A cautious return to the new normal: lockdown begins to ease today

Easing of  Scotland’s lockdown restrictions have been confirmed by First Minister Nicola Sturgeon. While some outdoor activity restrictions will ease as of today, the public are still urged to stay at home as much as possible and maintain strict physical distancing when outdoors.

From today, two households will be allowed to meet in outdoor spaces up to a suggested maximum of eight people. However, it is important that physical distancing and hygiene rules are maintained.

Announcing the measures, the First Minister said: “The only reason the Scottish Government can make these changes today is because of the sacrifices that all of you have made. So thank you, to each and every one of you.

“No change will be risk free – and there are no certainties. While I am confident of that, there is also the chance that even these limited changes will lead to much greater change in reality.

“So please act within the rules. Be respectful of each other’s space, be kind, be prepared for things to be very different and remember that each individual decision you take affects the wellbeing of all of us. How well we follow these practices now determines whether we can go further in the future. We can only take these steps towards a less restricted lifestyle, and then consider taking further steps, if people continue to obey the guidance.

“My advice is to stay home as much as possible – the virus has not gone away. If you have symptoms, get tested; wash your hands and surfaces regularly; and if you do meet family or a friend stay outdoors. Don’t put them or yourself at risk.

“People who are shielding will be well into their third month of isolation, of not being able to leave the house at all. They are uppermost in our thoughts as we think about how to safely come out of lockdown and we’ll provide more information for them in the coming weeks.

“We can only take these steps towards a less restricted lifestyle because people have, overwhelmingly, stuck to the guidance. And we will be able to take more steps more quickly in the future – if we continue to do the right thing, and to stick to the rules.”

Measures that will come into force in Phase 1 include:

  • From today (Friday), one household can now meet up with another outdoors. This can be in one household’s garden, but physical distancing is still required. It is expected households will only meet one other household within the same day and up to a recommended maximum of eight people in the overall group.
  • From today (Friday), public outdoor spaces can now be used for recreational purposes, for example to sit in a park, sunbathe or have a picnic. People should not share food and drink between households and should avoid using shared facilities, such as bathrooms. If eating, each household should bring their own food separately and avoid sharing utensils, dishes or cups and use a hand sanitiser before eating. Physical distancing between households should be maintained at all times.
  • From today (Friday 29 May), you can now travel short distances for outdoor leisure and exercise but should remain in your local area, suggested to be five miles from your house, although we ask people to use their judgement. People are encouraged to walk, wheel or cycle where possible.
  • From Monday (1 June), staff can return to schools subject to risk assessments and appropriate physical distancing and hygiene measures being in place to support this. This is to plan and prepare for the new blended model of learning to be implemented from 11 August.
  • From Wednesday (3 June), child minding services and fully outdoor nursery provision will be available, although capacity will be limited. Both measures will be subject to increased hygiene measures, small group working and physical distancing of adults.
  • From today (Friday 29 May), most outdoor workplaces to resume with physical distancing measures in place once guidance is agreed, including horticulture, landscaping and garden centres, forestry and environmental management. Associated cafes should not reopen at this stage except for take-away and physical distancing measures should be followed.
  • From today (Friday 29 May), the construction sector is expected to be able to implement the first phase in its restart plan. A move to ‘phase 2’ of the construction sector’s plan will follow consultation with government to ensure it is safe to do so in line with public health advice.
  • From today (Friday 29 May), food outlets, restaurants and cafes are able to provide delivery, take-away and drive-through food options in line with guidance and complying and safe physical distancing measures.
  • From today (Friday 29 May), unrestricted outdoor exercise and some non-contact outdoor activities within the local area – such as golf, outdoor tennis and angling – can resume provided physical distancing is followed. It does not mean that taking part will always be safe. You should use judgement and take part only if you can do so safely, maintaining physical distancing and not putting yourself or others at risk.
  • From Monday (1 June) Household Waste Recycling Centres to begin to reopen. Sites must operate safely, ensuring physical distancing is maintained, and should only be visited when absolutely necessary to minimise journeys.

Phase 1 guidance

Route map publication

‘The virus has not gone away. Lockdown is not over.’

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House, this afternoon (Thursday 28 May):

Good afternoon. Thank you very much for joining us. Today, as you are probably anticipating, I will confirm some careful and cautious changes to the current lockdown regulations.

I will set out what those changes are in a moment – but I want to begin with a simple but really important point.

The only reason we can make any changes today is that we have made progress in suppressing this virus. And that is entirely down to the sacrifices that all of you have made.

So more than ever today, I want to say thank you to each and every single one of you.

I’ll come to the changes themselves in a moment – and because there’s a lot to cover today, my update will be a bit longer than normal – but first of course I will provide the usual statistical update.

As at 9 o’clock this morning, there have been 15,288 positive cases confirmed – that is an increase of 48 since yesterday.

A total of 1,238 patients are in hospital with confirmed or suspected COVID-19. That represents a decrease of nine overall from yesterday, including a decrease of 13 in the number of confirmed cases.

A total of 37 people last night were in intensive care with confirmed or suspected COVID-19. That is a decrease of 1 since yesterday.

I am also able to confirm today that since 5 March, a total of 3,635 patients who had tested positive for the virus have now been able to leave hospital.

Unfortunately though, in the last 24 hours, 12 deaths have been registered of patients who had been confirmed through a test as having the virus, and that takes the total number of deaths in Scotland, under that measurement, to 2,316.

Now I feel very strongly, as I’m sure you do, particularly today as we start to take the first steps out of lockdown, that we must never become inured to these statistics – and we must never ever forget that behind every single one is a person who was loved and is now deeply missed.

In future, we will want – collectively as a nation – to remember and mourn that loss.

But for now let me send my condolences to every family who has lost a loved one to this virus.

Let me also express my deep gratitude to our health and care workers for the incredible work you have done and continue to do, in such extraordinarily difficult circumstances.

The figures I have just given remind us that the progress we have made so far is real. But these figures also remind us of the toll this virus has taken – and that our progress remains fragile.

The virus is still proving fatal for too many. Hundreds of people are still in hospital. And new infections are still being identified in most health board areas.

As I have said before, that means we must proceed with the utmost care and caution.

Nevertheless, a downward trend in COVID-19 cases is now sustained and unmistakeable.

As you know, the law requires us to formally review the lockdown regulations at least every three weeks and to keep them in place only for as long as is necessary. And the latest review period ends today.

I can confirm that we have considered the latest evidence of the spread of the virus and I can report as follows.

The R number – the transmission rate of the virus – remains in a range of 0.7 to 1.

We can’t be certain how far below 1 it is – and that confirms, and underlines, that we must continue to exercise caution.

However, we have now reasonable confidence that the R number has been below 1 for a period of more than three weeks.

Our modelling also shows that the prevalence of the virus is reducing.

Last week you might recall that I reported an estimated 25,000 infectious cases across the country. Our latest estimate is that as of last Friday 22 May, there were 19,000 infectious cases in Scotland.

In addition, the number of patients in intensive care has fallen by 80% since the peak.

And the number of new hospital admissions has fallen by more than 80%.

Also, as we saw yesterday in the National Records of Scotland report, deaths associated with COVID-19 – both overall and in care homes – have now declined for four consecutive weeks.

This evidence has allowed the Scottish Government therefore to conclude that we can now move into Phase 1 of our four phase route map out of lockdown.

My confidence in that conclusion is bolstered by the launch today of Test and Protect – a system of test, trace, isolate.

We are now asking any person who has symptoms of COVID-19 – that is a cough, a temperature or loss of taste or smell – to take immediate steps to book a test.

If this applies to you, please go straight to nhsinform.scot to get a test or, if you can’t go online, call NHS 24 on 0800 028 2816. Don’t wait to see if you feel better before booking a test. And apart from going for the test, you – and all people in your household – should self-isolate.

If you are contacted by Test and Protect to say you have been in contact with someone who has tested positive, please follow the advice to self-isolate for 14 days.

But remember – and this is a really important point – that you can minimise the chances of that happening by taking care not to be a close contact of someone outside your own household – and that means staying at least two metres distant from anyone who is not part of your household.

Test and Protect will be a crucial part of our efforts to control the virus in the weeks ahead. But it will not do it – cannot do it – on its own.

The decisions that all of us make – about staying two metres apart, washing our hands, wearing face coverings in enclosed spaces – these matter just as much.

In many ways, in fact, they will matter even more as we start to slowly relax these lockdown rules.

If we don’t pay close attention, and follow physical distancing and hygiene rules, those 19,000 estimated cases I mentioned earlier will quickly rise again.

However, all of that said, we are now in a position to make careful changes. And I want to set out now what those changes will be. Many of these changes will come into effect tomorrow.

We are publishing on the Scottish Government website specific guidance to help you understand the changes and also the rules that we are still asking you to follow. So please take the time to read that.

The focus of our Phase 1 changes is on outdoor activity.

And the reason for that is this – as long as people from different households remain two metres apart, do not touch the same surfaces and wash hands and surfaces regularly, the risk of the virus spreading is lower in an outdoor environment than it is indoors.

Even so, in making changes at this stage, we have limited room for manoeuvre. So we need to get the balance right.

Of course we want to restart the economy as quickly as possible, but we have also kept very firmly in mind the things that matter most to our quality of life – family, friendship, love.

I will therefore spend most of my time today talking about what these changes will mean for your ability to interact with friends and family.

But first let me cover what they mean for business and public services.

From tomorrow, most outdoor work that has been put on hold can resume, and the construction industry will be able to restart site preparation – that’s the first phase of its restart plan. It will require to consult further with government before moving on to the second stage of that plan.

From tomorrow, garden centres and plant nurseries can reopen some of their services, and we will no longer be discouraging drive-through food outlets from re-opening as well.

However, non-essential shops, and pubs, restaurants and cafes – except for takeaway – must remain closed at this stage.

Household waste recycling centres can re-open from Monday – and guidance on this was issued yesterday.

We continue to ask other business premises to remain closed at this stage, unless providing essential goods and services, and we ask all businesses to let staff work from home wherever possible.

From Monday onwards, 1 June, teachers and other staff will be able to enter schools for the purpose of preparing for a re-opening of all schools on 11 August, for a blended in school / at home model of learning.

And from next Wednesday onwards – that’s 3 June – childcare will be available to a larger number of children who most need it, for example vulnerable children and children of essential workers.

Childminding services and fully outdoor nursery provision will start to reopen from next Wednesday too. However, there will continue to be limits on the number of children that can be cared for, and guidance for childminders will issue on Monday.

During Phase 1, some key public services – for example some respite care, children’s hearings and some key health programmes – will also begin to restart their work, and further announcements on timing will be made in due course.

In terms of sport and recreation, some non-contact outdoor leisure activities will be allowed to restart – again from tomorrow. 

This applies to activities where you can safely keep a two metre distance from others at all times and follow strict hygiene practices – for example golf, tennis, bowls and fishing.

You will also be able, from tomorrow, to sit or sunbathe in parks and open areas. I am sure that will welcomed by many, particularly in this weather – but it will be welcomed especially by those who do not have gardens.

And you will be able to travel – preferably by walking or cycling – to a location near your local community for recreation. However we are asking you, for now, to please stay within, or close to, your own local area. And don’t use public transport unless it is absolutely necessary.

Now we are not setting a fixed distance limit in law – but our strong advice is not to travel further than around five miles for leisure or recreation.

And it is still the case that you should not go to our island communities, except for essential reasons.

We simply don’t want, in this phase, to see large numbers of people at tourist hot spots or local beauty spots. Crowds of people – even if they’re trying to socially distance – bring more risk than we judge is acceptable and safe at this point.

So if you do go somewhere and find it is crowded, please use your judgment, change your plans and go somewhere else.

Now the final area I want to talk about is social interaction.

But before I do that I want to say something specifically and directly to people who are shielding – the people who are most vulnerable to the virus.

You are now well into your third month of being advised not to leave home at all. And I know that listening to today’s changes – which don’t yet bring a change to your own circumstances – will be particularly hard for you.

So I want to assure you that we will be providing you with more information and guidance in the next couple of weeks. And we will be trying, as far as possible, as far as safe, to move to less of a blanket approach – one which requires all of you to stay at home all of the time – to one that more reflects your individual circumstances.

We know the impact that our advice is having on you, and on your loved ones, is significant – and we are doing everything we can to get that advice right so that you can safely, albeit gradually, start to lead a less restricted life. I want you to know today that you have not been forgotten – and you are a central part of our thinking, as we consider how we move forward.

More generally, though, we can today confirm changes to the rules on meeting socially. And this, I know, is something everyone has been eagerly anticipating. From tomorrow the regulations on meeting other people will change.

You and your household will be able to meet with another household out of doors – for example in a park or in a private garden.

We said last week this should be in small groups – and to give you greater guidance on that, we are asking that the total number of people between the two households meeting up should be a maximum of eight. Please keep it to less than that if you can.

Now, we are not saying that you must pick one household and only meet the same one during Phase 1. But we are saying that you should not meet with more than one other household at a time.

And while this will not be the law, we also strongly recommend that you don’t meet with more than one other household per day.

This change will obviously allow you to meet with more people that we can right now – but please remember that we should still be meeting far fewer people outside our own household than we would in normal times.

Now, I know how much all of you will be looking forward – all of us will be looking forward to seeing family and friends for the first time in a while. But how we do this is going to be really vital.

Before you meet up with people from another household you should stop, think, read the guidance and make sure you are protecting yourself and others.

In particular, you must stay outdoors and stay at least two metres away from people from the other household. That is crucial.

You should also avoid touching the same hard surfaces as they do.

Let me give an example of that. I suspect many of you will be planning a picnic or a barbecue this weekend. If you are, not only should you stay two metres apart from those in the other household, but each household should also bring its own food, cutlery, plates or cups. Don’t share these things.

And please – don’t go indoors. Being in someone else’s house should still be avoided, unless of course you are providing support to someone who is vulnerable.

And that means thinking in very practical terms. We are not putting a legal limit on how far you can travel to meet another household, but please use your good judgment. If the distance is so far that you would have to use someone else’s bathroom, then perhaps you shouldn’t be doing it.

And the reason for all of this is simple, but it is worth repeating, because I am not putting all of these restrictions – or asking you to put these restriction on your activity for no reason.

And the reason is this – if you go inside a house or if you share items, if you touch the same surfaces as another household, or come within two metres of each other, that is when you are creating an opportunity – a bridge, if you like – for the virus to spread from one household to another.

And that is what all of us must still do everything we can to avoid.

Now, I know the information I give at these briefings sometimes must be hard to absorb.

But today’s information is really vital. So please watch this back later to make sure you caught all of it.

And please read the guidance that you will find at www.gov.scot

What I have announced today are important first steps back to some kind of normality I hope. But they are by necessity cautious.

I’ve said before that no changes are risk free – and there are no certainties in any of this – but I have also said that I wanted to ensure that with every step we do take, the ground beneath our feet is as solid as possible. And that is what we are taking care to ensure.

But I don’t mind admitting to you that as we take these first steps, I do feel a bit nervous.

I worry that the limited changes we are making to these rules, the very careful changes, might lead to much greater change in reality. And so I really need your help to make sure that is not the case.

I am sure there are going to be lots of emotional reunions this weekend. You will be planning to see family and friends that you haven’t seen for weeks. And based on the current forecasts, the sun will be shining too. We’ve all waited a long time for this, so I hope you all really enjoy it.

But please, please – respect the parameters we are setting out.

Be respectful of each other’s space, and make sure things still feel different to normal,  because they should still feel different to normal.

Above all, remember that each individual decision we will take, will affect the safety and the wellbeing of everyone. Make sure that love, kindness and solidarity continue to be our guiding principles.

So to recap: Still stay at home as much as possible – the virus has not gone away. Lockdown is being modified slightly – it is not over.

Make sure you are still seeing far fewer people than you might normally do.

Don’t meet up 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.

Stay two metres apart when you do meet. And that, I know will be really difficult – perhaps the most difficult part of all. The instinct to hug somebody you love is a really strong one – especially when you haven’t seen that person for quite some time. And I know that for some – couples who live apart for example – for them, this is even more difficult. And I want to assure you that we are considering that point very carefully.

But for now – whether it’s parents, grandparents, aunties, uncles, siblings, partners from other households – don’t put your loved ones or yourself at risk.

Also wash your hands regularly and thoroughly.

Avoid hard surfaces – and clean any that you are touching.

And if you have symptoms, get tested and follow the advice on self-isolation.

To end where I started, we are only able to take these careful steps towards a less restricted lifestyle for all of us now because all of you have, overwhelmingly, stuck to the rules so far.

And the truth is that we will be able to take more steps more quickly in the future, if we all continue to do the right thing, stick to the rules, and most importantly of all now, exercise good judgment at all times.

I want to thank you again for all you’ve done so far, but thank you in advance for continuing – as I know you will – to do the right thing and remember that this is all about protecting not just ourselves – it is about protecting each other.

And though these changes are small at this stage, I really hope they do make a positive difference and leave all of us with a real sense of hope that we are on the right track, the track towards greater normality while we continue to beat this virus along the way.

Thank you very much indeed for listening.

Test and Protect

Health Secretary Jeane Freeman explains how we can all play our part in the fight against coronavirus (COVID-19):

Test and Protect is NHS Scotland’s new approach to controlling the spread of coronavirus (COVID-19) in the community.

The system will help to prevent you from spreading the virus, and protect the country from a second peak. But just like lockdown, it can only work if we all play our part.

From today, if you have any of the symptoms of COVID-19 – a new continuous cough, temperature or loss or change of taste or smell – you should immediately visit NHS Inform or call 0800 028 2816 if you can’t get online.

It is really important you do this as soon as you suspect you have symptoms. The quicker the NHS can tell if you have the virus, the better chance we all have of stopping it spreading.

When you contact the NHS you will be able to book a test at a mobile testing unit, a drive-through testing centre or order a home testing kit.

While you wait for that result, it is important that you and everyone in your household self –isolates.

If you test positive, you will need to self-isolate for 7 days, and your household for 14.

That has always been the case.  What’s new is that now, as we begin to ease some of the lockdown measures, in order to keep the virus suppressed, we will also need to trace your close contacts and advise them to isolate for 14 days, with support.

So if you get a positive test result you will be asked who you have been in close contact with. This includes people in your household, people you have had direct face to face contact with for any length of time, and those you have been within 2 metres of for 15 minutes or more.

This NHS system is entirely confidential, when the people you have been near are contacted they will not be told who it is that they have been in contact with. This information is only collected and used by NHS Scotland for the purposes of tracing your contacts. The Scottish Government will not have access to it.

If you receive a call or a message from a contact tracer to say you have been in contact with someone who has tested positive, they will ask you to self-isolate immediately. It is hugely important you do this in order to stop the spread of the virus.

It is only by all playing our part, getting tested, providing information and agreeing to isolate, that we can cut the numbers of people getting the virus.

You can find guidance on the Scottish Government website to help you self-isolate, which includes advice on what to do if you care for someone who is shielding, and how you can access food and medicine. It’s also a good idea to take steps to ensure that you are prepared in advance, in case you are ever  asked to isolate.

For those who cannot leave their home and who cannot get the help they need from family, friends or online, the National Assistance Helpline (0800 111 4000) is available Monday to Friday, from 9.00 am 5.00 pm.

We have also published guidance for employers which makes clear that they should support anyone who  needs to self-isolate as part of Test and Protect. We are also working with the UK Government to ensure that people are fully protected by their employment rights and benefits, such as Statutory Sick Pay as a minimum.

Of course, the best way to avoid having to isolate, is to follow the rules on physical distancing and stay 2 metres apart from anyone outside of your own household.

Test and Protect will be part of all our lives for the foreseeable future, until we know we have fully suppressed the virus, or there is a treatment or a vaccine that we can be confident will protect people properly.

So as we slowly change the lockdown restrictions, for everyone to enjoy more freedoms, we must all play our part by isolating when we are asked to.

FIRST Minister Nicola Sturgeon is expected to announce the first steps on the road to a loosening of lockdown restrictions at lunchtime today.

Covid symptoms? Book a Test

Test and Protect – NHS Scotland’s approach to controlling the spread of coronavirus (COVID-19) in the community – will be rolled out across all health boards from tomorrow (Thursday 28 May).

From that date, everyone aged five and over who has COVID-19 symptoms of a new continuous cough, temperature or loss or change in sense of taste or smell should go to NHS Inform online or call 0800 028 2816 to book a test.

Under the system, people will need to isolate with their household as soon as they have symptoms and, if they have a positive test result, they will be asked to provide details of all recent close contacts to NHS contact tracers.  Those people will be contacted and asked to isolate for 14 days.

As part of the roll out, guidance for individuals and employers has been published which sets out advice on what to do if someone is displaying symptoms or if they have been in close contact with someone who has tested positive for COVID-19.

It includes information on how to self-isolate safely as part of Test and Protect, what plans need to be made by households and families, and how to help older people or those with underlying health conditions.

Additional support for self-isolation is also being made available to those who need it through the National Assistance Helpline.

First Minister Nicola Sturgeon said: “The aim of Test and Protect is to protect the public from spreading COVID-19 and to protect the country from a second peak.

“By ensuring those who may have come into contact with the virus take steps to isolate, we can break the chains of transmission and keep the virus suppressed whilst slowly changing lockdown measures.

“This approach can only work if we all play our part. From Thursday, we are asking everyone aged five and over who has COVID-19 symptoms – a new continuous cough, temperature or loss or change in sense of taste or smell – to book a test as soon as possible.

“It is important to do this as soon as symptoms are suspected. The quicker the virus can be identified, the better chance there is of stopping it spreading.

“It remains vital that alongside Test and Protect people continue to follow physical distancing advice and practise good hand and cough hygiene.”

Cllr Stuart Currie , COSLA Health and Social Care spokesperson, said: “COVID-19 continues to have an impact on all of our daily lives and it is important that we carefully manage the transition out of lockdown. 

“That is why we welcome the Test and Protect guidance that has been co-produced by Scottish Government and NHS Scotland in partnership with Local Government.

“It is vital that people work together to follow this advice and self-isolate when required, not just for their own safety, but in order to protect others. Only by taking this approach will we be able to slow the spread of the virus.

“Local Government has already been at the forefront of efforts to support people during lockdown, providing essential services and assistance to the many people in Scotland who don’t have a network of support in place.  We will continue to support our communities by taking a central role in the delivery of Test and Protect.”

Guidance for the public, including a summary is available online along with guidance for employers

covid-19-test-trace-isolate-support-public-health-approach-maintaining-low-levels-community-transmission-covid-19-scotland

Scottish Government issues sector guidance for easing lockdown

Support to return to work safely

New guidance has been published for retailers and manufacturers to consider how people can safely return to work, with updated guidance for construction to publish later this week.

The documents, which are among the first for a number of specific sectors, have been developed in consultation with business, trades unions and regulators. It will provide advice on essential equipment and services needed to create the conditions for safer workplaces.

Companies are expected to undertake a robust risk management approach that has been developed and maintained through joint working with employees. This will offer assurances to workers when the time is right to return to work.

Working to the phased approach in the route map on easing lockdown published last week, it details the steps required for businesses, acknowledging that some will face more complications when reopening than others, while also considering the impact on employees.

Economy Secretary Fiona Hyslop said: “Many businesses have been adapting to new ways of working with a significant proportion of staff working from home.

“While many people will continue with this, there are areas where it is not possible. We are listening to how businesses have made changes and in discussion with them to see how these changes can be safely applied to allow reopening.

“We’ve been working in partnership with industry, trades unions and regulators in around 14 sectors and will publish more sector-specific guidance over the next few weeks.

“However, I want to be clear that the journey doesn’t end once the guidance is published. This is just the starting point and these documents will continually evolve, where required, based on public health evidence and feedback from industry and trade unions.

“Guidance on its own, will not create safe working environments. We continue to work closely with the key enforcement agencies – the Health and Safety Executive, local authorities and Police Scotland – to ensure a joined up approach to the enforcement and monitoring of workplace public health measures.

“We are already supporting businesses through our unique package of support totalling £2.38 billion which reflects the specific needs of our economy. Our recovery will be an opportunity to renew our economy and build our resilience and future prosperity.”

Coronavirus (COVID-19): manufacturing sector guidance

Coronavirus (COVID-19): retail sector guidance

Coronavirus (COVID-19): guidance for customers

COVID-19: Scotland’s route map for transitioning through and out of the crisis

Coronavirus (COVID-19): safer work places statement – Joint statement by the Scottish Government, Police Scotland, Health and Safety Executive and local authorities on safe workplaces.

Guides from the Health and Safety Executive provide useful sources of information:

 

First Minister talks Test & Protect

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House yesterday (Tuesday 25 May):

Good afternoon. Thanks for joining us for today’s briefing.

I want to start – as I always do – by updating you on some of the key statistics in relation to Covid-19 in Scotland.

As at 9 o’clock this morning, there have been 15,185 positive cases confirmed – an increase of 29 from yesterday.

A total of 1,200 patients are in hospital with confirmed or suspected Covid-19. That represents a total decrease of 69 from yesterday, including a decrease of 16 in the number of confirmed cases.

A total of 36 people last night were in intensive care with confirmed or suspected Covid 19. That is a decrease of 4 since yesterday.

I am also able to confirm today that since 5 March, a total of 3,589 patients who had tested positive for the virus have been able to leave hospital.

And unfortunately, in the last 24 hours, 18 deaths have been registered of patients who have been confirmed through a test as having Covid-19 –  that takes the total number of deaths in Scotland, under that measurement, to 2291.

Each one is an individual whose loss is a source of grief to many. I want to send my condolences to everyone who has lost a loved one to this virus.

I also want to express my gratitude – as I always do – to our health and care workers, for everything you are doing in such testing circumstances.

Today, I want to focus on the launch of NHS Scotland’s test, trace and isolate programme – Test and Protect – the logo for which you will see behind me.

From the end of this week, through Test and Protect, anyone who suspects they have Covid-19 will be tested.

If you test positive, your close contacts will be traced and advised to isolate for 14 days.

The aim of Test and Protect is to quickly identify cases of the virus and then act to break the chains of transmission.

On 4th May, we published our initial plans.

I can confirm today, that the system will go live in every one of Scotland’s 14 health board areas on Thursday.

Test and Protect will be an important tool in the months ahead – it will help us suppress the virus while we slowly ease lockdown restrictions. But it will only be effective if we all play our part.

So today I’ll set out what the capacity of the new system will be at the point of launch and how this will develop.

And I’ll set out how you as an individual, your household, your workplace and your employer can support us in making it work.

Firstly we said that to launch Test and Protect nationally we needed the ability to conduct over 15,000 tests a day.  I can confirm today that this capacity is now in place.

It will be delivered through a combination of NHS labs, academic partners, the Scottish National Blood Transfusion Service and the Lighthouse Lab in Glasgow.

Secondly, we said we would enhance and extend use of the software that public health teams already use for contact tracing in relation to other infectious diseases.

That software has been piloted in Fife, Lanarkshire and Highland over the last week and I can confirm that it will be operational in every health board by Thursday.

Thirdly, we said that we’d aim to have 2000 contact tracers available by the end of this month.

Based on current demand estimates, we assess that around 700 will be needed in the early phase. However, I can confirm that by the end of the month we will have a pool of around 2000 to draw on if necessary.

This is a system that will operate at a scale not seen before in Scotland. Over the first couple of weeks, it will need to bed down. But introducing it at the same time as we take the first cautious steps out of lockdown gives us the opportunity to address any operational issues ahead of a potentially more substantial easing of restrictions at the next review date in 3 weeks.

Over the next few weeks, we will also add enhancements to the system.

As I said earlier, the technology used by contact tracers will be in place from the start. But we will also add a digital platform to allow people who test positive to enter details of their contacts online.

We will also continue to build testing capacity and make access to testing more locally accessible. We will keep you updated on all of that.

Let me now outline what we are asking you, the public to do.

Let me stress that, just like lockdown, this is something that will only have the desired effect if we all do what is required. It can’t be seen as optional.

To make sure we all understand what is required, a public awareness campaign will start later this week. And during June, information will be delivered to every household across the country.

But let me set out the basics here.

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Firstly, as of Thursday we are asking that if you have any of the symptoms of COVID-19 – that is a cough, temperature or loss of taste or smell – you take immediate steps to book a test.

Please don’t wait to see if you feel better after a day or two – time is of the essence, so get in touch as soon as you experience symptoms.

You should go to nhsinform.scot or, if you can’t get online, call NHS 24 on 0800 028 2816.

Online you can ask for a test for yourself, or for someone else that you live with, and book it at one of the drive through testing centres or mobile testing units. For some, there will also be the option of a home testing kit. As I said earlier, in the coming weekswe will be working to further expand local access to testing.

If you can’t go online, you should call NHS 24 on 0800 028 2816. An adviser will then go through some questions with you, and book you in for a test.

While you wait for your test and the result, it is essential that you and your household self-isolate.  That means staying at home at all times – with the exception of going for the test. You shouldn’t go to the shops, out for exercise or to see anybody else.

In line with the current guidance, the person with symptoms should isolate for 7 days from the start of your symptoms.

Other members of the household should self-isolate for 14 days.  If any of them start to display symptoms during that time, they should also go through the testing process.

If your test comes back negative, you and your household can end your isolation.

However, if you are contacted to be told that you have tested positive, you will be asked at that stage for details of people that you have been in contact with.

The definition of a contact is people within your household, people you have had face to face contact with, and people who have been within two metres of for a period of 15 minutes or more.

I want to take the opportunity now to assure you that your privacy will be respected at all times during this process.

The information you provide will be held securely within the NHS and used only for the purposes of tracing your contacts.

It will not be used by the Scottish Government – indeed, we won’t have access to it. All the work of identifying and tracing contacts will be done within Scotland’s NHS.

Let me turn now to what to do if you receive a call from a contact tracer to say that you have been in contact with someone who has tested positive.

It is no exaggeration to say that how you – how any of us – respond will be vital in stopping the spread of the virus.

We will ask you to self-isolate immediately – the success of Test and Protect will really depend on all of us trusting this advice and, for the sake of ourselves and each other, agreeing to abide by it.

If you are at work, the advice will be to immediately head home, taking care to come into contact with as few people as possible.

We have published guidance this morning for employers, making clear they should support anyone who is asked to self-isolate by Test and Protect.

If you are well, and can work from home, then your employer will expect you to do so, but they should not ask you to go into work.

The Scottish Government is also in contact with the UK Government to ensure that employment rights and entitlement to benefits including statutory sick pay, take account of the fact that people may be off work or unable to attend appointments through no fault of their own.

We have also published today general advice for anyone who is asked to self-isolate. Remember that this is something over the months ahead that could happen to any of us – on more than one occasion.

This includes hygiene advice for your home, advice for other people in your household, what to do if you care for someone who is shielding or clinically vulnerable, and what to do if you need help accessing food and medicine or even accommodation. It also suggests how we can all make some preparations in advance.

Now, I know there’s a lot of information here to take in. But don’t worry, we will be taking steps to ensure everyone knows what we are asking you to do.

For now, let me leave you with these points.

Test and Protect is an important tool for us in the period ahead. The more effective it is, the more of the lockdown restrictions we will be able to lift.

However, it can’t do all the work of suppressing the virus. We will all continue to have a vital role to play in our everyday lives. That means even as we ease lockdown, physical distancing, good hygiene and following appropriate advice will continue to be essential.

And so too will all of us doing what is asked of us. Test and Protect will only work if we all come forward for testing when we have symptoms and if we all agree to self-isolate when asked.

And if the government steps up to give you the support you need to do so.

In short, Test and Protect will require exactly the same spirit of solidarity and care for each other as lockdown has done.

It will be a collective national endeavour.

People will need the help of family, friends, colleagues and employers. Volunteers who have been supporting efforts to distribute food and care for the vulnerable through lockdown will have a valuable part to play in supporting people through Test and Protect. Government will have to ensure the right capacity, resources and support is in place.

And all of us will have to agree to make sacrifices for the common good – just as we have been doing.

In short, by agreeing that some of us will have to stay home at times – when we have symptoms, test positive, or have been in contact with someone who tests positive – we can gradually move away from a situation where everyone has to stay home all of the time.

As I said earlier, we will make much more information available in the days and weeks to come.

But let me leave you with the most important message – from Thursday, if you have symptoms you should go online to NHS Inform or call NHS 0800 028 2816 0800 and book a test straight away.

And for now, all of us must continue to stick with lockdown measures.

So please, stay at home except for essential purposes.

When you do leave the house, stay more than two metres from other people. And do not meet up with people from households other than yours.

You should wear a face covering if you are in an enclosed space such as a shop or on public transport. This is one of the issues covered in the Transport Transition Plan that we will also publish later this afternoon.

You should also continue to wash your hands thoroughly and regularly.

And if you or someone else in your household has symptoms of Covid-19, then you should stay at home completely.

At the moment, these actions are vital – to slow the spread of the virus, protect the NHS, and save lives.

So thank you once again, for helping to do that.

Jeane Freeman: Fair benefits for care workers

Statement given by the Health Secretary Jeane Freeman at a media briefing in St Andrew’s House yesterday (Sunday 24 May):

Good afternoon, and thank you for joining us for today’s briefing.

I want to start this afternoon by updating you on some of the key statistics in relation to COVID-19 in Scotland.

As at 9 o’clock this morning, there have been 15,101 positive cases confirmed – an increase of 60 from yesterday.

A total of 1,329 patients are in hospital with COVID-19 –845 who have been confirmed as having COVID, and 484 who are suspected of having the virus. That represents a total change of 24 from yesterday, including an increase of four in the number of confirmed cases.

A total of 44 people last night were in intensive care with confirmed or suspected COVID-19. And that is a decrease of six  since yesterday.

I am also able to confirm today that since 5 March, a total of 3,560 patients who had tested positive for the virus have been able to leave hospital, and I wish all of them well.

Regrettably, I also have to report that in the last 24 hours, nine deaths have been registered of patients who have been confirmed through a test as having COVID-19 – that takes the total number of deaths in Scotland, under that measurement, to 2,270.

It is worth bearing in mind that fewer deaths tend to be registered at the weekend than on other days of the week – and that is almost certainly part of the reason why today’s figure is relatively low.

And, as always, I want to stress that these numbers are not simply statistics. They represent individuals who were loved, who were valued, and whose loss is a source of grief to very many. So I want to send my deepest condolences to everyone who has lost a loved one to this virus.

As Health Secretary, I also want to once again thank those working in our health and care sectors.  That thanks is due to all staff – in care homes, in GP practices and COVID assessment centres, emergency dental and eyecare,  paramedics, procurement staff, people working in NHS 24; and the many  cooks, cleaners, porters and maintenance staff who make all of this possible.

What you do is essential to the health and wellbeing of our country. And all of us owe you a huge debt of gratitude.

I have one issue that I want to update you on, before I remind everyone of the guidance in place right now – and it is directly relevant to the point that I have just made, about the importance of frontline workers.

Social care workers have always played a vital and valuable role – but the importance of what they do has never been more apparent than during this emergency period.

Several employers already offer employment contracts to social care workers which are broadly in line with the Scottish Government’s fair work principles – but it is clear that others do not.

At this time, even more than is usually the case, that cannot be justified. It is not acceptable for any social care worker to be faced with the impossible situation of testing positive for the virus, knowing that their weekly income will reduce to only the level of statutory sick pay.

So we have intervened to ensure that social care workers do not face that situation, but receive better levels of sick pay. It is also the case that for some social care workers, their contract of employment offers no cover for death in service. Again, that is not acceptable, so our intervention will also ensure that in the tragic circumstances of this  pandemic, when a social care worker dies their next of kin will receive financial support.

That sick pay fund will ensure that care workers who test positive for COVID-19 will receive sick pay above the current statutory level of £95.85 a week.

The death in service benefit will see a one-of payment of £60,000 made to a named survivor of any social care worker who dies without death in service cover in their contracted pension arrangements. And both these arrangements will be retrospective.

Over the course of the next week, we will work with local government, social care providers and trades unions on the  details. But our aim is clear. This Scottish Government will provide fair benefits for care workers. They have continually shown, in recent weeks, how vital their work is. And we must help them, as they provide help to those who need it.

The people in our health and social care services are doing a tremendous job, but they need us to play our part.  And part of that is by following the rules that we have put in place.

So I think it is essential today to remind everyone – because it is hugely important – what we mean by Self-Isolation, and what we are asking you to do.

That message may have become confused in the last 24 hours because of events in other parts of the United Kingdom, so let me be clear what we mean here in Scotland.

Self-isolation means the following – if you think you have the virus – if you have a persistent cough, a fever or loss of taste and / or smell, you should self-isolate at home for a minimum of seven days.  In that time you should get tested if you can – bearing in mind that testing is now open to anyone over the age of five who have symptoms.

At the same time – anyone in your household should self-isolate for 14 days – to see if they develop the virus, and if they do, they should isolate for seven days from that point.

On the eighth day, if you do not have any more symptoms, you can go back out, back to the lockdown measures that apply across the country.

Self-isolation is not the same as lockdown.  When you are self-isolating you should not go to the shops, or out for exercise or to help others. You should not leave the house for any reason.

Instead if you need anything you should have it delivered to you, whether that’s by family and friends, local volunteers, supermarket delivery services or by phoning the National Helpline on 0800 111 4000.

If you are concerned about vulnerable people who are with you or that you care for – again – phone the National Helpline – 0800 111 4000.

I cannot emphasise enough how important self-isolation is, as part of our efforts – your efforts – to tackle the virus. It is all about breaking that chain of transmission, and I encourage everyone who has symptoms to follow these rules completely.

We hope, as the First Minister indicated, that later in the week we will be able to confirm that some lockdown restrictions – especially relating to outdoor activities – will be relaxed.

But even if those restrictions are relaxed, some key advice – including what I’ve just read out on isolating if you have symptoms of COVID, as well on physical distancing, washing your hands and the use of face coverings – will remain the same. In fact, they will become even more important – to avoid undoing all the progress that you have made through your sacrifices and your compliance with the rules, particularly as we move into Test and Protect.

For the moment, however, all our key public health guidance remains unchanged.

So please stay at home – except for essential purposes, such as daily exercise; buying essential items such as food or medicine; or going to essential work which you cannot do from home.

You can exercise more than once a day – but when you do leave the house, stay more than 2 metres from other people. And do not meet up with other households other than your own.

Please wear a face covering where appropriate – for example if you are in a busy shop or on public transport. And wash your hands thoroughly and regularly.

I know that this is a bank holiday weekend – and that talk of emerging from lockdown probably makes following these restrictions even harder. But the fact that we have stuck with them so far, that is what makes it possible to think about relaxing them.

By doing the right thing, all of us – all of you –  are helping to slow the spread of the virus, protecting our NHS, and you are saving lives.

So thank you to every single person who is doing that.

I am now going to turn to Professor Leitch, our National Clinical Director, to say a few words.

Scottish Government steps in to support social care workers

Extra financial support will be given to social care workers in Scotland during the Coronavirus emergency, Health Secretary Jeane Freeman has announced.

The Scottish Government has stepped in to provide additional funding to ensure all social care workers receive enhanced sick pay where they have received a positive COVID-19 test.

Where any social care worker dies without death in service cover in their contracted pension arrangements, the Scottish Government also plans to provide a one-off payment of £60,000 to a named survivor.

The Health Secretary said: “Social Care staff provide a critical and valuable service, never more apparent than during this emergency period.

“While some employers offer employment contracts closer to the Scottish Government’s fair work principles, it is clear that others do not.

“In recognition of the current exceptional circumstances and in order to ensure that social care workers are given the urgent support they deserve, we will develop a Scottish Government funded scheme for care workers in respect of sick pay and death in service benefits.

“These fair work issues and how they are realised in commissioning contracts will require to be addressed but, in the current circumstances, my focus now is on fairness for the care workers affected.

“We will continue to work with local government, social care providers and trades unions on further details of the plans over the course of next week.”

Scottish Government funding to support health and wellbeing

£8 million for community projects to help combat isolation

Funding of more than £8 million is helping projects to deliver mental health support and wellbeing services for people who are feeling isolated during the coronavirus (COVID-19) pandemic.

The funding was allocated to 344 projects, who are providing support in communities across Scotland, including to those who are self-isolating or shielding.

It is part of a £50 million Wellbeing Fund that is helping people through the pandemic.

Communities Secretary Aileen Campbell said: “Adjusting to life under lockdown is tough and although we have all found it difficult, for some, the strain on their mental health and wellbeing has been a real struggle.

“A quick phone call or dropping off a few essential groceries can have a huge positive impact on people who may be self-isolating or shielding for health reasons. Small acts of kindness will also help those people who have seen their support network – whether that be friends, extended family, colleagues or community groups – disappear almost overnight.

“That is why this funding has been so important. It has enabled groups providing mental health and wellbeing support, alongside other vital services, to offer help and advice as we deal with this pandemic. I am glad we have been able to support groups across Scotland to provide these lifelines at a hugely difficult time.”

Space and Broomhouse Hub in Edinburgh is using £20,500 of wellbeing funding to provide services supporting mental health and combating isolation for a range of age groups. That includes keeping in touch by phone with elderly people who are self-isolating and providing food parcels and ‘boredom buster’ packs to families.

Bridie Ashrowan, Chief Executive at The Broomhouse Project, said: “Our community hub is helping many people locally to manage the traumatic consequences of COVID-19, such as empty kitchen cupboards, paying bills, anxiety, social isolation, digital exclusion, increased stresses on family relationships, and lack of respite for carers, young carers and adults.

“Our amazing staff, volunteers and trustees are delivering this with kindness and community. A huge thank you to the Scottish Government for enabling us to progress this work when it is much needed.”

In Dumfries and Galloway, the Lincluden After School Group has used £15,841 of Wellbeing funding to provide extended respite care services for parents of children with additional support needs, helping to prevent burnout and maintain stability during the crisis.

Kathleen Procter, Manager of the Group, said: “At this scary and unprecedented time, we can’t thank the Scottish Government enough for putting the Wellbeing Fund in place to support charities.

“The funding we received will allow us to provide vital support for children with additional support needs or disabilities. This is a very unsettling time for these children and we are grateful to be able to play our part in continuing to provide as much normality and routine for them as possible.”

The £50 million Wellbeing Fund supports organisations across the third sector that are providing important services for people as a result of coronavirus. It is part of the £350 million emergency coronavirus funding announced by the Communities Secretary on 18 March.

£33 million of the Wellbeing Fund is open to applications, with grants available between £5,000 and £100,000.

The fund is being delivered through national organisations and funders including Scottish Council for Voluntary Organisations, Corra Foundation, Inspiring Scotland, Impact Funding Partners, The Hunter Foundation, The STV Children’s Appeal, and all of Scotland’s 32 Third Sector Interfaces (TSIs) which provide a single point of access for support and advice for the third sector within local areas.

Phase one of the Wellbeing Fund worth £14 million, has been awarded to a total of 558 projects to provide targeted support in local areas.

Applications for the second round of the Wellbeing Fund opened on 8 May to all organisations that did not apply or receive funding during the first round. As of 20 May, 237 applications had been received during round two worth £4,169,206.

NHS Lothian to play key role in COVID-19 vaccine trial

NHS Lothian is set to become involved in a major clinical vaccine trial testing the new Covid-19 vaccine in collaboration with Oxford University and 17 other sites across the UK.

The vaccine study will run at both the Western General Hospital and the Royal Infirmary of Edinburgh.

The aim is to enrol approximately 600 Lothian frontline health and social care workers which will include doctors, nurses, emergency department staff, paramedics, care home nurses, porters and domestics to test a new vaccine.

Screening volunteer health and social care workers is planned to begin from next week.

Dr Tracey Gillies, Medical Director, NHS Lothian, said: “We are pleased to be participating in this unprecedented clinical vaccine trial and I would like to thank everyone for their participation in this vital research.

“Their involvement will be essential in the development of a vaccine and this pioneering and important research allows us the opportunity to contribute to the development of a globally approved vaccine against Covid-19.”

The main focus of the study will be to develop a safe vaccine for use across the population.

As part of that, it will investigate the effectiveness of the vaccine, to pinpoint any side effects and to establish if it induces good immune responses against the virus.

To recruit the large number of participants needed for this trial, multiple clinical research sites across the UK are involved in delivering the study. The collaborative effort, led by the University of Oxford, will see vaccinations taking place throughout May and June.

Health Secretary Jeane Freeman said: “I am delighted that the Universities of Edinburgh and Glasgow along with NHS colleagues are taking part in the human safety trials for the development of a COVID-19 vaccine by Oxford University.

“Scotland has a long established reputation for medical research, and I would like to thank the research community across the country. The pace of work and the commitment of teams across Scotland has been outstanding and is testament to the world-class research infrastructure and expertise we have here.

“Of course, while the prospect of an effective vaccine developed here in the UK is exciting, there is no guarantee of success and we must continue to follow the guidelines set out by the Scottish Government to reduce the spread of COVID-19 and protect our NHS.”