As of 28 February, general population self-isolation guidance states that if you test positive, you should pause routine LFD testing for 28 days after self-isolating. Count the 28 days from the day your symptoms started, or the date of your positive test if had no symptoms. If you are identified as a close contact during this time, you do not need to test or self-isolate as long as you do not have any new symptoms, regardless of vaccination status. If you develop new symptoms, self-isolate and book a PCR test.

Throughout the pandemic, the Scottish Government has kept self-isolation policy under review in line with the most up to date scientific evidence and clinical advice. We continue to balance the need to dampen transmission of the virus whilst limiting the impact on the economy and critical public services.

The number of confirmed strokes discharged during 2021 showing total length of stay and length of stay in a stroke unit is in the following table.

For some of the figures, the length of stay in the stroke unit are longer compared to stay in the audit. The patient may have completed the stroke part of their journey, but they did not have a discharge plan, so would be discharged from the audit. However, they are still in the stroke unit, for example if they have another condition that is more important than stroke.

The self-isolation exemption guidance for health and social care staff is based on the latest clinical and public health evidence and advice, and has been updated on a regular basis as we learn more about new variants, transmission and severity of illness from COVID-19. Clinical advisors within Scottish Government and Public Health Scotland (PHS) provided their expert advice to this guidance. For more information on this advice you can visit the latest PHS guidance for Health Protection Teams.

It is worth noting that as of 28 February this exemption does apply to the general population. Self-isolation guidance states that if you test positive, you should pause routine LFD testing for 28 days after self-isolating. Count the 28 days from the day your symptoms started, or the date of your positive test if had no symptoms. If you are identified as a close contact during this time, you do not need to test or self-isolate as long as you do not have any new symptoms, regardless of vaccination status. If you develop new symptoms, self-isolate and book a PCR test.

Participation of small producers is vital to the success of the scheme and we believe we have taken their needs into consideration in designing DRS.

We have consulted extensively with businesses of all sizes that will be affected by the implementation of Scotland’s Deposit Return Scheme. We are not aware that any producers have decided to cease doing business in Scotland, although we are aware that some have expressed concerns about whether they will continue to sell their products in Scotland.

This is one of the reasons why we have applied a de minimis for the SEPA registration fee. This will remove a cost for businesses operating below the current VAT threshold, benefiting around 1,600 of the more than 4,000 anticipated producers selling into the Scottish market

Guidelines are intended as an aid to clinical judgement, not to replace it. The ultimate decision about a particular clinical procedure or treatment will always depend on each individual patient’s condition, circumstances and wishes, and the clinical judgement of the healthcare team.

Scottish Intercollegiate Guidelines Network (SIGN) have taken the opportunity to take a four nations approach and collaborate with the Intercollegiate Stroke Working Party on the 6th edition of the Royal College of Physicians National Clinical Guideline for Stroke which is expected to be published in February 2023. This will be a collaborative national guideline which will be applicable for use in Scotland.

There are a wide range of definitions for Stroke Units and it is understandable that stroke units will look very different between, for instance, a large city hospital and island NHS Boards

The core criteria for defining a stroke unit are well described in the academic literature, including in Langhorne et al (2002). Professor Langhorne is a member of the Scottish Stroke Care Audit (SSCA) Team and has been influential in defining different models of stroke unit care.

NHS Boards are expected to describe their stroke unit models through the SSCA processes and the Scottish Stroke Improvement Programme Team review this information during Board Reviews (now occurring at least twice annually). This ensures that optimal and evidence based services are being delivered and demonstrates that stroke units are viewed as a core component of care.

We are analysing the text of the Act to understand how it could interact with Scotland’s Deposit Return Scheme (DRS), but in order to assess impact fully we need to understand the UK Government’s intentions for its own DRS. We have not yet seen their response to their recent consultation.

The timescale set out in December 2021 was for such contracts to be signed by the end of March 2022. I am aware that Circularity Scotland Ltd is currently in commercial negotiations and it would be inappropriate for me to comment further at this time.

Section 34 of the Environmental Protection Act 1990 requires those handling waste to ensure that it is handled in a fashion that promotes high-value recycling.

Return points, producers and Circularity Scotland, when handling returned scheme packaging, including glass, will therefore have an obligation to promote high-value recycling regardless of whether the glass is collected manually or by the use of reverse vending machines.

The figure is based on Circularity Scotland Ltd’s assessment of its expected annual turnover as scheme administrator once it is in steady state.

We anticipate that implementation and operation of DRS will generate a range of business and employment opportunities in the extensive infrastructure and logistics required for the scheme, for example in the construction and operating of sorting and bulking centres.