Lothian NHS
Board
FAO
parents/carers of school children in NHS Lothian Area
Enquiries to Lorna Douglas – 0131 465 5560.
Lorna.Douglas@nhslothian.scot.nhs.uk
10 September 2021.
Dear Parents/Carers,
We appreciate there have been a number of changes in how cases of
COVID-19 in schools are being managed since the start of term and that this has
caused some confusion and anxiety. We hope this letter helps explain these
changes.
Rationale behind the changes
Children and young people have a very low risk of health harm from
COVID-19, and children and young people with asymptomatic infection (that is
without symptoms) are at a relatively low risk of transmitting COVID-19 to
adults. Vaccine uptake is very high, particularly among individuals who are at
greater risk of harm from COVID-19, and the vaccines are highly effective at
preventing severe disease. This has led to the recent changes in policy for self-isolation
and contact tracing for close contacts aged under 18and means that the blanket
isolation of whole school classes will no longer be routine. Far fewer children
and young people are likely to be asked to self-isolate, and when they do it
will be for a shorter period of time while they await their PCR result.
Cases of COVID-19
The advice for people with symptoms of Covid is unchanged. If your child has symptoms of COVID-19ortests positive, they must
self-isolate in line with advice given on NHS Inform.
Contacts under 18 years
For young people aged under 18years, the focus of contact tracing
now is to identify those who are at the highest risk of being exposed to
infection. The Test and Protect process will identify those have had close
or prolonged contact with the person who is positive such as living in the same
household, sleepover or physical relationship type contact with the case.
These high risk close contacts will be asked to isolate and take a PCR test. If
the PCR result is negative and they remain without symptoms, then they can end
self-isolation. If the PCR test is positive, they must self-isolate as a case
as above. If a high risk contact is aged under 5 years, then they will not need
to self-isolate so long as they have no symptoms -PCR testing is not required,
but still encouraged.
Other children and young people who meet the definition of a
contact are considered low risk - e.g. those who had contact in
classrooms, dining rooms, common entry and exit points, general playground
contacts, friendship groups and sharing transport to school. These contacts
will not be directly contact traced by Test and Protect. When cases
arise, parents and carers will be alerted via the 'warn and inform' letter so
that they can be vigilant and look out for symptoms and signs of COVID-19in
their children.
Test and Protect processes
Much of the Test and Protect process is now automated. Parents
should not always expect to receive a phone call from Test and Protect staff, because
much of the contact tracing is carried out electronically. It is therefore
important to follow instructions on electronic communications (text and email)
carefully and complete all contact information as requested by Test and Protect
to help with that process. More information on Test and Protect can be found here,
including how to tell that a communication you receive is genuinely from Test
and Protect and not a scam.
NHS Lothian continues to work closely with Education colleagues to
monitor cases of COVID-19and support public health measures to reduce the
spread of infection in schools. It is important that parents and pupils
continue to practice good hand hygiene, comply with mask wearing and other
COVID-19policies. It is also important for secondary pupils to take part in
regular LFT testing and to take up the offer of COVID-19 vaccination if they
are eligible.
I hope that this provides some background and clarification for
the recent changes in approach to COVID-19 contact tracing in young people. If
you would like any further information,
please see Scottish Government information sheet for more detail.
Yours
faithfully, Dona Milne
Director of Public
Health and Health Policy