Covid-19: New ‘stay at home’ guidance published

ALL CONTRACT TRACING TO END

From Sunday 1 May public health advice will change to a ‘stay at home’ message replacing self-isolation for people who have symptoms or have tested positive for Covid-19.

People who have symptoms of Covid-19 and who have a fever or are too unwell to carry out normal activities will be asked to ‘stay at home’ while they are unwell or have a fever.  They will no longer be advised to take a PCR test.

The changes, part of the Test and Protect Transition Plan which was published last month, will also see all contact tracing ending.

As previously announced, testing for the general population will end on 30 April with test sites closing at that point too.  However, testing will remain available to certain groups in order to protect high risk settings, support clinical care and for surveillance purposes.

Those groups include health and social care workers, care home and hospital visitors, patients groups eligible for treatment, hospital patients, unpaid carers and people in prison.

Other adults who have symptoms of Covid-19 and other respiratory illnesses and have a high temperature or do not feel well enough to go to work or carry out normal activities, are advised to stay at home until their fever has gone or they feel well enough.

Children and young people aged 18 and under with mild symptoms such as a runny nose, sore throat, or slight cough, who are otherwise well, do not need to stay at home and can continue to attend education settings.

They should only stay at home if they are unwell and have a high temperature. They can go back to school, college or childcare, and resume normal activities when they no longer have a fever and they feel well enough to attend.

This guidance reflects the fact that children and young people generally have a higher likelihood than adults of regular instances of respiratory symptoms from non-Covid illnesses. 

The Protect Scotland app will also be closed down shortly, but users are encouraged to keep the app on their phones in case it is needed again at a future date.

NHS Scotland will also be taken out of emergency footing at the end of Saturday 30 April as Covid-19 cases continue to fall.

However, with continued demands on services across health and social care, there remains a need for caution to protect vital services.

Patients should only attend A&E if their condition is an emergency, to continue to limit the pressure on services.  Patients can contact their GP during the day, local pharmacy or call NHS24 on 111 as an alternative.

Health Secretary Humza Yousaf said: “Scotland’s Test and Protect programme has been one of the key interventions in our response to Covid-19, the success of which has been due, in no small part, to the remarkable staff and volunteers working in Test and Protect – my sincere thanks go to them.

“I would also like to thank the Scottish public for their commitment and willingness to engage with Test and Protect when it was required of them and helping to protect their fellow citizens.

“However, we recognise we are now in a different phase of the pandemic. The primary purpose of testing is changing from population-wide testing to reduce transmission, to a targeted response focused on reducing severe harm of the virus.

“As we are now seeing a steady reduction in new Covid cases, the NHS will no longer remain on emergency footing after Saturday 30 April. But we must continue with a measured approach to support the recovery and renewal of our NHS.

“This will require balancing capacity of the NHS and the wellbeing of the workforce to respond to increasing demands for urgent care while reducing the backlog of planned care.”

Further information on the stay at home guidance and measures you can take to limit the spread of Covid-19 can be found at https://bit.ly/39polwD and from 1 May on nhsinform.scot/covid19.

Scotland’s Covid regulations: face coverings to remain for now

Legal requirements to wear face coverings on public transport and most indoor public settings will continue until at least early April given the current spike in Covid case numbers, First Minister Nicola Sturgeon announced yesterday.

Remaining legal requirements for businesses and service providers to collect customer details for contact tracing, and to have regard to and take reasonable measures set out in Covid guidance, will end as planned on Monday 21 March.

The First Minister also confirmed that people without COVID-19 symptoms will no longer be asked to take regular lateral flow tests tests from 18 April. The change forms part of the Test and Protect Transition Plan, which sets out how testing will become more targeted, with the aim of reducing serious harm from COVID-19. 

The changes to Test and Protect mean that from 18 April:

  • most people without symptoms will no longer be asked to take COVID-19 tests
  • free lateral flow devices (LFDs) for the purposes of twice weekly routine testing will no longer be available for the general population given the changing advice, but will continue to be free for any purpose for which testing continues to be advised – for clinical care, for health and social care workers and for people visiting vulnerable individuals in care homes or hospitals
  • until the end of April, people with symptoms should still isolate and get a PCR test
  • vaccinated close contacts of someone with COVID-19 should continue to test daily for seven days with LFDs

People who have symptoms of COVID-19 will still be able to book PCR tests in the usual way until 30 April. From that date, test sites will close and people with symptoms will no longer be advised that they need to seek a test. The public health advice for people who feel unwell will be to stay at home until they feel better, to reduce the risk of infecting other people.

The First Minister thanked the frontline Test and Protect workforce for their efforts throughout the pandemic. Work is on-going to support staff to explore other opportunities in the public and private sector.

The First Minister said: “Today marks a further decisive shift away from controlling Covid through legal restrictions, and towards relying instead on advice and guidance. But please remember, especially since case numbers are so high, that this guidance and advice remains important. 

“Given current case numbers, and the desirability of getting those back under control quickly, the wearing of face masks will stay in place for at least another two weeks.

“Changes in Test and Protect will be phased between now and the end of April. After Easter – from 18 April – we will stop recommending that people who don’t have symptoms, should test for Covid.

“This change will apply across the population –including in most workplaces and in early years centres, schools, universities and colleges.

“Then, at the end of April, routine testing will end – even for people who have symptoms. 

“At that time, physical test sites will close – although some mobile testing units and capacity will be retained for possible future use. Contact tracing will also end.

“Free testing will not generally be available to the wider population. Instead, our advice will be that if you have symptoms of Covid – or indeed symptoms of the flu, or any other infectious illness – you should stay at home in order to aid your recovery.”

Action to focus Test and Protect on those at highest risk

Priority given to essential workers and those most at risk

Essential workers, those at highest risk and anyone eligible for new COVID treatments will be prioritised for a PCR test site slot. This measure is being taken to ensure timely access to PCR testing, as rising rates of COVID-19 infections are resulting in increasing demand.

It is vital that essential workers get the test results they need to qualify for a prompt exemption from self-isolation. However testing remains available for anyone who needs it.

Test & Protect will also focus resources on those most at risk of harm. This means most people will be contacted by text message or email – with contact tracers prioritising telephone calls to those linked to higher risk settings such as hospitals and care homes.  

People should respond to the text or email message, and complete the online form provided, so close contacts can receive the advice they need as quickly as possible.

Updating Parliament yesterday, First Minister Nicola Sturgeon said: ““The current surge in cases means testing capacity – sampling and processing – is under pressure. So we are now prioritising some slots for essential workers – such as NHS and transport staff – as well as for those who are clinically vulnerable or eligible for new Covid treatments. This ensures that essential workers will get the test results they need to qualify for an exemption promptly.

“This is a sensible step to take at this stage. However, notwithstanding this priority for essential workers, let me stress that testing remains available for anyone who needs it.

“If you try to book a test, and can’t find a slot in a location you can get to, do try again later. Additional PCR slots are released throughout the day.

“Test & Protect is also, for now, focusing its telephone tracing on high risk settings, such as care homes. The majority of us, if we test positive, will be contacted by text or e-mail, rather than by phone. If you are contacted by Test & Protect – either as a positive case or a close contact – please respond and complete the online form, and make sure you follow all advice given.”

Self-isolation exemption scheme guidance is available for essential workers.

An investment of £33.1 million was announced last month to safeguard the future of Scotland’s contact tracing workforce of more than 500. The change to PCR prioritisation for test site booking slots will not affect booking a PCR home test.

Information about the new COVID-19 treatments and the eligibility criteria is available at nhsinform.scot

People on the highest risk list, and those who are eligible for new COVID treatments should tick that they are an essential worker to ensure prioritised access to booking a PCR test.  

Additional £482 million funding to tackle COVID-19 in Scotland

The Scottish Government is allocating a further £482 million to NHS Boards and Integration Authorities to meet costs of the pandemic and remobilising health services.

This includes funding for Test and Protect and to support the progress of the vaccination programme.

It comes on top of £2.1 billion provided to date to NHS Boards and Integration Authorities to support additional Covid-19 costs. Further funding will be provided as necessary over the course of the year.

Health Secretary Humza Yousaf said: “Our frontline health and care workers have been remarkable throughout the pandemic, and we continue to support NHS Boards and Integration Authorities to deliver and remobilise vital services as we approach the toughest winter the system has potentially ever experienced.

“This £482 million includes just over £121 million for Test and Protect and a further £136 million for the vaccination programme. The rest of the funding will cover costs including additional staffing to support hospital scale-up, equipment, maintenance and IT.”

Public urged to give details of close contacts online

Covid cases continue to climb in Scotland – record numbers recorded

People who test positive for coronavirus (COVID-19) are being encouraged to securely list details of their close contacts when asked by Test and Protect.

Information collated from the online contact tracing form means Test and Protect staff can quickly identify people who have been in a higher risk setting, such as in a hospital or on a foreign holiday, and focus on contacting them by phone.

They can then be given speedy advice to help break the chain of transmission and slow the spread of the virus. Lower risk cases, and their contacts, are sent public health advice by SMS.

As case numbers increase, changes are also being made to the contact tracing system to ensure it is fully equipped to cope with continuing fluctuations in volume including:

  • Test and Protect contact tracing staff prioritising phone calls to high risk cases to ensure the system delivers maximum benefit as case numbers increase
  • ongoing recruitment in local contact tracing teams
  • additional surge workforce capacity introduced at the National Contact Centre, with 100 extra staff trained and deployed in July.

Health Secretary Humza Yousaf said: “Our Test and Protect workforce continue to play a vital role in the battle against this pandemic and we owe them a huge debt of gratitude for all their efforts.

“Case numbers have increased recently and we have taken a number of steps to ensure the Test and Protect system continues to operate well under increasing pressure.

“We have supported recruitment processes in local health boards and bolstered the number of staff in the National Contact Centre. Our Test and Protect teams are also prioritising calls to cases deemed to be high risk and this is where the public can play their part.

“We are also asking anyone who has tested positive for COVID-19 to provide details of their contacts as soon as they are asked by Test and Protect, using our online tracing form, so that our teams can work quickly to offer advice to those most at risk.

“The majority of people comply when asked to self-isolate and we are thankful for the important role they continue to play in stopping transmission of COVID-19.

“While we are in the process of emerging from the pandemic, case rates at the moment underline the fact that this virus is still with us.”

Still with us – and for the moment at least, it’s looks like it’s winning the battle … 4,323 new cases of COVID-19 were reported yesterday – the highest total yet.

More staff to bolster Scotland’s Test and Protect system

Changes are working, insists Health Secretary

Scotland’s Test and Protect contact tracing system will see its workforce bolstered with the deployment of additional staff over the coming week to help address a rising number of coronavirus (COVID-19) cases.

Health Secretary Humza Yousaf  said recent changes to the system are helping its performance and the way it operates will continue to evolve as vaccination levels rise.

Ascensos, one of Test and Protect’s existing commercial partners, has agreed an arrangement with Barrhead Travel to accelerate and augment the capacity they are providing to the contact tracing system by 100 staff. Additional contact tracing bank staff continue to be brought on board and existing bank staff mobilised. 

Recent changes to the system have also been implemented aimed at ensuring a growing number of cases are closed by contact tracers and that high risk cases are prioritised. These include greater use of text messaging to contact lower risk index cases and digital self-tracing forms.

Mr Yousaf said: “Our Test and Protect workforce have played a vital role in the battle against this pandemic. We  owe these contact tracing teams a huge debt of gratitude for all their efforts over the past year.

“The Test and Protect system has continued to operate well as case numbers have increased in recent weeks, contacting unprecedented numbers of people.

“This agreement to bring in additional staff follows our ongoing efforts this year to ensure commercial partners were on board in preparation  for potential increases in demand on the contact tracing system.

“This extra workforce is important, but the  success of the system going forward will not simply be about staffing numbers. 

“Test and Protect will  change as the population becomes more protected by vaccination and it will still play a key role in mitigating clusters and outbreaks in high risk settings, slowing infection spread and protecting populations at risk.

“As we announced last week, we are now using a variety of methods to contact people, including using digital methods like SMS messages for lower risk cases and prioritising calls for higher risk cases. These changes, along with extra staffing, will ensure that people are contact traced, and begin self-isolation, as quickly as possible. I’m confident that the performance of Test and Protect has started to improve in recent days.

“The majority of people comply when asked to self-isolate and we are thankful for the important role they are continue to play in stopping transmission of COVID-19.

“We will have to manage living with COVID-19 for some time to come, even when we are able to move beyond Level 0. While we hope we are in the process of emerging from the pandemic, case rates at the moment underline the fact that this virus is still with us.”

Recently announced measures have been implemented to streamline the contact tracing system to manage pressure on the system and ensure it is more efficient.

These include greater use of text messaging to contact lower risk index cases and digital self-tracing forms.

The new approach ensures that the contact tracing system is using its resource appropriately and proportionate to public health risks: Test and Protect to prioritise high risk cases – gov.scot (www.gov.scot)

Test and Protect is an NHS-led service which works with commercial partners to help augment capacity when required.

Contact tracing capacity in Scotland is split between the National Contact Centre operated by National Services Scotland (NSS) and  the daily contact tracing workforce  provided by territorial Health Boards.

All mainland health boards offer drop-in coronavirus (COVID-19) vaccination clinics: Drop-in vaccine clinics in every mainland health board – gov.scot (www.gov.scot)

NHS Lothian given £27 million in extra COVID funding

NHS Lothian has been given £27 million in extra COVID-19 funding from the Scottish Government as part of a £380 million package allocated to health boards across Scotland.

This comes on top of the £1.7 billion already provided to health boards and Health and Social Care Partnerships last year.

The additional funding includes ongoing support for the vaccination programme, the Test and Protect system, and personal protective equipment for health and care workers.

SNP MSP for Edinburgh Pentlands, Gordon MacDonald MSP said: “NHS Lothian has been under incredible pressure during the pandemic, not only will this additional funding support the health board with its efforts to treat patients but it will also play a role in supporting our NHS in its remobilisation programme as we come out of the pandemic.

“It is essential that our health services can be on a sure footing as we re-emerge from the pandemic and other services that have been disrupted can restart smoothly.

“This is a demonstration again that the only party in Scotland that can protect Scotland’s NHS is the SNP.”

 Covid Funding (£m)
NHS Ayrshire and Arran                   13.7
NHS Borders                     3.4
NHS Dumfries and Galloway                     4.9
NHS Fife                   11.6
NHS Forth Valley                   10.1
NHS Grampian                   16.2
NHS Greater Glasgow and Clyde                   45.8
NHS Highland                     9.8
NHS Lanarkshire                   25.9
NHS Lothian                   27.0
NHS Orkney                     0.7
NHS Shetland                     0.7
NHS Tayside                   13.7
NHS Western Isles                     0.9
National Waiting Times Centre                     3.9
Scottish Ambulance Service                   17.4
The State Hospital                     0.3
NHS 24                     2.7
NHS Education for Scotland                     1.8
NHS National Services Scotland                156.3
Healthcare Improvement Scotland                     0.4
Public Health Scotland                   12.6
Total                379.6

NHS Covid-19 funding increased

An additional £380 million is being allocated to Health Boards to help with costs arising from the pandemic.

This comes on top of the £1.7 billion already provided to Health Boards and Health and Social Care Partnerships last year. Further financial support will be made available as necessary over the course of this year.

This additional funding includes ongoing support for the vaccination programme, the Test and Protect system, and personal protective equipment (PPE) for health and care workers.

Health Secretary Humza Yousaf said: “Although we are hopefully emerging from this pandemic, coronavirus continues to add significant pressures to our health and care services.

“We will continue to assess the impact of COVID-19 and provide Health and Care services with the support they require. The remobilisation of the NHS is among our top priorities. We will publish a national recovery plan within the first 100 days of this government.

“The £380 million includes £90.3 million for Test and Protect, a further £76.8 million for the COVID and extended flu vaccination programmes, and £85.5 million allocated to National Services Scotland for PPE costs. The rest of the funding will cover costs including additional staffing to support hospital scale-up, equipment, maintenance and IT.”

The 2021-22 Scottish Budget takes total health portfolio funding in excess of £16 billion – an increase of over £800 million (5.3%) – with a further £1.08 billion of funding to address pressures related to COVID-19. 

Secondary pupils urged to download Protect Scotland app as they return to the classroom

As secondary school pupils start to return to the classroom, those aged 12-15 who have smartphones are being encouraged to download the Protect Scotland app.

The app, extended to include the younger age group in December 2020, will help pupils protect themselves and those in their household from COVID-19, as the part-time return to school gets underway.

The Scottish Government today reminded people of the importance of not only downloading the app, but also ensuring that the code provided is entered if a person tests positive, to anonymously alert those who have been in close contact.

App users who are then alerted are able to isolate quicker, and get tested, to stop the spread.

To date, 1.8 million people in Scotland have downloaded the app, and it has, so far notified almost 40,000 people to self-isolate.

The aim is to increase the app’s reach further, particularly as people start to come together in school settings over the coming weeks, to offer an additional layer of protection and reduce the risk of people spreading the virus unknowingly.

https://youtu.be/rzGzh0msKNA

Deputy First Minister and Cabinet Secretary for Education and Skills, John Swinney, said: “The Protect Scotland app has been and remains a vital tool in the reducing the spread of COVID-19, particularly with the new, more transmissible strains in circulation.

“Whilst lateral flow testing is in place for senior secondary pupils and will be extended to S1-S3 pupils after the easter holidays, the app runs in the background and adds an additional protection meaning pupils will be notified far quicker if they come into contact with someone who has the virus.

“As pupils start to come back together, the more people that use it, the more effective it will be in slowing the spread of COVID-19.”

Download the free app today at protect.scot and protect yourself, your family, and Scotland against coronavirus.

Protect Scotland App now available to anyone 12 or over

NHS Lothian urges locals to download app to help stop the spread

Young teens living in the Lothians are being urged to join the fight against COVID-19 by downloading the Protect Scotland app.

The free app is now available to those aged 12-15, and parents are being asked to encourage their child to download it if they have a compatible smartphone, to help stop the spread of coronavirus.

The age range has been extended to allow younger people to protect themselves and those in their household – and help make sure they can keep meeting up with friends outdoors.

NHS Lothian today highlighted how the app offers an additional layer of protection, building on existing person-to-person contract tracing in place, and the more people that download it and use it, the more effective it will be.

Already downloaded over 1.7 million times since its launch in September, the Protect Scotland app enables people to self-isolate far quicker if they are exposed to the virus, reducing the risk of them infecting others.

Once downloaded, it works in the background, using Bluetooth technology to anonymously alert people if they’ve been near another app user who has tested positive for coronavirus.

And if they themselves test positive, app users are being encouraged to enter the code they’re provided, so close contacts can be quickly notified.

This latest update of the app will also reflect the reduction of the isolation period length to 10 days.

People’s privacy is be protected, as the app uses encrypted anonymised codes to determine close contacts, which are deleted after 14 days.  It doesn’t store details on an individual, or their location.

https://youtu.be/rzGzh0msKNA

Katie Dee, NHS Lothian’s Interim Director of Public Health, said: “I would encourage those aged 12 – 15 to download the free app, and parents to encourage their children to get the app, if they have a compatible smartphone.

“The app helps support NHS Scotland’s Test and Protect system, adding an additional means of notifying people who have been exposed to the virus, allowing them to self-isolate far quicker which reduces the risk of them infecting others.

“Using the app and following FACTS will help protect your household, and help young teens continue to be able to meet up with their friends more safely.  The more people that use it, the more effective it will be in slowing the spread of COVID-19 in the area.”

Download the free app today at protect.scot and protect yourself, your family, and Scotland against coronavirus.