public transport will increase services. Capacity will remain constrained due to physical distancing requirements – and active travel remains the preferred mode of travel.
• Increase in health care provisions for pent up demand, urgent referrals and triage of routine services
• Planning with COSLA and partners to support and, if needed, review social care and care home services
• Priority referrals to secondary care
• Public services will continue to resume and scale up, including services such as visiting support to Housing First Tenants and the resumption of area-based energy efficiency schemes

Phase 2 route map

Phase 2 guidance

Further guidance will be published before the current shielding period is due to end on 31 July.

 

Marcus Rashford forces holiday hunger rethink

Following a successful campaign by Manchester United footballer Marcus Rashford, the UK government yesterday announced a “Covid summer school fund” is being set up to help feed children during the holidays in England.

The Scottish Government had earlier announced that their own free school meals scheme will also be extended over the summer.

Welcoming the announcement, FareShare CEO Lindsay Boswell, said:  “We’re enormously grateful to Marcus Rashford for his unstinting support of FareShare – helping us get food onto the plates of over 3m vulnerable children.

“His tireless campaigning work to ensure that no child in this country should go hungry over the school summer holidays has delivered fantastic results. A move to continue funding free school meals over the summer months will be a huge relief to struggling families across the UK, many of whom have faced unimaginable strain during this crisis.

“Our network of charities are already seeing a huge increase in demand for food, and we are supplying more charities supporting children and families than ever before – so this is very welcome news.

“However, we know that even with the voucher scheme in place, the need for food will still be there, particularly as, in the event of a recession, charities and community groups providing food will need to support many more people facing financial hardship and food insecurity.

“That’s why we are calling on the public and the food industry to get behind our appeal to help to deliver more healthy, nutritious food to the food banks, community groups, activity schemes and schools supporting the UK’s most vulnerable children – not just over the summer holidays but in the months and years to come.”

The UK Government’s u-turn has been universally welcomed.

Rebecca Long Bailey MP, Labour’s Shadow Education Secretary, said: “This is a welcome U-turn from the government and a victory for the 1.3 million children who were at risk of going hungry this summer.

“It is thanks to the amazing work of Marcus Rashford and campaigners that the Government has had no choice but to reverse their decision.

“The Government must now confirm that this new money will be for the direct provision of free school meals to all eligible children.”

Children eligible for free school meals will be among those who continue to be supported over the summer through a package of £27.6 million of additional funding announced by the Scottish Government yesterday.

The funding will ensure councils are able to continue the provision of free school meals during the summer holidays and other food provision to help low income families during the coronavirus (COVID-19) pandemic.

The latest data from local authorities shows that around 175,000 children and young people are currently receiving free school meals – or vouchers or cash payments to buy meals.

The number of children receiving free school food has risen by 53,000 since the start of the COVID-19 pandemic due to the impact of the pandemic on family incomes and financial circumstances.

The extra funding will also enable councils to continue to support a range of people who may be facing new or continuing barriers to accessing food including due to reduced income caused if they are asked to self-isolate through contact tracing – until the end of September.

This funding is in addition to the overall package of £30 million allocated to councils in March to provide free school meals and offer food provision to key groups during lockdown.

Deputy First Minister and Cabinet Secretary for Education and Skills John Swinney said: “These are challenging times for families and economic uncertainty has added even more pressure on parents already dealing with the stress of this dire COVID-19 crisis.

“We want to ensure families are given the same support through the summer holidays as we provide in term time in recognition of this unprecedented situation. That is why free school meals provision is essential to support families, children and young people who need some extra help at this difficult time.

“This significant additional funding will allow councils to plan for the summer and to continue the existing provision, whether that be offering nutritious free meals for children or through more direct means allowing families to get food for their families. Councils will have the flexibility to ensure they are able to use this additional funding to put in place provision that meets local needs and circumstances.

“£15 million of this funding is being made available to ensure we continue supporting the range of households who have been or may experience difficulty in accessing or affording food during the pandemic.

“We know that people are under pressure just now as they cope with the impact of COVID-19 and this funding shows we are doing all we can to help them at this difficult time. This funding is additional to the £350 million we have already made available.”

Since 24 March councils have provided the Scottish Government with data on the number of children receiving a free school meal through the provision of vouchers, direct payments, home deliveries and provision in educational or early years settings.

Individuals who are unable to access or afford food and cannot get the help they need from family, friends or neighbours are encouraged to call the national assistance helpline.

The free helpline number is 0800 111 4000, or can be contacted via a textphone on 0800 111 4114. The helpline is open Monday to Friday, from 9am to 5pm.

Callers will be put through to speak to someone at their local council. They’ll be able to advise on what types of help are available. This might include:

  • food, if you’re not able to get the day-to-day food you need
  • medication, if you’re not able to pick up the prescriptions you need
  • access to local social work services
  • emotional support
  • contact with local volunteer groups

 

 

First Minister focuses on return to education

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House, yesterday (Tuesday 15 June):

Good afternoon, and thank you very much for joining us again today. I’ll start – as always – with an update on the key statistics in relation to COVID-19.

29 new positive cases were confirmed in Scotland yesterday. Now I’m going to say more about the total number of positive cases in a moment, because from today we are incorporating new data into that total.

A total of 870 patients are in hospital with confirmed or suspected COVID-19. That represents a total decrease of 94 from yesterday, but an increase of 3 in the number of confirmed cases in hospital.

A total of 18 people last night were in intensive care with confirmed or suspected COVID-19. That is also an increase of 3 since yesterday.

And I can confirm today that since 5 March, a total of 3,909 patients who had tested positive and needed to go to hospital with the virus have been able to leave hospital.

In the last 24 hours, zero deaths were registered of a patient confirmed through a test as having COVID-19 – so the total number of deaths in Scotland, under that measurement, therefore remains at 2,448.

I would however stress – as I did last Monday – that although this is clearly hugely welcome and very encouraging, it is nevertheless common for fewer deaths to be reported at weekends and unfortunately I do expect that we will almost certainly report further COVID-19 deaths in the days ahead.

And as always, I want to emphasis that when we do report these figures, they are not simply statistics – they represent individuals whose loss is a source of grief to many. So once again, I want to send my condolences to everyone who has lost a loved one to this illness.

I also want to express my thanks – as I always – to our health and care workers, and indeed to all key workers across the country. The Scottish Government and indeed I think people the length and breadth of the country are grateful to you for the work you are doing.

I’m going to focus on education in my remarks today, but before I do that, I want to highlight some new data which we are publishing for the first time today.

Up until now, we have only been able to publish testing results that come from NHS Scotland laboratories.

We have been able to report the total number of tests carried out by facilities run by the UK Government – for example drive-through centres and mobile testing units – but we have not yet been able to publish the breakdown of positive and negative results. Though I should say for the avoidance of doubt, the individuals tested have of course been notified directly of their results.

Public Health Scotland has been working with the UK Government to rectify this issue, and from today, we are able to provide daily figures for all tests in Scotland.

For example, we can see that of those people tested in the 24 hours up to 8 o’clock this morning, 29 positive cases were confirmed. Of those positive cases, 9 were from tests conducted at UK Government facilities, and 20 were from NHS Scotland facilities.

So In total, there have been 18,030 confirmed positive cases in Scotland since the beginning of this outbreak. 15,687 of these confirmed cases were tested in NHS Scotland laboratories and a further 2,343 were test through UK facilities.

Now I know that some people compare each days figures with the previous day’s very carefully. If you have been doing that, you will have expected the NHS lab number I’ve just given to be 88 cases higher than it is.

The reason it’s not is that where a person has been tested more than once – first at a UK facility and then in an NHS Scotland facility – we have removed them from the NHS figure to avoid double counting of testing.

It is also important to stress that including this data from UK facilities does not change the total number of lab confirmed COVID-19 deaths that we have been reporting throughout.

From Thursday onwards, we will be able to provide a more detailed breakdown of test results – by date and by region – on the Scottish Government’s website and I hope that this information will be helpful in giving a full picture of the progress that has been made on testing over the last three months.

Now as I indicated the main issue I want to talk about today is school education. And I want to address parents and young people very directly today. I know you are deeply anxious – as I am – about the impact of this crisis on schooling.

So I want to be very clear today about the some of the principles that we are working on and the Scottish Government’s expectations – and as we look forward to the new school year. I hope to leave you in no doubt about the priority I and the whole government attaches to making sure our young people do not lose out on education or have their life chances damaged as a result of this crisis that we are all living through right now.

So, firstly, I want to be clear that it is our expectation that, by the time schools return on 11 August – and obviously within necessary safety guidelines – councils will have put in place arrangements that maximise the time that young people spend in a school environment having face to face learning.

In this immediate period that we are in right now, the Scottish Government will be scrutinising council plans closely – and where we conclude that all possible steps have not been taken to maximise face to face teaching and learning, we will ask councils to reconsider and revise their plans.

Innovation and creativity will be required here – but let me also be clear that where there are genuine issues of resources, the Scottish Government will work with councils to address those and the quality of your children’s education will be the absolute priority in those discussions.

And then from the 11 August starting point, our aim will be to return to normal schooling as quickly as we possibly can – recognising that of course that along the way we need to build the confidence of parents, young people and teachers that schools are safe.

And I want to be particularly clear on this point. While we of course have a duty to be open with parents that none of us right now have a crystal ball, and that the path the pandemic will take in the months ahead remains uncertain, it is absolutely not the case that we are ‘planning’ for blended learning, with children learning at home for part of the school week, to last a year – or anything like it.

On the contrary, we do not want blended learning to last a single moment longer than is absolutely necessary and so we will be working with councils to return schools to normal as quickly as we can.

We want young people to be back having face to face teaching for 100% of the school week as soon as it is feasible.

To that end, our regular three-weekly reviews of the Coronavirus regulations will now include specific consideration of the evidence and data relating to transmission of the virus within schools and amongst young people – and where that suggests that safety restrictions can be lifted or eased without putting pupils and teachers at undue risk, we will do so.

As part of these reviews, we will ask our International Council of Education Advisers to consider experiences in other countries.

We will also be working with councils to ensure ongoing and enhanced support for any time that young people do spend learning at home.

And let me be clear it is our firm intention, as things stand right now, that next year’s exam diet will go ahead.

We will also be considering carefully how we work to address and mitigate and make up over time any impact of this crisis period on young people’s learning.

Ensuring that our children and young people have the highest quality education – and that life chances are not negatively impacted by what we are all living through right now – is of absolutely critical importance.

I want to give you my personal assurance that it is central to my and to the whole Government’s thinking as we plan and steer the country through our emergence from lockdown.

Before I hand over to the Chief Medical Officer, I want to end by emphasising again our key public health guidance because sticking to this guidance right now remains the most important way of enabling us to make further progress out of lockdown – which I very much hope we will do later this week.

You should still be staying home most of the time, and you should still be meeting fewer people than normal.

When you do meet people from another household, please stay outdoors, and stay 2 metres apart from them.

Don’t meet with more than one other household at a time, don’t meet more than one a day – and keep to a maximum of eight people in a group.

Wash your hands often. Take hand sanitiser with you if you are away from home.

Wear a face covering when you are in shops or on public transport.

Avoid touching hard surfaces if you can and clean any that you do touch.

All of these measure – hand washing, surface cleaning and wearing face coverings – will all help us to reduce the risk as we start to return to more normal life.

Indeed – if anything – these measures become more important, not less important, as we move through this pandemic.

I’d ask all of you to bear that in mind.

And, just as importantly, if you have the symptoms of COVID-19 – a fever; a new cough; or a loss of, or change, in your sense of taste or smell – ask for a test immediately, and please follow the advice on self-isolation.

You can book a test at nhsinform.scot or by phoning NHS 24 on 0800 028 2816.

Sticking to these rules- as you can see from the numbers we are reporting each day – has had and is having an impact. By doing the right thing, we are suppressing the virus.

We are saving lives.

And we are creating the firm foundations on which we can take further steps out of lockdown.

So my sincere thanks, to all of you once again, for continuing to abide by these rules and by this guidance.