Covid - Breaking News!

Here's a spoof BBC News headline which works because it has a real ring of truth.

Truth is Team Sturgeon has been shadowing the UK on Covid every step of the way, making the same mistakes and some of its own, while picking silly fights like banning travel to Manchester.

 

Scottish Ministers - 'Follow My Leader' (April 05, 2021)

Scottish Ministers like to pretend that they have carved out a bold distinctive path in their handling of Covid, but this is a load of old bollix.

Here's a good example - Jason Leitch cagily following the same UK herd immunity policy which was quickly dumped as the risks to the NHS became clear.

 





Coronavirus - Then and Now (28/05/20)



Here's an interesting Channel 4 interview with Scotland's national clinical director, Jason Leitch who was speaking on behalf of the Scottish Government on 16 March 2020, the week before the current lockdown was imposed. 

Here are some key points that jump out to me, albeit with the benefit of hindsight which was not available to the decision-makers at the time: 
  • Original prediction was that 80% of the population would become infected with most suffering mild symptoms
  • NHS staff testing - but only if showing symptoms
  • No mention of care staff or hospital patients discharged to  care homes or their own homes
  • Scotland has adequate testing in place
  • Scotland and the rest of the UK in the context of World Health Organisation (WHO) advice 
  • Contact with the elderly and other vulnerable groups
  • Spread of the Coronavirus by people with no symptoms 
  • The importance of social distancing - at the right moment
  • The impact of lockdown measures on Scotland's care homes 
  • Part of the strategy was to develop herd immunity because "you can't get rid of the virus"
  • Contact tracing was dropped in Phase 2 as part of the agreed UK wide strategy 
Now I make no personal criticism of Mr Leitch because he was putting across a very carefully crafted message on behalf of the Scottish Government which politicians turned into public policy having weighed up the best available scientific evidence.

Yet it seems crystal clear, even now, that a major weakness of the agreed government strategy was the role played in spreading the virus far and wide - by people who were already infected without showing any symptoms of Covid-19.

I would also say that government lost sight of the need to make social care and care homes as big a priority as the NHS. 

But do make time listen to Jason Leitch's Channel 4 interview and decide for yourself.  

  



Care Homes - Thrown Under The Bus (20/05/20)










When the time comes to look back on the battle to stop the spread of Covid-19 I suspect the evidence will show that care homes across the UK were 'thrown under the bus'. 

Some of the many challenges have already been widely reported in the media, often with the aim of finding someone to blame, but here are several issues which have jumped out to me so far.

  • Hospitals have discharging patients into care homes without ensuring they are not infected with Covid-19
  • Care home residents and staff in care homes have not been routinely tested for Covid-19 - despite repeated promises
  • The supply of PPE (Personal Protection Equipment) to care homes has been slow and patchy
  • The guidance on the use of PPE in care homes has been poor, for example on the wearing of face masks
  • The absence of a robust TTI (Test, Trace, Isolate) policy has made it more difficult to contain outbreaks of Covid-19   
  • Patients who would normally be transferred to hospitals for treatment have been forced to remain in their care home
  • Doctors have designated care home residents as DNR (Do Not Resuscitate) without consulting residents or their families
  • Staff in the independent sector are being penalised for self-isolating because they do not receive their full pay
  • The Care Inspectorate (which regulates the sector) has been accused of operating with too much of a 'light-touch' after suspending its inspections during the epidemic
My Mum spent her last days in a care home and I know from my own experience that the staff who cared for and looked after her were every bit as committed as the staff in the local hospital (which she visited regularly) and the Home Carers who enabled her to live independently until she needed the extra help and support of a residential care home.  

 


Coronavirus, Care Homes and Testing (16/05/20)



The shocking deaths of 7 residents at the Home Farm care home in Skye has led to the Scottish Government taking the owners (HC-One) to court with a view to removing their licence.

Now I don't know the reasoning behind this decision, but you would imagine the Scottish Government must have a good case for taking such strong action.

But what is odd is that in West Dunbartonshire an even more shocking 16 residents died from Coronavirus after Crosslet House declared itself to be "Covid-19 free".

The Times reported this story on 22 April 2020 with the local MP (Jackie Baillie) and Scotland's health minister (Jeane Freeman) both condemning shameful behaviour which gave the impression that residents were being tested when they were not.

So what action, if any, was taken to safeguard residents at Crosslet House run by West Dunbartonshire council and why should this care home be treated any differently to the Home Farm facility in Portree? 

 


https://www.thetimes.co.uk/edition/scotland/coronavirus-in-scotland-testing-at-care-homes-increased-after-outcry-39r5csbh8

CORONAVIRUS
Coronavirus in Scotland: testing at care homes increased after outcry


22 April 2020

Jeane Freeman, the Scottish health secretary, at Holyrood yesterday. She said that all new residents moving into homes would be tested for Covid-19 and isolated for 14 days - Photo

FRASER BREMNER/GETTY IMAGES

By Helen Puttick - The Times

Inspections and coronavirus testing across Scotland’s care homes are being ramped up after ministers bowed to concerns about the number of residents falling ill.

Jeane Freeman, the Scottish health secretary, said that care homes “should not have seen the level of transmission” experienced if all the guidance on social distancing was being followed.

She announced a “considerable increase in intervention and oversight” with NHS public health directors told to report back on how nursing homes were coping, whether they were following the rules and had the necessary protective equipment.

In a significant change of policy, she also said all new residents moving into homes would be tested for Covid-19 and isolated for 14 days. Less than a week ago Nicola Sturgeon rejected calls to test potential care home residents, arguing that this could undermine other infection control measures.

Yesterday’s figures showed that the number of patients admitted to intensive care with the virus in Scotland was reducing. The death toll of confirmed cases was 985, up 70 from Monday.

Yesterday Jackie Baillie, the deputy leader of Scottish Labour, highlighted that Crosslet House care home, which is run by West Dunbartonshire council, had registered 16 deaths despite managers’ claims that it was “Covid-19 free”.

Ms Baillie accused the council of “a shameful piece of spin” and giving the impression that residents were being tested. Ms Freeman described the episode as “utterly shameful and completely unacceptable” and said the NHS’s regional director of public health would investigate.

The health secretary also promised that she would not leave the office last night until an issue was resolved of personal assistants who care for frail people in the community being unable to contact a helpline for supplies of personal protective equipment. Ms Freeman said: “There is no reason at this point why they cannot access PPE.”

Donald Macaskill, the chief executive of Scottish Care, which represents care home and home care providers, welcomed the new measures to support the sector. “This will support a very stretched sector to deal with the most vicious disease many of us have ever known in our lifetime,” he said.

During her statement in the chamber yesterday Ms Freeman made it clear that testing would be available for all care home staff and residents. She added: “We are also building the testing structure we need as we move to the next phase, our capacity to test, trace and isolate will be critical to controlling the virus.”

The Scottish Conservatives said they continued to hear of shortages of personal protective clothing. Jackson Carlaw, the party’s leader, said: “We keep hearing that Scotland has sufficient supplies of PPE for now and the foreseeable future. But still care homes, and carers working in communities, are being left exposed to the huge risks of coronavirus.

“There is clearly still a problem when it comes to getting these provisions to those who need them and we’re now several weeks into this crisis.”

Ms Freeman said there were enough supplies but that efforts were required to continue ensuring this was the case.

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