Scottish Government – Page 306 – The NEN

At Last: UK-wide expansion of testing

Everyone over the age of five with symptoms eligible to be tested

Testing for coronavirus (COVID-19) is to be opened out to everyone who is symptomatic over the age of five. This means anyone who is displaying any of the three symptoms of COVID-19 – continuous cough, high temperature, or loss of sense of taste or smell – will be able to book a test at the drive-through or mobile test centres.

A limited number of home test kits are also available through this programme.

Tests were previously available to over-65s, key workers and to anyone who needs to work and cannot do so from home. They were also available to household members of those groups.

The extension in testing eligibility comes ahead of the rollout of the new Test, Trace, Isolate and Support (TTIS) approach which will be used to keep transmission in communities low as the country moves out of lockdown.

The extension is a four nation, UK-wide expansion of testing.

The tests in Scotland are available through drive-through centres at Aberdeen, Edinburgh or Glasgow airports, and in Perth and Inverness.

They are also available through the 12 mobile testing units across the country, which move every five days or so. If you book a test you will be offered a test at the centre closest to your own postcode.

First Minister Nicola Sturgeon said: “This further expansion of testing will ensure that anyone with symptoms will be able to find out if they have COVID-19, and will therefore be able to know whether or not they should be isolating.

“As well as allowing more people to have a case of COVID-19 confirmed, today’s expansion will also be helpful as we build towards our strategy of test, trace, isolate and support – something that will be especially important as we start to emerge gradually from lockdown.

“This is vital in order to keep transmission in communities low.”

Tests can be booked online: www.nhs.uk/coronavirus

For those unable to access the portal, call 0300 303 2713.

Home test kits are also an option for people who can’t get to a test sites.

Clinical advice is that under-5s are less likely to be affected by COVID-19 and the tests can be distressing for young children. However if you are concerned about a child who is showing symptoms, telephone 111 to speak to NHS 24.

More information on symptoms:

https://www.gov.scot/news/update-to-coronavirus-symptoms

More information on symptoms at NHS Inform:

https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/coronavirus-covid-19

Priority will continue to be given to those who are key workers, and can be secured by booking through an employer.

Test, Trace, Isolate, Support is a public health intervention to identify cases of COVID-19, find the people they have been in close contact with, and then ask those close-contacts to self-isolate for 14 days to reduce the risk of the disease spreading.

Scottish Government strengthens oversight of care homes

New arrangements to significantly strengthen oversight of Scotland’s care homes have been published by the Scottish Government.

From today, clinical and care professionals at NHS boards and local authorities will have a lead role in the oversight for care homes in their area.

Every Health Board and local authority must put in place a multi-disciplinary team comprised of key clinical leads and the area’s Chief Social Work Officer.

The team’s remit will include daily discussions about the quality of care in each care home in their area, with particular focus on implementation of infection prevention and control, and the provision of expert clinical support to residents who have Coronavirus.

The short paper ‘Coronavirus (Covid 19) – enhanced professional clinical and care oversight of care homes’ also highlights issues around testing and contact tracing with escalation measures in place if issues cannot be resolved.

The paper builds on recent actions to ensure care home residents can be kept safe, including new guidance for the sector and amendments to the Coronavirus (Scotland) (No. 2) Bill which would ensure the swiftest possible intervention if care home residents are being put at serious risk due to services failing.

Health Secretary Jeane Freeman said: “The coronavirus pandemic has had a significant impact on Scotland’s social care services. It is of paramount importance that those using services, including residents of care homes and those supporting them, are provided with the best possible care and the Scottish Government is doing everything in its power to ensure that is the case.

“All organisations including care providers are responsible for effective and safe care in their services and are expected to work closely together and at pace to give effect to these arrangements. While these are unprecedented times, everything possible must be done to protect care home residents and staff from the effects of Covid-19.

“These new arrangements will ensure clarity and consistency across the country about the role of Health Boards and local authorities in helping to keep their residents safe from coronavirus and should be seen alongside other recent action the Scottish Government has taken, including publishing revised guidance for the sector, and amendments to the Coronavirus Bill being discussed at parliament next week.

“I want to assure staff, residents and their families that a safe residential environment in care homes remains our top priority.”

Coronavirus (Covid 19) – enhanced professional clinical and care oversight of care homes.

Jeane Freeman: ‘We are getting a bit closer to the day when we can relax some more of these restrictions’

Statement given by the Health Secretary Jeane Freeman at a media briefing in St Andrew’s House yesterday (Sunday 17 May).

Good afternoon. Thank you 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 14,537 positive cases confirmed – an increase of 90 from yesterday.

A total of 1,308 patients are in hospital with the virus – 1,007 who have been confirmed as having Covid, and 301 who are suspected of having Covid. That represents a total decline of 108 from yesterday, including a decrease of 4 in the number of confirmed cases.

A total of 59 people last night were in intensive care with confirmed or suspected COVID-19. That is the same number as reported yesterday.

I am also able to confirm today that since 5 March, a total of 3,354 patients who had tested positive for the virus have been able to leave hospital. I wish all of them well.

Regrettably, I also have to report that in the last 24 hours, 9 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 2,103.

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

As always, I want to stress that these numbers are much more than statistics. They represent individuals whose loss is a source of grief to many. 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 sector. That thanks is due to every single person – doctors and nurses; paramedics; care home staff; healthcare assistants; porters, cooks, and cleaners and many, many more.

Everything you do is essential to the health and well being of our country. And all of us owe you a great debt of gratitude.

I have three areas which I want to update you on today.

The first relates to care homes. All care workers demonstrate everyday commitment and compassion in their work and in incredibly difficult circumstances. We will continue to do everything we can to support you, while you provide care and support for those who most need it.

On Friday we published detailed clinical and practice guidance for care homes. Today we have published details of arrangements that take effect from tomorrow to ensure enhanced professional clinical and care oversight.

The publication today sets out a very clear role for the NHS, in partnership with the relevant Local Authority and Local Health & Social Care Partnership to actively and proactively ensure that every care home has the additional support and if necessary intervention, to make sure that clinical care, infection prevention and control, PPE and testing arrangements are what we need them to be.

Accountability for this sits at the most senior levels of our Health Boards and of course through them, to me as Health Secretary.

These additional arrangements build on current support and ensure that care homes benefit from the vital contribution of Nurse Directors, Chief Social Work Officers and Chief Officers of Health and Social Care Partnerships.

The Scottish Government has also added new measures to the Coronavirus Bill, which will receive Stage 2 consideration in Parliament next week.

These make it clear that – if a provider is unable to continue to deliver care, or if there is a significant risk to residents – Scottish Ministers can ensure continuity of care and support.

These powers would only be exercised as a last resort. There is a range of guidance available for care providers on how to manage the current situation, which we expect to be followed.

Of course there are many positive examples across Scotland of highly effective management of care homes.

But there have also been instances where care standards during this pandemic have fallen short. We are already taking action to address these, with the support of the Care Inspectorate.

If passed, the new measures we are proposing will provide additional assurance – to staff; to people who live in care homes, to their residents and to their families – that further action will be taken to address any failings that arise and will be taken quickly.

The Coronavirus Bill provisions – together with the guidance we have published – reinforce our determination to ensure that care in every residential setting is as safe as possible.

The second issue I want to talk about is a further development of our growing capacity to test, trace, isolate and support.

That process – which involves identifying cases of COVID-19, finding the people they have been in close contact with, and then asking those close-contacts to self-isolate for 14 days is crucial as we start to emerge from the lock down. It will help us to quickly break the chains of transmission, and therefore stop any new outbreaks of Covid from growing.

Currently Health Boards across Scotland do some contact tracing, based on risk assessments. And as part of our build-up of contact-tracing staff, an open recruitment process is underway to supplement the increase in contract tracing teams Boards are currently working on. We now have 600 additional staff across our NHS boards who are ready to start and more are being trained as contact tracers.

From tomorrow, NHS Fife, NHS Lanarkshire and NHS Highland will test the contact tracing technology that health boards will use. This builds on existing tried and tested technology, and is designed to support staff to collect and record information, and to trace more contacts more quickly.

Together with the growing number of contact tracers the technology allows us to carry out contact tracing on the much larger scale that will be needed.

The software which is being tested next week, will be used in all health boards by the end of May and will continue to be refined and improved during June. It will play a valuable role in improving the speed and effectiveness of our work to test, trace, isolate and support.

The final issue I want to talk to you about is the appointment of an additional deputy Chief Medical Officer. The First Minister has appointed Professor Marion Bain to that role on an interim basis.

Professor Bain is the Scottish Government’s former Senior Medical Advisor for Public Health Reform. Most recently, she has been working as the Director of Infection Prevention and Control in NHS Greater Glasgow and Clyde. She is also an Honorary Professor at the University of Edinburgh, and has a particular research expertise in the use of routine health information for public health and clinical research.

Professor Bain will work alongside our other interim Deputy CMO, Dr Nicola Steedman. And she will support our Chief Medical Officer, Dr Gregor Smith,

Her appointment will provide additional capacity in that key role and further ensure that we benefit from the very best public health expertise available.

I’m now going to pass you on to Fiona McQueen, our Chief Nursing Officer but before I do, however, I’d like to emphasise once again our key public health guidance.

Please stay at home except for essential purposes- such as daily exercise, or to buy essential items.

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

You should wear a face covering if you are in a shop or on public transport and physical distancing is difficult to achieve. And wash your hands thoroughly and regularly.

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

I do know how difficult these restrictions are. And I also know they get harder as time passes. But they are necessary – and they are making a difference.

By staying at home, we, you, are slowing the spread of the virus, protecting the NHS and saving lives.

And we are getting a bit closer to the day, when we can relax some more of these restrictions.

So thank you once again to all of you, for doing the right thing, and sticking to the guidance.

Care sector ‘safety net’ proposed

New measures have been proposed to ensure swift intervention if care home residents are being put at serious risk due to services failing.

The move comes after the Care Inspectorate began legal action which could prevent operator HC-One running the Home Farm Care Home in Portree, where nine residents have now died.

The planned emergency powers are being put forward as a Scottish Government amendment to the Coronavirus (Scotland) (No. 2) Bill ahead of Stage 2 next week.

The amendments make clear that, if there was a significant risk to the life, health or wellbeing of individuals, or that a provider was unable to deliver care due to failure, that strengthened emergency powers will be available to ensure continuity of care.

If passed by the Scottish Parliament, the emergency powers will provide assurance to those who depend on care services, their families, and the staff that deliver care, that additional oversight and support is available in the rare circumstances that it may be required.

Health Secretary Jeane Freeman said: “The coronavirus pandemic has significantly impacted social care services around the world. In the face of this challenge, staff in care homes across Scotland have been working incredibly hard to care for their residents.

“It is of paramount importance that anyone living in a care home or using other care services, as well as those supporting them, are provided with the best possible care. We will do everything we can to ensure that remains the case. We are fortunate that this high standard of care is the norm for the vast majority of care home residents in Scotland.

“However, for the duration of this pandemic I believe that it is critical that a clear safety net is in place to ensure that if a care provider was unable to continue to deliver services, that the people who depend on those services should not be impacted. Our proposals build on established powers and would put beyond doubt that immediate action can be taken if continuity of care was jeopardised for any reason.

“The Care Inspectorate has a robust inspection regime for the care sector and the further steps we are hoping to take, if the parliament agrees, help bolster that work and would only be exercised as a last resort. There is guidance available for care providers on how to manage the current situation, which the Scottish Government expects to be followed.

“Every resident in our care homes, their family and the staff who work there should be kept safe from harm and we are prepared to take action where this is not the case.”

First Minister: polling support for Scotland’s lockdown

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House on Friday 15th May:

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

I want to start – as I always do – with a statistical update on COVID-19 in Scotland.

As at 9 o’clock this morning, I can report that there have been 14,260 positive cases confirmed – an increase of 143 since yesterday.

A total of 1,449 patients are in hospital with the virus – 1,066 of them have been confirmed through a test as having COVID-19, and 383 are suspected of having the virus. That overall number represents a decrease of 31 since yesterday.

A total of 71 people last night were in intensive care with confirmed or suspected COVID-19 – which is no change since the figure I reported to you here yesterday.

I am also able to confirm that since 5 March, a total of 3,290 patients who had tested positive and required hospitalisation for the virus have now been able to leave hospital, which is good news for them and their families.

Unfortunately I also have to report that in the last 24 hours, 46 deaths have been registered of patients who had been confirmed through a test as having the virus – that takes the total number of deaths in Scotland, under that measurement, to 2,053.

As always, because it is so important every single day that we never see these numbers as statistics, as always I want to stress that point. Behind every single one of these statistics I read out to you here today, is an individual whose loss is being mourned by friends, family and all of their loved ones.

I want to send my deepest condolences to everyone who has lost a loved one to this virus. The thoughts of me, the government and I’m sure everybody across Scotland are very much with you at this time.

I also want to thank – as I always do – again, our health and care workers. Once again last night, I joined with people across the country, in the applause at 8pm. That is a small – but I hope powerful – way of demonstrating our deep appreciation, our ongoing appreciation for your incredible efforts at this very, very challenging time.

There are of course many, many other people who, in various different ways, are keeping the country going during this crisis. I can’t list all of them every day, but if you are in any of these categories know my deep appreciation and gratitude is with all of you. From time to time, I want to single out particular groups of workers so that they know that their efforts are not forgotten at this time.

Today I’m going to highlight the role of our telecoms workers and especially telecoms engineers.

The fact that we are being forced to stay physically distant from each other, has made many of us rely more than ever on technology. We’re reliant much more now on technology for access to public services. Our children are relying on technology for access to education. Many are working from home and need technology for that. We’re all using technology for staying in touch with family and friends at a time when we cannot physically see them.

So the contribution of those who keep all of these systems working, our phones and our broadband networks going at this time are so important to our everyday lives. That is true at all times but it is particularly true right now so I wanted to take the opportunity to say thank you to all of you.

I’m going to keep my general update today relatively brief.

As you know, the lock down restrictions here in Scotland remain very much in place. The message to you today, over the weekend and into next week, is still stay at home. The only change we’ve made to the guidance in place, which of course we announced last weekend, is the change on exercise.

That position we have in Scotland, now I want to be very clear, continues to be based on our assessment of the evidence – and on what we judge is right for the protection of people across the country.

However, as I also said on Sunday, we will continue to monitor the evidence very closely on an ongoing basis. And as we hopefully see more evidence of a downward trend in the virus – we will then consider further changes, but we will do so on a very careful and gradual basis.

When we know that lives are at stake and we have learned that everyday over these past seven or eight weeks as I’ve stood up here day in day out and read out numbers of people who have died. We do know that lives are at stake with this virus.

Then for as long as that continues to be the case, I’m going to continue to err on the side of caution, err on the side of saving lives and reducing the number of people who might die unnecessarily.

And I hope I have your continued understanding in doing so.

However, I also want to give you as much visibility and advance notice of future changes as possible.

We can’t live like this forever so we need to get some normality back as we continue to suppress the virus. We’ve tried to set out, as we have done in recent weeks on an ongoing basis, as much of our thinking and consideration as we can. As we can’t yet confirm dates of when things will open up again, at least we will seek to share with you share the order of priority and potential phasing.

So I will give you an indication now that next week, I will share with you more information on the assessments we are making and the range of options that we are looking at and any further minor changes that we might make in the short term.

And, as I have said before, as we make these decisions fairness and quality of life will be really important factors.

We are, of course, keen to get the economy moving again – I am very keen to get the economy moving again – that matters to all of us, not just to businesses.

But we also have to consider very carefully our social interactions.

A life where we go to work but stay locked down with no family interaction for the rest of the time is not one that many of us, if any of us, would enjoy.

So given that we are likely to have for quite a while to come very limited room for manoeuvre – and I want to stress that is the case – we will need to get these balances as right as possible. That’s why we are paying close attention to the ideas that many of you are taking the time to share us.

Our considerations will be informed, as we have always said, by the scientific evidence and advice and the clear principles we have set out.

In all of this continuing to set out clearly to you why we are asking you to live your lives in such a restrictive way is vital – so that you understand we are not asking you to do this for no reason and will not ask you to do this for any longer than we judge to be necessary.

It is not enough, and never be enough in my view, for me simply to tell you what I want you to do. I have to explain, I’ve got a duty to explain to you, on an ongoing basis my reasons for it.

Compliance with any measures we may need to keep in place will, I think, always be higher if I am clear, rational and straight with you about the difficult judgements they are based on.

So on that theme, I thought I’d just very briefly share with you today the results of some polling on attitudes that we have undertaken.

And you’ll understand that we do this just to check that the messages that we are trying to convey are being understood and getting across.

Though I’m not complacent about this at all, this polling that I’m going to share with you suggests that the really important bond of understanding between government and you, the public in Scotland, right now is currently very strong. And I want to do everything I can to keep it that way.

The polling reveals that there is widespread endorsement for the approach that we are taking in Scotland.

So, for example:

84% of you agree with a slow and gradual lifting of restrictions
82% of you agree that before further significant changes to lockdown restrictions are brought in, the impact of those already introduced should be assessed
86% continue to agree that decisions on when and how to lift restrictions must be based on saving lives and protecting the NHS

So, I want to take the opportunity again today to thank you for your support. These last few weeks have truly been a collective endeavour – we’ve all been making sacrifices not just for our own sake, but for the sake of each other as well.

We’ve been putting those values I keep talking about – of love, kindness and solidarity – into practice.

My ask of you is that we keep doing so for a bit longer. Let me, therefore, end with this fundamental point.

The way in which we save lives, but also the way we emerge from this lockdown that bit more quickly, is by sticking now with the current guidance.

So before I hand over firstly to the Chief Nursing Officer, and then to our National Clinical Director, I want to reiterate – once again – what that guidance says.

Please stay at home. Except for essential work that you can’t do at home, for buying food or accessing medicines, or for exercising, you should not be going out.

Of course, you can now exercise more than once a day, if you want to. But when you are out, please stay more than two metres from other people and don’t meet up with people from other households.

Please wear a face covering if you are in a shop or on public transport. And remember to wash your hands thoroughly and regularly.

Finally, if you or someone else in your household has symptoms of the virus, then please stay at home completely.

I know that these restrictions are tough, I say this every day but I’m always conscious on a Friday of just how much tougher these restrictions feel for all of us over the weekend, particularly when the sun is out, which as we know, is sometimes a rare occasion in our country.

But these restrictions are essential for now and crucially, and this is the point I really want to leave you with – they are making a difference and I hope you can see that in the statistics, albeit the difficult statistics that I’m sharing with you everyday.

By staying at home we are slowing down the spread of this virus, we are protecting the NHS, we are undoubtedly saving lives and we’re also bringing much closer that day when we can start that return to normality.

So thank you very much for doing the right thing. Thank you for the sacrifices you are making. Please keep doing it. For your own sake and your families sake and for the sake of everybody across the country. Thank you very much indeed for listening and I’m going to handover now to Fiona McQueen, our Chief Nursing Officer, and then to Professor Leitch, our National Clinical Director.

Care Inspectorate takes legal action over Skye’s Home Farm Care Home

The Care Inspectorate has taken legal action over the running of a private care home on Skye where seven residents have died in a coronavirus outbreak.

The inspectorate has asked the Sheriff Court to cancel the registration of the HC-One-owned Home Farm 40-bed nursing home facility in Portree.

It follows an unannounced inspection of the home on Tuesday.

A spokesperson for the Care Inspectorate said: “An inspection has identified serious and significant concerns about the quality of care experienced by residents at Home Farm Care Home in Skye.

“We understand this is a difficult and distressing time for residents, their loved ones and staff at the home.

“However, our first priority is always the health and wellbeing of residents.

“We have submitted an application to the sheriff court seeking cancellation of the care home’s registration.

“This could mean new care arrangements will be put in place for residents at Home Farm care home.

“We are working closely with partners including NHS Highland to ensure that residents experience appropriate care during this difficult time.”

In addition to the seven deaths, 30 of the nursing home’s 34 residents and 29 staff have tested positive for Covid-19.

A spokesman for HC- One, who operate 56 homes in Scotland, told the BBC: “We have accepted the shortcomings at Home Farm and apologise to our residents, their families, and the local community. We are fully committed to making significant improvements at the home and determined to put things right.”

On HC-One’s website – their slogan is ‘the kind care company’ – Home Farm is described:

‘The home’s caring team has created a family atmosphere, encouraging everyone to eat and celebrate special occasions together. Residents are invited to decorate their rooms with small items of their own furniture and treasured belongings so that it feels just like home. Daily life is carefully designed to support mind, body and soul.

‘Home Farm’s Home Manager makes sure that all Residents receive the kindest possible care. Our extensively trained team will deliver all the nursing and specialist care and support services that your loved one requires.

‘Personalised care plans consider not only medical, personal and dietary needs, but also the individual’s likes and dislikes, religious preferences, and suggestions from family members that might make their stay with us that little bit more enjoyable’.

On 29 April, HC-One wrote to local authorities seeking additional funds:

As we have done throughout the coronavirus crisis, we firmly believe we have a responsibility to our Residents, our Colleagues and to the wider public to highlight the challenges facing care homes at this unprecedented time.

This is why we have published online each day the total number of coronavirus cases and deaths experienced at our homes, and why we are also publishing in full the letter we have sent to the Local Authorities we work with regarding our request for financial support.

The Government has previously announced £3.2bn of additional funding for Local Authorities in response to the additional costs placed on them and their partners, which include all social care providers, by the coronavirus outbreak. We welcomed this announcement and the priority now is that this money reaches the front line.

As set out in our letter, HC-One has been significantly impacted by coronavirus including most importantly and most sadly the loss of more than 700 Residents and three Colleagues from this terrible virus. Alongside this, admissions have understandably fallen, and costs have significantly increased as we invest in the PPE needed to keep our Residents and Colleagues safe.

As a responsible provider, we entered this year and this crisis in a very strong financial position. In response to the financial impact of coronavirus we have taken a range of measures, including engaging with our lenders and our owners, to make sure we have the balance sheet resilience needed to see us through this challenging time.

These are prudent and responsible steps to take, as is looking at our income in the short term and engaging with the organisations that pay for the Residents living in our homes.

The Local Government Association and the Association of Directors of Adult Social Services, which represents Local Authorities and Social Care Commissioners respectively, have highlighted that care providers experienced a predicted 10% increase in costs linked to their coronavirus response.

Our letter therefore seeks to start a conversation with our Local Authority partners on how we can access some of the additional funding provided by Government to cover these additional costs.

We clearly set out the impact of the virus on our organisation, the statistical modelling we’ve completed that shows the predicted future impact of this deadly virus, the proactive steps we have taken to build financial resilience, and our request to discuss an income guarantee to assist us in the short term.

This request aligns with the Government’s COVID-19 Social Care Action Plan, which states Local Authorities must “protect providers’ cashflow”, and reflects the offers we’ve already received from some of our Local Authority partners who recognise the vital role our homes play in communities across the UK.

We are fortunate to be in a financially stable position, and to have the support of owners who are invested in the organisation and its mission for the long-term. We are therefore confident we can ‘weather the storm’ caused by coronavirus. Nevertheless, the responsible and prudent action was to engage with our funders, commissioners and lenders to make sure we build the most resilient financial position possible to achieve this.

As we move forward during this public health emergency, HC-One will continue to focus solely on protecting the health and wellbeing of our Residents and Colleagues.

This includes providing the PPE, training and wellbeing support our teams need, but also engaging transparently in conversations with our funding partners about the additional financial support required to support our organisation.

Since the Care Inspectorate’s intervention it has been announced than an eighth resident has died.

Health Secretary Jeane Freeman and Scottish Care CEO Donald Macaskill have wriiten a joint letter to all care home staff in Scotland this morning.

JF_and_DM_-_CARE_HOME_STAFF_letter_-_May_2020

An inspection report will be published in due course.

Call to restart cancer services in Scotland

Scottish Conservatives Lothian MSP, Miles Briggs, has called for the Scottish Government to publish an NHS Scotland Recovery Plan to restart services disrupted by Covid-19, particularly cancer services.

In preparation for the Covid crisis NHS Scotland went to great lengths to free up capacity and many services were paused.

Elective surgeries were postponed for three months to free up beds and cancer screening programmes for breast, cervical and bowel cancer as well as some cancer operations were also indefinitely halted.

Now cancer charities have issued a plea to the Scottish government to get cancer services up and running again and the Scottish Conservatives have asked for a plan to deal with the backlog in treatment and operations.

In NHS England cancer treatments restarted over two weeks ago.

In addition, this morning ISD Scotland published figures showing that attendances at A&E services have dropped dramatically since the end of march, due to the measures put in place to respond to COVID-19.

The statistics highlight that during the week of the 3 May only 16,107 people were seen at A&E, compared to 27,845 for the same week in 2019, the previous year, a staggering drop of over 40%.

Miles Briggs, Scottish Conservative shadow health secretary said: “It is vital that the Scottish Government brings forward an NHS Recovery Plan – a plan to restart our health service, particularly cancer services and operations, in Scotland.

“Over the last two months, in so many ways, people have selflessly put their own needs on hold.

“The A&E figures show that people have been staying away from the NHS meaning many people may be suffering in silence.

“But further delays will mean more patients could have poorer outcomes.

“It is now over two weeks since NHS England restarted cancer treatments, we could too.

“Thanks to the incredible work from everyone who works in our NHS, our health service has not been overwhelmed during this crisis.

“The Scottish Government must publish a plan to deal with the current backlog of operations and treatments and give everyone access to the healthcare they need before it’s too late.”

Money worries? Financial support and debt advice available

29% of people in Scotland report being worried about their finances having already felt the negative impact of Coronavirus.

People in Edinburgh facing financial difficulty as a result of the Coronavirus outbreak are being encouraged to seek guidance on the help available to them.

Research commissioned by the Scottish Government in partnership with YouGov has revealed that nearly a third of people across Scotland (29%) have already felt the financial strain of the current Covid-19 outbreak and are worried about its impact.

The survey of over 1000 respondents also shows that 71% of people in Scotland are concerned about the lasting impact on their finances.

These findings follow the launch of a new campaign by the Scottish Government and the Citizens Advice network that aims to raise awareness of the financial support available to people in the Capital.

The campaign provides information and advice on issues including rent and mortgage payments, energy bills, council tax, and benefits people may be entitled to.

People throughout Edinburgh are able to access this advice online, by contacting their local Citizens Advice Bureau or getting in touch with any of the capital’s independent advice providers including Granton Information Centre and CHAI.

Cabinet Secretary for Communities and Local Government Aileen Campbell said: “There is no doubt that this is a difficult and worrying time for everyone. Today’s findings further underline the need to provide people across Scotland with the correct support, guidance and information to help them with their finances.

“We need to ensure that people are aware of the support that they are entitled to from the DWP and I would encourage everyone across Scotland who is facing financial difficulty to look into what additional help is available to them.

“That’s why we’ve been working with the Citizens Advice network in Scotland to create this central source of information – with everything from guidance on benefits, right through to what you can do if you are worried about paying your mortgage or rent.”

Adam McVey, City of Edinburgh Council Leader, said: “Work has been ramping up across Edinburgh to make sure our hardest hit citizens get the help they need. From welfare, council tax and debt support for those facing financial hardship, to food supplies for our most vulnerable families, we’ve been pooling resources to direct help to those who are in crisis.

“Our five Council Resilience Centres are providing a base for officers to work from so that they can target online and phone support for those facing hardship or worried about homelessness. And we’re building up a picture of how our most at-risk residents are impacted, so that we can develop longer-term measures through the Edinburgh Poverty Commission.

“It’s going to be so important that we work together to tackle poverty and, in these uncertain times, we know financial worries will weigh on people’s minds. Don’t suffer alone. Know that help is available and get in touch with Citizens Advice or our own Advice Shop for help.”

The Citizen’s Advice network website features dedicated COVID-19 content along with a telephone helpline. Those who have been financially impacted by the coronavirus outbreak and require free, confidential, financial support, can visit cas.org.uk or call 0800 028 1456.

Local Citizens Advice Bureaux are situated around the country. To find your local service, simply enter your postcode at cas.org.uk/bureaux

Free, professional help is also available from Granton Information Centre and Community Help & Advice Initiative (CHAI) who, along with Citizens Advice Edinburgh, deliver debt advice across the capital.

For more information, check out the city council’s advice pages on welfare support, financial worries and debt information.

Coronavirus seven weeks on: First Minister addresses the nation

Statement given by the First Minister Nicola Sturgeon during an address to the nation from St. Andrew’s House, Edinburgh, last night:

It’s now exactly seven weeks since lockdown measures were introduced.

The extent to which you have stuck to these rules – often at great personal sacrifice – has been truly remarkable.

So I want to start with a heartfelt thank you.

By staying at home, you have saved lives.

Seven weeks ago the virus was spreading out of control.

Today, it is in retreat.

Those who work in our NHS have been under immense pressure – and they have responded magnificently – but the health service has not been overwhelmed in the way we feared it would be.

In the last four weeks, the number of COVID-19 patients in intensive care has fallen by almost two thirds.

And last week, we saw the most welcome sign of all.

For the first time since the epidemic started, the number of deaths registered in a single week fell.

So the progress is real and it is down to you.

But our progress is still fragile. If we ease up too soon, the virus could run out of control again. That would mean more people dying and all of us staying in lockdown much longer.

There will of course be risks whenever we start to ease the lockdown.

But my judgement right now is that the risk is still too great.

Too many people are still dying, and the situation in care homes – despite the extraordinary dedication of our care workers – remains a serious concern.

And the important R number – the rate at which the virus reproduces – is still uncomfortably close to one. If it exceeds one, the virus could rapidly take off again.

That is why the Scottish Government is exercising such care and caution.

We announced one change to the rules yesterday. If you want to exercise outdoors more than once a day, you can now do so.

But otherwise we are asking you to stick with lockdown for a bit longer – so that we can consolidate our progress, not jeopardise it.

Except for essential work that can’t be done at home, going out for food and medicine, or for exercise – please continue to stay at home.

When you do go outside, please stay two metres from other people – and don’t meet up with people from other households.

Please wear a face covering if you are in a shop or on public transport. And wash your hands thoroughly and regularly.

These measures are essential for now. But we know they cause harm of their own, so we will not keep them in place for longer than necessary.

As the infection rate continues to fall, we will gradually relax the restrictions.

And we are already making preparations for that.

We are working with businesses to produce guidance on safe workplaces.

We are working on the changes needed on public transport.

And we are talking to teachers and parents about how and when schools can safely return.

We are doing all of that carefully because it is vital that when we do ask you to return to work or to school, you have clarity about what we are asking you to do and also confidence that it is safe.

We are also expanding our ability to test people for COVID-19, and trace those they have been in contact with. That will be important to control new outbreaks.

On all of this, I will keep you informed every step of the way.

I want to make sure that as we take each step on the path to recovery, the ground beneath us is as solid as possible. But I will not keep these restrictions in place longer than necessary.

As First Minister, I know the impact this has on all of you. And as a citizen, I miss my family too. But I won’t risk unnecessary deaths by acting rashly or prematurely.

So I am asking you please, for the moment, to continue to do what you have been doing so responsibly.

I also want to say a special thank you to children. Not being at school, or seeing your friends, or hugging your grandparents is really tough.

But you have handled it brilliantly. I’m so proud of all of you.

For all of us, I know it’s getting harder but let’s keep supporting each other even as we stay apart. Let’s remember what matters most – health, family, community.

Staying at home now is an expression of love, kindness and solidarity. We are doing it for each other, not just ourselves. It is how we protect each other, protect our NHS, and save lives.

And it will also bring forward that moment when we can begin a return to normality.

So once again, my thanks to each and every one of you.