Seòmar agus comataidhean

NHS Boards have been asked to repurpose 3,000 acute staffed beds for COVID-19 patients within the existing base of just over 13,000 acute staffed beds. Boards have already trebled ICU capacity and are now working to quadruple ICU capacity.

We continue to explore with Boards, as part of their mobilisation planning, how to further maximise bed capacity. In addition to this, we are seeking to augment capacity through the use of the private sector and we recently set up the NHS Louisa Jordan in Glasgow to create capacity for an initial 300 extra hospital beds, with the ability to expand to over 1,000 if required.

The Community testing part of the enhanced surveillance is being adjusted to work with the new community pathway – community hubs and community assessment centres. Surveillance testing will now either be carried out at home or at the community hubs rather than GP practices and at this stage only involves testing of those who are symptomatic.

A sample will be taken of individuals with mild to moderate symptoms triaged at the telephone community hubs. People will self-swab on receipt of a testing kit. Logistics being discussed with NHS Boards around delivery and return of the self-sampling kit.

A further sample by a HCW will be taken of individuals triaged in person at community assessment centres, provided they are not being sent on to hospital.

This will be a total maximum of 1000 samples weekly spread across the country geographically.

As well as the planning and preparations that Health Boards are already making to increase their bed capacity, we are also working closely with independent healthcare providers in Scotland to identify whether there is additional capacity they can provide to support the NHS respond to the current situation.

In addition, we are expanding our capacity through the use of new NHS Louisa Jordan facility.

We are also considering a range of options that would provide further capacity including what if any, support the hospitality sector in Scotland can provide to NHS Scotland.

On 18 March the Scottish Government announced that an additional £350 million would be made available to those most affected by the coronavirus (COVID-19) pandemic. As part of this a £20 million Third Sector Resilience fund has been established to provide support to charities, social enterprises and enterprising third sector organisations to help cope with cash flow and business health and to enable them to deliver vital services and perform their crucial role across their communities through this difficult time. The fund launched on 25 March 2020 and the first payments were made within the first week.

The Fund is being delivered by Firstport, Social Investment Scotland and the Corra Foundation and will provide grants between £5,000-£100,000. In addition there will be up to a further £5m available in fully flexible, 0% interest loans starting at £50,000. An online eligibility checker to help organisations assess their suitability for the fund ensures access to the right support and application form depending on their funding needs. Information can be found at https://scvo.org/support/coronavirus/funding/for-organisations/third-sector-resilience-fund/

Information on other funds available, including a £40 million Supporting Communities Fund and a £50 million Wellbeing Fund can be found at https://scvo.org/support/coronavirus/funding/for-organisations/scottish-government

The NHS Scotland has adopted the Infection Prevention and Control Guidance agreed by the four UK nations and published on the UK Government website.

This has specific guidance about reducing the risk of transmission in hospital settings https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/reducing-the-risk-of-transmission-of-covid-19-in-the-hospital-setting

As part of protecting people in hospital settings, Scotland is also following UK guidance on personal protection equipment for different health and social care settings and scenarios. In addition to an apron and gloves, health and social care workers should wear a fluid resistant surgical mask when providing care to any individuals in the extremely vulnerable group, including those on immunosuppressant therapies.

Scottish Government officials are in regular discussion with providers of student accommodation and their networks to work together to support students and to find solutions to issues as they emerge.

At the end of March, I wrote to all college and university principals, copying my letter to the networks involving student accommodation providers, asking that, in addition to their ongoing support for students, for those students who are remaining in accommodation, they look sympathetically on any need for them to extend their stay beyond existing arrangements. In addition, I asked that for those who have returned home and are having to ask to break agreements, they look on their situation sympathetically and continue to be as helpful as possible to avoid disadvantaging them.

On 8 April, I wrote, specifically to private providers of student accommodation, through the networks they belong to. I reiterated my request that providers treat students sympathetically in the action they can take in relation to their accommodation issues. I urged them to ensure that students are not disadvantaged.

The level of detail requested is not held centrally.

The data that has been provided by local authority indicates that around 1% of the relevant school and early year’s population have been attending local authority hubs since schools were asked to close.

The four UK nations’ Chief Medical Officers have identified six categories of people at highest risk of severe illness from COVID-19 which includes people with severe respiratory conditions such as cystic fibrosis.

These people are being advised to follow shielding guidance and should have now received a letter from the Chief Medical Officer with advice on how to protect themselves and access the care and treatment they need during the COVID-19 incident.

Shielding is to protect those who are at very high risk of severe illness from coronavirus (COVID-19) from coming into contact with the virus and guidance on shielding is available on the NHS Inform website: https://www.gov.scot/publications/covid-shielding-contacts/

The Scottish Government has also published details of the support which is available to vulnerable people who need help to arrange food and medicine deliveries, and other support services: https://www.gov.scot/publications/covid-shielding-contacts/

In addition, the Scottish Government has published Coronavirus (COVID-19) tailored advice for those who live with specific medical conditions including respiratory conditions: https://www.gov.scot/publications/coronavirus-covid-19-tailored-advice-for-those-who-live-with-specific-medical-conditions/ . This information is updated regularly.

On 25 March 2020, the Cabinet Secretary for Economy, Fair Work and Culture and the STUC General Secretary issued a joint statement outlining the shared commitment to fair work practices in Scotland. The statement calls on employers, trades unions and workers to work together to reach the right decisions on all workplace issues that arise throughout the Coronavirus outbreak and ensure workers are treated fairly. It can be accessed at https://www.gov.scot/news/protecting-workers-during-coronavirus-outbreak/ . The fair work principles set out in the Covid-19 Fair Work Statement encourages employers to support workers to follow it and suggests that no-one should feel under pressure to breach that advice and workers should not be put at unnecessary risk, nor should they put others at risk of infection.

The four UK nations’ Chief Medical Officers have identified six categories of people at highest risk of severe illness from COVID-19 which includes people with severe respiratory conditions such as cystic fibrosis.

These people are being advised to follow shielding guidance and should have now received a letter from the Chief Medical Officer with advice on how to protect themselves and access the care and treatment they need during the COVID-19 incident.

The letter from the Chief Medical Officer is evidence for those at highest risk to show employers that they cannot work outside their home.

It is absolutely vital that as many people as possible stay at home in order to protect those most at risk and the NHS.

Public health advice for individuals can be found at: Coronavirus (COVID-19) on NHS Inform and advice for organisations can be found at Public Health Scotland: https://www.hps.scot.nhs.uk/a-to-z-of-topics/covid-19/ This information is updated regularly.

All children and young people who rely on free school meals will continue to receive them during this period. Free school meals are a vital measure for families, children and young people across the country, and the Scottish Government is very grateful for the rapid work that local authorities have done already to ensure continuing provision.

The Scottish Government firmly believes that local authorities are best placed to design and develop solutions that meet local needs and circumstances as they will be aware of the specific challenges and solutions within their region.

On Thursday 26 March, the Scottish Government issued guidance to all local authority Chief Executives and Directors of Education regarding support to vulnerable children and young people.

The guidance included a specific section on free school meals which recognises that local authorities will continue to adopt different approaches depending on their individual circumstances and in response to local need. This will ensure that local authorities have maximum flexibility in approach in order to meet the needs of all free school meal eligible children and young people.