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The letter issued by the Chief Medical Officer to those who are recommended to shield contains important information advising how people in this group should keep themselves safe, what support is available to them, a range of references to sources of further information or help, and information about key issues which are likely to arise. It is essential that those being asked to shield have this information available to them in order to keep themselves safe.

Advice is also available through each local authority’s shielding helpline, or through the new national helpline.

The information contained in the letter is broadly the same as letters issued by the other Chief Medical Officers across the UK in relation to shielding.

The Local Resilience Partnerships (LRPs) bring together a range of strategic local partners and, working with local community groups, provide support to people who are shielding including organising food deliveries, for example for people who do not have mobile phones, as well as assistance with prescription medication deliveries.

Any contact to LRPs in respect of shielding should be made through the relevant Local Authority. The Scottish Government and Local Authorities communicate on shielding on a daily basis.

Local Authorities and NHS Boards receive an update of people on the shielding list in their area weekly. As of 24 April four extracts have been sent to each of these organisations.

GPs receive an update of people on the shielding list in their area approximately weekly. The updates will be received at different points depending on what software GPs use. As of 24 April four extracts have been sent to GPs.

There have been two interruptions to the service. On both 11 April and 21 April the SMS service was unable to send outgoing messages for a period of time. However, all inbound messages were received.

In each case people will have experienced a delay between sending their message to register and receiving a response from the SMS service confirming their registration, but no one will have been unable to register as a consequence.

As at 26 April 2020, the number of shielded individuals who signed up for priority online supermarket deliveries by local authority area is presented in the following table.

Public Health Scotland identified 105,277 people from central sources before 10 April. As of 24 April, it has identified a further 6,301 people on or since 10 April.

37,838 people were identified from non-central sources before 10 April. As of 24 April a further 9,710 have been identified on or since 10 April. It is not possible to categorise people as being identified specifically by clinicians.

As of 24 April 159,126 people have been written to. People are written to on an ongoing basis as they are identified. 132,379 were written to before 10 April, and as of 24 April a further 26,747 have been written to on or since 10 April.

This process will continue - if people are newly diagnosed, or if clinicians feel it is required, people will continue to be added to the central list to ensure they can be supported to shield.

The international standard for an appropriate pandemic response is to double ICU capacity. NHS Scotland has more than trebled its adult ICU capacity, from a base of 173 beds to a surge capacity of 585. These beds will be brought into use as needs dictate, on a daily basis. Given the scale of the current emergency, we have asked Health Boards to go further by preparing to quadruple the base ICU capacity; bringing the total number of adult beds to over 700.

To deliver that increase, we have ordered ventilators from a range of manufacturers and these are beginning to arrive with more deliveries to arrive over the coming weeks. To bridge any gaps between now and the delivery of new ventilators, Health Boards have been working to repurpose operating theatre anaesthetic machines for use as ventilators. That is not a long-term solution, but it is allowing us to rapidly increase our capacity of intensive care beds.

The Scottish Government takes the health and safety of all our staff very seriously. The guidance published by the Department of Health and Social Care, Health Protection Scotland (HPS), Public Health Wales, Public Health Agency Northern Ireland, Public Health England (PHE) and NHS England on 2 April 2020 is the official and fully comprehensive guidance on the matter of the use of PPE in the context of COVID19.

The guidance includes clarification that - professionals can use their judgement to assess their risk based on what task they are undertaking and where it is taking place, this includes aerosol generating procedures.

The guidance can be found at: https://www.hps.scot.nhs.uk/a-to-z-of-topics/covid-19/#guidelines .

The Scottish Government is working closely with NHS Boards during the pandemic to monitor the impact of Covid-19 on demand and capacity and is responding where required.

On 25th March the Chief Scientist Office also launched the Rapid Research in Covid-19 (RARC-19) Funding Call. This is supported by nearly £5 million of funding from the Scottish Government. As part of this, the Scottish Government is funding projects which will help us understand the mental health impacts of the pandemic on the population, including on vulnerable groups.

We expect people are going to need a variety of supports through the crisis. That is why we are investing £3.8 million on extending telephone and digital mental health support and a further £1 million on rolling out Distress Brief Intervention support across Scotland. We are also working closely with the Boards on the delivery of existing services within the context of the current constraints.

Prior to the Covid-19 crisis, psychology staffing had been steadily increasing with enhanced investment. NHS Education for Scotland is currently delivering the Health and Social Care Covid-19 Accelerated Recruitment Portal, which will enable a speedy deployment and employment of workers across the Health and Social Care workforce as they are required.

I refer the member to the answer to question S5W-28198 on 27 April 2020.

I am leading work to ensure a range of mental health and wellbeing support is in place for NHS and social care staff, complementing the work being taken forward by NHS Boards and Health and Social Care Partnerships at a local level.

Social media, including twitter, is being used by the Scottish Government, NHS Education for Scotland and other partners to promote wellbeing advice.

All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx .