Summary

  • More talks will take place this week in a bid to avert nurses in Scotland going on strike, the first minister tells a news briefing on the state of the NHS

  • Nicola Sturgeon says discussions would be ongoing but the government has "no more money" for this year and is not "holding anything back"

  • The first minister says flu, Covid and Strep A have put enormous pressures on the hospital system with bed occupancy at 95%

  • She adds that a plan is being put in place to speed up discharges from hospital with additional care home beds being found

  • At the weekend, Dr Lailah Peel, deputy chair of BMA Scotland, said patient safety was now "at risk every day" in A&E departments

  • Ms Sturgeon is asked about Dr Peel's comment and says she would never criticise the concerns of clinicians as they see them, but points out that the vast majority of patients receive "excellent care"

  • The Scottish Conservatives say the government's winter planning is "too little too late"

  1. 'Hospitals are currently almost completely full'published at 11:22 Greenwich Mean Time 9 January 2023

    hospittal patientImage source, Getty Images

    Despite the measures taken, "hospitals right now are currently almost completely full," says Ms Sturgeon.

    She turns to delayed discharges and says the vast majority of people, some 96%, do leave hospital when they should.

    There has been a "slight reduction" in delayed discharges but there are still 1,700 people currently in hospital who don't need to be there.

  2. Additional NHS 24 staff recruited in run up to Christmaspublished at 11:17 Greenwich Mean Time 9 January 2023

    The impact of Covid, flu and Strep A is clear, continues Ms Sturgeon.

    The first minister highlights record levels of calls to NHS 24.

    Additional NHS 24 staff were recruited in the run up to Christmas, she says.

    The overwhelming majority of calls were dealt with by the call and without the need for hospital admission.

    Meanwhile, the ambulance service responded to 16,000 incidents in the last week, she adds.

  3. 'Extraordinary levels of winter flu'published at 11:11 Greenwich Mean Time 9 January 2023

    The first minister is outlining the background to the pressures on the NHS.

    Ms Sturgeon begins with the impact of Covid.

    She says progress is being made but the effect backlogs has been significant.

    The first minister turns to the "extraordinary levels of winter flu" and cases of Strep A and other respiratory viruses resulting in a significant demand for services.

  4. FM accepts this is worst winter ever for NHSpublished at 11:09 Greenwich Mean Time 9 January 2023

    nicola sturgeon

    Nicola Sturgeon says this is without doubt the worst winter ever for the NHS and those who work in it are doing a marvellous job.

    The first minister accepts the toll the pressures are having on staff.

    She points out the NHS was under pressure before Covid.

  5. NHS media briefing beginspublished at 11:05 Greenwich Mean Time 9 January 2023

    The first minister gets the media briefing under way.

  6. What are the opposition parties saying?published at 10:58 Greenwich Mean Time 9 January 2023

    NHS 24Image source, Getty Images

    As we get ready for Ms Sturgeon's statement, it's worth noting what the opposition parties have had to say about the NHS and how it is coping under unprecedented pressure.

    Scottish Labour last week called for the Army to be drafted in to help.

    The Scottish government previously called in soldiers to drive ambulances in 2021 during the Covid pandemic.

    Meanwhile the Scottish Conservatives said Mr Yousaf's planning for winter "came too little too late".

    Health spokesman, Dr Sandesh Gulhane MSP, said: "He was repeatedly warned a year ago that a winter crisis was looming but he totally failed to act.

    "His flimsy NHS Recovery plan which is now well over a year old is simply not fit for purpose. He is offering no solutions to this crisis."

  7. A&E departments not safe for patients, says doctors' unionpublished at 10:51 Greenwich Mean Time 9 January 2023

    Media caption,

    Scotland's hospitals are "not safe" for patients - doctors' union

    Ms Sturgeon's upcoming statement comes after a doctors' union warned Scotland's hospitals are "not safe" for patients under current winter pressures on the NHS.

    Dr Lailah Peel, deputy chair of BMA Scotland, said patient safety was now "at risk every day" in A&E departments.

    She spoke to BBC Scotland as Covid cases soared last week and hospital flu admissions hit a five-year high.

    Health Secretary Humza Yousaf said the Scottish government was doing "everything possible" in its power to improve the situation.

    Dr Peel said a major problem was the shortage of beds due to delayed discharge - where patients who are medically fit are unable to leave hospital, often due to a lack of community care provision.

  8. Analysis

    NHS in the midst of its worst ever winterpublished at 10:49 Greenwich Mean Time 9 January 2023

    Lisa Summers
    BBC Scotland Health Correspondent

    This is the worst winter that Scotland's health service has ever seen and that’s borne out in the data that shows record long waits at A&E, long turnaround times for ambulances outside hospitals and more than one in 10 patients waiting for some kind of planned treatment.

    The worst flu season in five years and an increase in Covid cases have made things worse.

    However, the main reason beds are in such short supply is delays getting people out when they no longer need hospital care.

    A lot of creative thinking is going on to free up beds and create more "flow" through hospitals - but you can only do so much with a shortage of key skilled staff and carers in the community.

  9. Welcomepublished at 10:33 Greenwich Mean Time 9 January 2023

    Emergency departments across Scotland are experiencing conditions 'worst than pandemic times', says leading doctorImage source, Getty Images
    Image caption,

    Emergency departments across Scotland are experiencing conditions 'worst than pandemic times', says leading doctor

    Good morning and welcome to our live coverage of the first minister's media briefing looking at winter pressures on the NHS.

    Nicola Sturgeon will be joined by Health Secretary Humza Yousaf and deputy chief medical officer Graham Ellis.

    At the weekend, BMA Scotland deputy chair Dr Lailah Peel said patient safety was now "at risk every day" in A&E departments.

    Mr Yousaf said the Scottish government was doing "everything possible" in its power to improve the situation.

    The media briefing is due to start at 11:00.