Coronavirus update from the First Minister 3 April 2020

good afternoon everybody thank you for joining us again today want to as usual provide you with an update on Scotland's response to the covered 19 epidemic first of all can confirm that as nine o'clock this morning there have been three thousand and one positive cases confirmed which is an increase of 399 from the figures confirmed yesterday total of 176 people last night we're in intensive care with confirmed or suspected cases of covered 19 that is an increase of 14 on yesterday and can also confirm that total of 1,300 and 21 people including the intensive care patients with confirmed or suspected covered 19 we're in hospitals across the country and is worth sadness must report further 46 deaths of patients who had tested positive for the virus that takes the total number of deaths and Scott would know to 172 and as is always the case want to extend my condolences to all of those who have lost loved ones we announced on daily basis the numbers of deaths but we should never ever forget that every single one of these statistics is human being who leaves behind relatives and friends who grieve for them want also to thank again today everyone working in our health and care sector but I'm also well aware that there are many other people who are also going the extra mile right now and today want to particularly acknowledge people working in our food and drink and essential retail sectors this is not an easy time at all to work in agriculture or food manufacturing or distribution or of course in stores and supermarkets that require to remain open but what everybody in all of these different sectors do is absolutely essential for all of us and I'm grateful to all of them and want to take the opportunity today to see heartfelt thank you really want to cover three issues today before taking questions first of all want to follow up in some of the points made yesterday about testing in Scotland and all that there has been lot of attention last night and into today around the UK government's pledged to test hundred thousand people day by the end of April no obviously and this is simply statement of fact it's not for me to set out the basis of the UK government's target or indeed how it plans to get there what can do and indeed what have responsibility to do is set out what Scotland is doing including the work we are doing with the UK government now when you factor in the difference in size between Scotland and the UK what we are doing here we'll take Scotland to the same sort of position that the UK seems to be aiming for we are increasing NHS Scotland's current capacity of 1,900 Tessa tea to at least three and half thousand tests today by the end of this month at the latest and that is broadly similar although slightly more ambitious than the UK pillar one target of 25 those intesity this expansion of testing capacity means amongst other things that we will be able to test more key workers with every day that passes however in addition to increasing capacity within NHS Scotland we are also working with the UK government and other partners to further increase testing capacity beyond that yesterday's announcement that new testing facility is being established by Glasgow University and collaboration with industry partners on the NHS is very good example of that we in Scotland are currently working to establish exactly how many more tests we think the Glasgow University facility together with other initiatives will deliver however there is no doubt that they will allow us to increase our testing capacity in way which is proportionate with the rest of the UK finally we continue to think about how widespread testing including perhaps antibody testing will be used in helping us to move out of this period of lockdown specifically in relation to an antibody test as said yesterday as others have also said that kind of test doesn't currently exist in reliable form we certainly hope that it will do soon but the fact that might still be some time away the Scottish government has established testing oversight group involving the chief scientist for health professor David Crossman and it has been tasked with overseeing the following strands firstly the increase of NHS lab capacity and also the Scottish delivery of the UK wide program to deliver known NHS testing secondly the development of antibody testing so that as soon as tests are available we are in position to deploy them here in Scotland thirdly surveillance epidemiology and prioritization that strand will also look ahead to the rule of testing in our eventual strategy to exit the lockdown measures next logistics and access to testing and lastly data management the second issue want to cover briefly today concerns shielding which you will recall are the measures we are putting in place to protect people who are at the highest risk if the contract covered 19 because of their existing health conditions we had previously estimated and it was rough estimate that up to 200-thousand people would be in this group we've been doing further work to remove duplication from records and ensure accuracy and we can now see with more confidence that there are approximately 120,000 people across Scotland in one or more of these categories and if you are uncertain about whether or not you should be one of them food details are available on the NHS inform website the chief medical officer has now sent more than 110,000 letters to people in these groups and the remainder of these will arrive shortly at these letters and those watching who have received one will know about this they give information and how people can shield themselves from infection and also crucially because we're asking at these people to isolate for 12 week period so these letters provide detail on what support is available to them this support includes access to home deliveries of essential food items and toiletries through text message service can say that more than 8,000 people have already signed up for the service and have been texted with the of receiving deliveries those deliveries started this morning want to stress that you don't need to have mobile phone to register anyone in the highest risk group can sign up if they need it details of how to do that add in the letters that people will have received in addition information is available on the NHS inform website and through the main phone switchboard of your local council and will be rating again soon with local contact details and want today to encourage everyone who is in this high-risk group who has received or will receive one of these letters to register you may not feel you need help right now you may have family or friends who are providing the support you need but registering know will help us to keep in touch with you if you need help later on we're also working with local health boards to ensure the delivery of specialist medicines such as chemotherapy drugs to people in this group and we're working with supermarkets to prioritize delivery slots fundamentally we know that some people due to pre-existing conditions are at particularly high risk should they contract this virus so we are determined to shield them and also to give them the support they need to ensure that they can protect themselves the final issue want to mention is of course as everybody knows we're now one week away from Easter and this weekend of course would have marked the start of the Easter school holidays and there's no doubt that we are about to head into what yes would have been the spring holiday season but one of the most unusual holiday periods that we have faced and as everybody knows all those schools have been closed school and child care facility provision is still available in all local authorities for people who need it for example children of Health and Care Service staff so can confirm today that all local authorities will keep learning and childcare centers open in their area during the holiday period the arrangements made during the holidays might be different from those made during term time the number of centers are open and the types of support they provide will vary in different council areas according to local needs but by making learning and childcare available in every look authority area over the holiday period we can make sure children are safe and well looked after well the parents are able to do critical jobs and I'm very grateful to all local authorities for working with us on this yeah that is of course more general point about the Easter holidays as said moment ago this will be holiday period unlike any we have known in our lifetimes know that many people will be thinking about the plans they had made before this epidemic struck to get away and to visit friends and relatives and of course it's not possible now to go on holiday around Scotland or to visit friends everyone will be staying home except for essential purposes such as exercise or buying essential supplies and once again know how hard this is but also want to stress again today that these restrictions are absolutely essential you know we've had discussion today in the media to the effect that this virus may peak in around one week's time and want to address that point directly firstly but it's of course still lot of uncertainty around when we can expect the virus to peak and as we gather more data hope that we will be able to offer more certainty about that in the period ahead but wanted to be very clear because I've always said will be straight with people in these difficult times want to be very clear that nothing have seen it gives me any basis whatsoever for predicting that the virus will peak as early as week's time here in Scotland so don't want people to have false expectation based on point they might be hearing in the media today and that message is important because have to ask people we all have to ask all of you to continue to stick with these measures no matter how difficult they are many of us took part last night in the applause for NHS and care workers it was here'd it to the accompaniment of the bagpipes right across the country but it continues to be the key that the best and the most important way in which all of us can help for health and care services is by staying at home as much as possible and by keeping our distance from each other so want to end by thanking all of you for doing the right thing and staying at home over this holiday period because this is how we will slow the spread of this virus it is how we will protect our NHS from being overwhelmed and it is how we will save legs so thank you to each and every one of you now hand over to the chief medical officer who see few more words before open to questions from the media Thank You First Minister would just like to pick up the points that the First Minister has made about the peak and the potential timing of the peak of the virus many of us are familiar with this curve that we've been discussing trying to flatten the curve by introducing these suppression measures to stop the number of people becoming infected overwhelming our NHS and to avoid people becoming very sick and dying that curve has been based on mathematical modeling computerized Russians of what might happen in the real world we have moved now to have real cases of people who are infected going into hospital going to ICU and sadly dying so we are now transitioning from what is mathematical and theoretical model into real data using real people in Scotland to inform our knowledge of the virus spreading have been watching these models and now the new data as the numbers increase every day and have not been able to find that the peak will be as soon as we are hearing in reports in the media today we need more information we have always said that it would take two to three weeks to be able to have some more certainty but even then there will be some lack of knowledge because of numbers still increasing so would urge people to keep going with these stringent measures now is not the time to think that perhaps it will all be over soon we have always said that many months will be needed before we can get on top of the virus and be sure that we're not going to have worse scenario later with more of the virus reappearing if people are becoming less stringent with their social distancing measures I'd like would also just like to make second point today and think we will be returning to this I've heard reports of people being concerned about coming forward to be seen by their GPS or coming forward to into hospital services because they're worried about coronavirus in particular children are very unlikely to be severely affected by corona virus so that if parents are holding back from phoning their GP from contacting NHS 24 or for bringing an ill child to hospital it is very unlikely that that child will have corona virus and be needing to stay at home if you would have sought help in the past please seek that medical healthcare help no to all of our conditions that we would normally have at this time of year are still going to happen people will have heart attacks people will get appendicitis people will have strokes children will get meningitis what we want is that the right health care is delivered at the right time and in particular if an emergency call is needed please do not hesitate to make that we will be giving more information to the public over the coming days but we want to emphasize that not everything will be coronavirus and that health care is safe place to be seen and looked after if you're unwell and I'm going to go to journalists who are joining us online and myself chief medical officer and the health secretary it will be happy to answer questions so firstly can go to David Henderson from the BBC First Minister thanks very much indeed on the face of it and from what you were saying today the Scottish target for testing at three and half thousand people per day is far less than it is in England then it will be in England Wales and Ireland why is your target apparently so modest and question for the chief medical officer as the NHS builds capacity on ventilators how many are now operational in Scottish hospitals and how many will we have at the end of April as we approach the peak of the virus undamaged okay and I'll take your first question David and all it's bit difficult because people are listening to this online but actually if you listened to what said and you would realize that our target on testing is not less ambitious than the rest of the UK and went through that in some detail which I'm happy to do again the three and half thousand target that we have set for the end of this month at the latest is equivalent to the first pillar of the five pillars that Matt Hancock outlined yesterday and that is the expansion within the NHS of existing PCR diagnostic testing the UK's target the equivalent targets are three and half thousand is 25,000 by the end of April so actually proportionately our target is bit more ambitious than the UK's now it is over and above that that we then get the UK then sees that see they will get to hundred thousand and what I'm saying is through those same measures Scotland will get to position that is proportionately the same so you add to our three and half thousand to their twenty five thousand witches within the NHS the testing that can be done through the kind of initiatives like the one that Glasgow University is part of and we are working right now to get clarity and certainty of how many additional tests we will be able to do through those routes and I'm going to wait until have certainty before they give fixed numbers but it is the case that those additional initiatives will allow us to get proportionately to similar level to the ambition that the UK government set out so it's very important to be clear and want to be crystal clear about this it is not the rate comparison to compare our 3,500 to the Yuki's 100,000 the comparison with Rena 1/2 thousand is 25,000 and we are both trying to get to level that for the UK is hundred thousand and for us would be the approximate ten percent of that so there is no difference in terms of the themes that we have said so hope I'm making that absolutely crystal clear and now I'll pass on to the health secretary on ventilators and the other aspects of the question thank you very much so at the moment we have capacity in ventilator equipment of just around 500 ventilators across our NHS estate and we have announced this week of course that we have repurposed some of the anaesthetic operating machines to bridge any gap between our current capacity and orders coming online so we have number of orders and we are looking on daily basis at the alignment between capacity and intensive care and what we expect the demand on that to be but again as always do when answering questions like this the demand part of it is not fixed all of us have the ability to influence the demand by complying with these measures every single person who is staying at home as we are asking them to do today is helping and reduce the eventual demand for intensive care and other hospital services can go now to Peter McMahon ITV border you said that everything you've seen and heard from the information you've gotten tells you that the rules be peak next week or over Easter but can you tell us from all the information that you have and the mathematical modelling when you think the peak will be in Scotland and is there any evidence of regional variations within Scotland obviously we're particularly interested at ITV border in the precinct gallery and the Scottish Borders I'm gonna hand over to the chief medical officer but in short what would say is no can't tell you that right now that's the the point that both and the chief medical officer of Meade we are transitioning from computer models to modeling that is populating with new data and would hope that over the next couple of weeks we will start to be able to give more certainty in our predictions of it when peak might happen but want to be clear today that for Scotland and can only speak for Scotland nothing have seen absolutely nothing have seen would give me any basis whatsoever for seeing that this virus will peak in week's time and know there will be media messages across the whole of the UK today that the people will be hearing and if have to continue to ask people to do the right thing it's important that am doing that on the basis of frankness about things and don't want people to hear something that in my view for Scotland is not the case without been very clear that that is not what think the situation is but I'll hand over to chief medical officer who can maybe see bit more about the processes that hopefully might give us more certainty in the weeks to come but also the the issue of regional variation or not as the case may be and thank you Peter for your question we have those data building up day by day but as you have seen even in the last week each day we are announcing more people infected with the virus than the day before confirmed cases more people being admitted to hospital and intensive care and more deaths day on day sadly as we go through this epidemic so at the moment we will we will not be able to give clear date of when the peak would be what we would look for first is slowing in the rate of those people becoming positive and we are not seeing that yet in fact the proportion of people being tested who are positive is increasing day by day and has done so for the past two to three weeks we will only of course know when the peak has been when the cases start to drop so all of this is speculation to some extent informed speculation on the modelling but as I've said it's the real data nie that is key and I'm afraid we will have more information in another week but even then we may not be able to say for certain when that peak will be of course the measures are working we will see that those cases start to slow and then we will have more accurate idea the borders or regional variation that you're asking about we have still got the proportion of cases in each of our health boards are roughly the sort of numbers we would expect with the population so we're not seeing any particularly strong regional or local variation across Scotland okay thank you Peter Steven brown from STV even though 46 deaths today in Scotland can check if any of that is based on what happened yesterday in terms of de leads reporting in any of those deaths so now for the 172 deaths in Scotland how many if any relate to any NHS workers and on the latter part of the question cannot give you that information right now we are looking and said this yesterday we we hope to be able to provide much more detailed breakdown of these figures next week at some point and will give more information and do courses to exactly what those breakdowns will be we've been constrained in that up until now because before say this just remember every one of these statistics as person so don't want to minimize it but when we're dealing with low numbers issues of patient confidentiality are clearly much more relevant so as we as the numbers sadly rise we can give more breakdown and we're looking at exactly what can be provided in terms of the first part of your question and obviously as said out in some detail yesterday health protection Scotland have changed the basis for reporting previously and this is also partly to do with numbers rising so previously health boards were notifying HPS of confirmed cases of people who had died there was sometimes bit of lag there for family notification HPS are now operating on the basis of the NRS death certification process which hopefully reduces anytime like so it's possible that in the numbers today there may be small number that had we still been on the old system might not have reported until tomorrow or the day after but think we should assume that the numbers were seeing from now on are reflection of the acceleration of the the impact of the virus Paul Smith from lb see thank you very much you first minister yourself and the chief medical officer just mentioned that there's no evidence of peak here in Scotland or the virus does this mean lot done in Scotland will be extended by week or so and also I'm just wondering if you could give us an update on the development of the Louisa hospital in Glasgow okay on the question of the peak we have always said that these measures are likely to be in place for long number of weeks and I've not said that with any relish don't like standing here telling people that we'll all have to live our lives and it's very restricted away for any longer than is necessary but nobody will thank me in or any others in months to come if we prematurely left these measures and then the virus takes our much deadly at all than it would otherwise have done so everything I'm asking people to do is in our judgment necessary to slow down the spread of the virus and reduce the peak when we announced the the lockdown measures almost no couple of weeks ago we said across the UK that we would review these around Easter and and that review process will be done we are already looking at how we do that here in Scotland and of course that will feed into four-nation discussion but don't want based on everything know and see and I'm sharing as much of that as possibly can with the way to public there is nothing that would allow me to stand here with any shred of confidence and say that we are going to be lifting these measures in very short space of time now if turn out to be wrong about that nobody will be more delighted than am but I've got to be honest with people that we are in this for the long haul if we are to have the impact that these measures are intended to have and and on Louisa Jordan think I'll hand over to the health equity to see word about the progress of temporary hospital thanks very much first minister the NHS Louisa Jordan the work has begun in on that site it's on track to be completed within those two weeks ready for our use in two weeks time if we need it the chief executive Joe Young is on site the medical vector number of clinicians and construction workers so is going ahead as we planned it to be and will be ready for our use should we need it with those first 300 beds in two weeks time he missed payment from original 106 Gus postures have been calling for coronavirus testing to be extended to key workers going offshore to minimize the transfer and outbreak at sea in potential rig closure is this something the Scottish government are exploring and if so is there timescale for it well I'll come back to suppose that the core of what said about testing we are working rapidly to scale up testing capacity firstly within the NHS and that's my three and half thousand at least by the end of the month at the latest but also over and above that so everybody is familiar with the announcement yesterday the Glasgow University has established test center and that will enable us to go beyond that so as we scale up our testing capacity and that's happening on day-by-day basis then we will be able to test more people but we have said very clear priorities that are based on you know evidence of what the most important areas are so using testing to support the treatment of those who are seriously ill key workers starting with health and social care and also testing for surveillance later stage testing will also be important in terms of coming out of these lockdown measures of course as we scale up our capacity we will be happy to have discussions with other sectors about whether or not they should be given greater priority but that will be done within our clear framework of principles and mentioned earlier on the establishment of our testing oversight group which will be experts basically making sure that we deliver all we're talking about on testing but also some of these decisions can be at given further consideration Vivian Aitken from the record then you've you've adequately covered most of what was going to ask just one thing about testing and are we looking at other testing sites other laboratories and commercial partnership like the classroom University one yes who's got some University one is part of fairly well developed no UK program where think that are going to be three labs which Glasgow is one across the UK but yes we are exploring other options and opportunities both in the academic sector and and commercial partnerships you want to see more about okay Libby routes from The Guardian hello First Minister can just clarify those extra details that you're hoping to give on deaths from next week is that going to follow the template that England has been releasing since yesterday ions date age group and region and also can just clarify on on the daily deaths is that hospital deaths only or is it there including community deaths so the chief medical officer will come and if get any of the detail of this wrong the deaths are deaths with confirmed laboratory diagnosis of Coogan 19 regardless of setting but think the likelihood is most of them are hospital deaths and from next week we will also NRS will also publish deaths that are not just confirmed cases but also presumed cases again regardless of settings so where doctor has put Corbin 19 on death certificate it hasn't been confirmed through test but there is presumption that kovin 19 has been factor in the death on our hand over to the chief medical officer on that point in minute because she can probably explain it better than can but on the point about information don't know exactly what the English template is is delivering we want to give as much information as as possible and this may change as we go through as numbers rise so we're looking right now at just how much information can be provided and said yesterday will provide more information on what that will entail as soon as possible the letter sent was on the 23rd of March which asked all medical practitioners who might be certifying death that if they were strongly suspected that the person had symptoms of coronavirus that they put presumed Kover 19 on that death certificate so those cases will now be reported by NRS from next week the question about the detailed breakdown as you know have been very very careful for absolutely justifiable reasons that we do not breach patient confidentiality so would expect that we will have breakdown we would have gender we will also be able to have some more detail about where the deaths occurred but if at any time there are very low number so could imagine in some of our smaller health boards if there was any suspicion that people could be identified because we were breaking down something that would be more detailed we will still not give those numbers because of confidentiality reasons but we are looking at range of detail that would be able to be published without breaching any patient confidentiality and obviously respecting the families of those who have sadly died thank you Tom Martin express following the testing announcements by Mike Hancock he was suggesting longer-term we could move to some kind of system certainly England could move the sub-game system of immunity bracelets certification in the longer term that could help you know sure that people have recovered and help ease the lockdown restrictions just wondered if if you thought that was something that could be helpful in the longer term once you've got antibody testing and whether it was something that could be explored I'll hand over to cm or to give the scientific answer to this I'll give the the more political answer think if we can get to stage where we have an antibody test that is reliable and we know enough about what level of immunity this virus actually does confer and whether these tests then allow somebody to see I've had it so will get again verdure for period of time then yes that kind of approach could help us in the future so said they don't rule that out but there are some unanswered questions think that we have to get answers to along the way before we would be able to judge whether that was reliable kind of system or whether it would actually just give people lot of false assurance so these are very much things that are work in progress as this is new virus we don't know how long immunity would last for we look at coronaviruses in general many of them calls the common cold and we know that we don't all get lifelong immunity to the common cold so at the moment the unknowns as the first minister have described need to be worked through it would not be the right thing to give somebody bracelet that said that they were immune if in fact that immunity had some time limitation on it think we need to get these tests validated the early progress is is to get those as accurate as possible we want tests to be both sensitive and specific so that we're giving people the right answer as to whether they have antibodies or not but we also need to look at what the immunity pattern is amongst people before we could ever give any kind of certainty that the having had coronavirus meant that you weren't going to get at another two second time thank you Tom Peter came from the in on the subject of for nations procurement of ventilators and tests mark Drake for the Welsh First Minister said we don't want to be competing with one another for scarce resources working together with colleagues in Scotland Northern Ireland England gives us resilience in the system now given that there was threat of bidding war between NHS and NHS NHS Wales and then it says England and the fact that Scotland still doing its own thing on procurement can you guarantee that we Scotland will get into bidding war think it's incumbent and all of us across the UK not to get into bidding wars or any other kind of issues of tension mean at times we'll have so different views and how to approach this there's nothing wrong with that we work through them and if we take slightly different approaches we explain why that is the case but you know we're all in the same position here and we all have to work together in collaborate to try to give ourselves the best chance of dealing with this just to be clear again what the position is with procurement and you know that what I'm about to say applies to testing tests and testing capacity applies to ventilators and think applies to PPE as well we we do our own procurement through number of the orders for the orders we've gotten for ventilators our orders we've placed with established manufacturers but over and above that we are taking part in full nation procurement initiatives that will supplement that so these are sensible ways of proceeding there's lot of ongoing discussion between the four governments and you know keep seeing this and I'll say it again because think it bears repetition we're not in normal times here this is not standard situation where the kind of disagreements and tensions between the full governments would perhaps be more to the fore we all face common challenge here we're all dealing with the same issues and trying to address it so the emphasis has to be very much on collaboration and working our way through these things together and that's the approach it's got as government has taken think it's the approach the other governments are taking and think we have to absolutely make sure that continues Michael blackly from the daily meal hello good afternoon and emergency legislation to Judy trails was withdrawn their speakers confirmed that there would be further legislation in the coming weeks and what is your focus right now is it an assumption that there will be lengthy suspension of duty trials and therefore measures to tackle the backlog that that causes or are you are you focused on measures that old mean that these types of trials can start as soon as possible well we're trying to look at different options and and build consensus you know nobody know 15 certainly not me it wants to be in position where we are you know having trials without duties if if we can find better way of dealing with unique and unprecedented situation so you know said at the outset of this epidemic and again it puts an entire category quite unlike anything we've dealt with before none of us have dealt with situation like this before certainly haven't and we're trying to meet the best judgments and do the right thing and do it in good faith we'll all make mistakes and we'll all do things that we think of right and then we'll listen to others and see actually maybe that's not the best way that's what we did with the the Judy trial proposal and think that's right to listen to voices across Parliament and to professional voices so Mike Russell said that we would go away and look again at this and try to come to consensus we have problem in that we if we can in panel duties then we will have significant backlog of cases so is that our different way and might Russell's that taken forward these discussions and when we've come to conclusion on that we'll set out what it is Martin Goffman from The Times Polly Barnes was on Radio 4 this morning and saying that the lockdown must be left it as urgently as medically possible because we could be storing up lots of health problems for the future is that tipping point between where the lock don't save so many lives up front the potential risks lots of leaves and morbidities in the future and these things that marker are always going to be balance and horrendously difficult balance given the circumstances were dealing with that didn't hear how do make point of listening to him because everybody knows how much respect I've got for Patti said I've never dealt with situation like this before that's true but was health secretary when we had the swine flu pandemic and at that point it was had standing in Katherine's place as the chief medical officer so he's somebody I've got huger's bait forward and have worked closely with in the past and all of us want these lockdown measures to be lifted as quickly as possible because nothing is without consequence so of course we are doing certain things to combat this virus but whether it's economically or socially or in health terms what we are doing to combat the virus will have other consequences and these are the difficult balances that we will continue to have to strike as carefully as possible and and these are the kind of judgments that we're having to make now and we'll have to to make in the future but come back to point earlier nobody is going to thank any of us however much people right now thing just wish we could get out of this and would be delighted to hear to stand here and say okay all ends in week's time few weeks from now or few months from now if we do that nobody is going to thank his when this virus has taken that came too tall that we're trying to avoid it taking so we will continue to try to take all of these factors into account and come to the right judgments overall Simon Johnson from The Telegraph you're on the radio this morning basically indicating that the lockdown measures could be in place for some time yet and stating that it was likely that phased approach would be taken to lifting them with some restrictions being lifted and others being left in place in light of that so we're grateful for your view and that of the chief medical officer over whether it is likely that people will be able to jet off on summer holidays this year given that being in compressed carbon with two or three hundred other people probably wouldn't be the most conducive space for people to be in terms of stopping spread of this virus look given the you listen to me on the radio this morning and thank you for that you will have heard what actually said in response to these questions which was don't want to be speculating without the informed basis on which to be doing it so said of course it's possible we may end up in phased lifting but said couldn't see that for certain right now nor could see which measures might be lifted an import order and and I'm gonna be continually cleared about this will share as much information as I've got but I'm not going to be pushed into giving opinions about things when don't have the basis to do it because that is not treating that the public with the respect that think we have to treat them at this difficult times but particularly at this difficult time when hand over to the chief medical officer but what would say is don't think anybody should be under any great expectation that summer holidays will be happening as normal this summer wish could see otherwise but right now don't think that would be safe assumption for anybody to make okay thank you we have more information as each day and each week goes past we have shared what we know and said what we've said today about the need for more real data using the real cases that we have in Scotland and in the rest of the UK it will become more clear and we will lift measures as soon as we can safely but what we are already seeing in some countries across the world is that when measures are lifted the cases jump up almost immediately and the worry is the concern is that those cases will then be larger peak than the first one so there's lot to learn from what's happening to countries where the virus has been there for longer but at the moment that the key is to watch our own data and to listen to the scientific advice we're watching as said the other countries around the world so would not be thinking that those summer holidays are likely to be as they we're in the past but we really don't know as soon as we have more information as soon as we can so I'm just wondering that ties with your experience in creating these tests and whether that would jeopardize the ambition - it's not clear to me and don't mean this as kid says it's just genuinely not clear to me whether Matt Hancock's 100,000 figure includes antibody testing or or not we all have an ambition to see antibody testing but you would have to ask him whether his 100,000 includes that would be surprised if it does because as we've been talking about we hope there'll be an antibody test validated soon but we don't know that so to rest target for the end of this or that becoming available wouldn't seem to me to be particularly solid thing to do but but don't know that what am talking about in terms of our three and half thousand by the end of the month the equivalent of the UK government's twenty five thousand by the end of the month and then building diagnostic testing beyond that I'm talking about diagnostic testing and antibody testing when and if that comes it will be different part of our testing strategy really hope it comes soon and hope we have enough information then to have certainty or as much certainty as you can get in these things that it will be useful test to help us get out of the the coronavirus challenge but we don't know that yet and so don't think it would be safe and certainly wouldn't give numbers of targets for testing based on test that isn't commercially available yet because don't think and generally speaking want when I'm giving numbers want Lois to be numbers like the thena half thousand based on firm plans that know we can deliver as opposed to aspirational targets that may or might not be delivered Chris green from the eye there was some interesting advice issued yesterday which said that everyone should consider taking vitamin supplements just wonder it might be statement of the obvious this one probably should hand over to the doctor in the room before telling people what they should and shouldn't be taking the advice on vitamin supplements is that everyone should take those for the time of darkness if you like or when the October to March when we're not all having as much sunlight as in the summer months we have particular risk groups in in pregnant women and the elderly but but actually the advice has been for some time that vitamin supplements are are useful at that time of year you need some light to get and vitamins into your body and in the times of the year when there's not as much sunlight the vitamin doesn't get get into your system as readily hence the advice for supplements have not aware of something that was issued yesterday that's specific to this time of year because we're now coming into the time of year where there's more sunshine as the clocks have gone forward and I'm not aware of something that's specific to coronavirus but maybe you'll tell me otherwise if that is the case then forgive us trying to keep on track of absolutely everything we'll come back to you and confirm that later David ball from The Herald yeah in Glasgow Edinburgh homeless households the beam so moved in to safe accommodation sorted like an empty hotel rooms we all local councils be given support by the government to make sure there can be permanent solutions when that hotel accommodation is no longer available so they're not forced to go back and into stores B&Bs they're unsuitable well as you you undoubtedly know we had already been working with local authorities on the back of the homelessness and rough sleeping task force that made number of recommendations and we have been working with local authorities to build up the housing first approach to housing homeless people in rough sleepers which is very much about moving people into settled accommodation and then putting the other support services around them and local authorities like Glasgow in particular are advanced in in moving in that direction so yes we would want to see that kind of approach continued notwithstanding at the corona virus epidemic and lastly Christine lavell from the Sun hi First Minister and it's been reported today that member of the elderly community and he said was pushed and sustained and do not resuscitate order as part of some kind of covert 19 protocol just wondered has new guidance been issued to GPS telling them to do that don't think you've made call officer you talked about the realistic medicine anticipate to the care but let me see nobody in not just in these circumstances but in any sort Sansa's should be pushed into signing up to anything like that there's certainly not any protocol national or otherwise that would discuss pushing people into do not resuscitate signature we have had lot of conversations in fact started by members of the general public but taken on board by colleagues in primary care and in in the hospitals about people making their own wishes known where they to become significantly unwell this is not something that's directly related to covert 19 these are conversations that we would want people to have with their families at any time and in particular its welcomed because the some members of the public say that having discussed it they realize their relatives have their wishes it's all laid out for people to hear and that they're often they're not in the situation where relatives are urging them to go into hospital to have treat more treatment than they would have wanted for themselves of course if people are wanting everything done that is absolutely the right thing and and those shared decision making conversations are happening and have been happening and for many many years across Scotland these discussions perhaps are becoming more pertinent if people are going to become significantly on well but this is absolutely not something that we are discussing in in the light of covert nineteen and pushing people into decisions that they would otherwise not be comfortable with okay that concludes the range of questions that we had notified today can thank the journalists for joining us and again thank everybody who has chindan to watch we'll see you again soon