The Herald

How can we curb infections and protect NHS without a return to lockdown?

- By Helen Mcardle

TO date, the Scottish Government has been treading a tightrope as it tries to balance and remobilise the economy and the NHS.

In the face of spiralling Covid cases that have left the NHS Lanarkshir­e and NHS Greater Glasgow and Clyde regions with the highest infection rates in Europe, the messaging has been: “don’t panic”. The public has been urged to voluntaril­y reduce their social contacts, meet outdoors, and be cautious.

A circuit-breaker lockdown is not being considered, ministers insist, with public health experts warning that to do so would undermine the message that vaccines are our

“way out”.

Apart from anything else, it would not be financiall­y viable. As Finance Secretary Kate Forbes told Holyrood’s Finance Committee yesterday, Scottish Government funds are “just not sufficient” to bankroll furlough or self-employed income support “if we were to find ourselves going into another lockdown”.

That said, the UK furlough scheme is due to end on September 30. Is there an argument to take advantage while we still can and use the time to maximise vaccinatio­n in younger age groups, particular­ly amid speculatio­n the JCVI might soon recommend Covid vaccines for all over-12s?

In the meantime, as an increasing number of beds are ring-fenced for Covid patients and seriously ill non-covid patients admitted from A&E, the fallout will be felt most by the “non-urgent elective” patients. The term does a disservice to those in pain as they await a hip replacemen­t or any number of other planned procedures.

However, as Scotland’s national clinical director, Professor Jason Leitch, put it: “The only thing you can turn off in a health system is elective care. You can’t postpone strokes, heart attacks and emergency admissions for the elderly.” Maybe there is another way to stem infections and protect the NHS though? In Europe, several countries are protecting public spaces with “passports” banning entry into venues such as bars, restaurant­s, nightclubs, and cinemas without proof of vaccinatio­n or a negative test.

This enables them to operate at full capacity, without distancing, while simultaneo­usly curbing infections. Surely that could be a better way forward this winter?

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