Chamber and committees

The terms of reference for the Scottish COVID-19 Public Inquiry are designed in such a way that they do not constrain the chair in seeking views and evidence from any group or individual affected by the matters the inquiry is asked to investigate.

Scottish inquiries set up under the Inquiries Act 2005 cannot investigate reserved matters. However we recognise that learning lessons from the pandemic will involve analysis of devolved and reserved issues across a spectrum of topics. To that end, we are engaged with the UK Government to understand the approach to the UK-wide COVID-19 inquiry. We will use our position as a statutory consultee on the terms of reference for the UK inquiry to make clear the importance of examining the impact of policies during the pandemic on those seeking asylum and living under immigration control in Scotland.

The list of questions was compiled by a national Health and Wellbeing Questionnaire Content Group was derived from existing health and wellbeing surveys which had already been tested and ethically approved.

A list of topics covered by the Census is available from the Scottish Government website at:

https://www.gov.scot/binaries/content/documents/govscot/publications/factsheet/2020/02/health-and-wellbeing-census/documents/health-and-wellbeing-census-frequently-asked-questions/health-and-wellbeing-census-frequently-asked-questions/govscot%3Adocument/HWB%2BCensus%2B2021-22%2B-%2BQA%2Bdocument%2B-%2BAugust%2B2021.docx .

Safety is at the heart of everything we do and the Scottish Government wants everyone in Scotland to receive the best possible care and treatment from our health and care services. Along with NHS Scotland, the Scottish Government has a shared vision for an open and learning culture and we want to learn when there has been dissatisfaction or harm and encourage organisations to identify improvements.

Our commitment to this is strongly demonstrated in the development of our approach to openness and learning in the introduction of the statutory Organisational duty of Candour legislation, and in our commission to Healthcare Improvement Scotland and NHS Education for Scotland to work together on a Joint Commission to make this a reality.

A number of reviews and processes are in scope for the Joint Commission, which will seek to take a human factors/ safety science approach to minimising duplication and reducing variation in review processes as well as supporting and upskilling staff in leading and taking part in these.

NHS Health Boards are responsible for delivering safe, effective, person-centred care at a local level, which includes leading on learning and improvement in areas of challenge and to drive quality; creating an environment that values staff and supports them when concerns are raised; and monitoring and improving the quality of health care which is provides to individuals. The Scottish Government and NHS Health Boards work closely together to ensure local policies and processes are implemented and improved in line with national policy and frameworks.

Scottish Government officials are continually engaging with NHS Boards to identify particular areas of concern. This includes the gathering of daily capacity and weekly absence reporting from all territorial Health Boards.

Through this ongoing engagement, NHS Highland advise that they have embedded an established structure for daily clinical and care huddles which are designed using the principles of the Scottish Patient Safety Programme. These forums are used for reviewing staffing and escalating any concerns in relation to patient safety and quality and staff wellbeing.

We are fully aware of the unprecedented pressure that the pandemic is putting on services within NHS Highland and across Scotland. That is why we have announced a record £300 million of investment to support Health Boards and their staff over the coming months.

As part of this investment, NHS Highland is receiving additional in-year and recurring finance to support international recruitment of registered nurses and additional Healthcare Support Workers for acute services. The Board has also received a share of in-year investment to provide additional support to its recruitment team and to recruit an international recruitment lead.

The Staff Governance Standard, which has legislative underpinning, requires all health Boards to demonstrate that they are ensuring that staff are appropriately trained and developed and that resources, including time and funding, are appropriately allocated to meet local training and development needs taking into account the current priorities of both the service and service users.

Boards are expected to have systems in place to identify areas that require improvement and to develop action plans that will describe how improvements will be made. The Scottish Government also seek assurance from all Boards that they are meeting the Standard through the annual Staff Governance Monitoring exercise.

Our reducing risks in schools guidance sets out the current COVID-19 mitigations in schools.

Current guidance reflects the best scientific and clinical advice, as well as the current state of the pandemic and the anticipated trajectory of infections. The restrictions, which limit non-essential visitors in schools and early learning and childcare settings, include attendance by parents for nativity plays and similar events. However, we know that many schools and settings plan to use other creative means to present these activities, such as streaming them online or holding them outdoors.

Our Rail Decarbonisation Action Plan requires a rolling programme of electrification to meet its target date of 2035. We continue to make good progress, including the current electrification work on the Barrhead and East Kilbride routes. Early development work for further routes is currently underway as part of our project pipeline approach and we will make further announcements on these at an appropriate stage of development.

The questions in the census are derived from existing health and wellbeing surveys which have been tested and ethically approved. The questions are completely age and stage appropriate. Local authorities are required by law to plan for children's services in their local area, they have a legal basis to ask children and young people about their lives and wellbeing to help them with this. Local authorities need this data about the health and wellbeing of children and young people in order to:

• plan and deliver better policies for the benefit of all children and families, or specific groups;
• better understand some of the factors which influence the outcomes for children;
• target resources better;
• enhance the quality of research to improve the lives of people in Scotland; and,
• provide a window on society, the economy and on the work and performance of local and central government.

The Scottish Government worked with stakeholders to carefully consider and design a set of sample questionnaires – with each set of questions being age appropriate. The content was developed by representatives and experts from across academia who are experts in conducting research of this nature – experts from public health, Education Scotland, local authorities and schools. The Census has also been ethically approved by independent researchers within the Scottish Government.

The questions, therefore, are considered entirely appropriate for the age ranges they cover.

The Scottish Government has received no complaints from local authorities in relation to the Health and Wellbeing Census.

Local authorities administer the Census in their schools to help identify the issues children and young people are concerned about and to tailor their learning, particularly in Personal and Social Education, and their advice and support. These issues may relate to food and nutrition, sleep, relationships, bullying, sexual health, substance use, physical activity as well as social media use and mental and emotional health and wellbeing.

The Census is entirely voluntary, both for local authorities to undertake and to parents/carers and pupils to take part in. This has been made clear to local authorities throughout.

We are committed to ensuring that all children and young people get the support that they need to reach their full potential.

The Education (Additional Support for Learning) Act 2004 (as amended) places duties on education authorities to identify, provide for and review the additional support needs of their pupils. Education authorities can ask other agencies (including social work services, NHS Health Boards and Skills Development Scotland) for help in carrying out their duties under the Act.

Children and young people who are unable to attend school due to ill health should continue, wherever they can, to access education. This includes children and young people who are absent from school due to the effects from long Covid.

Where illness leads to prolonged absence from school, Section 40 of the Standards in Scotland’s Schools etc. Act 2000 places duties on education authorities to educate children and young people to their fullest potential and to make special arrangements for the pupil to receive education elsewhere than at school. Alternative educational arrangements could be provided, for example, at home or within a hospital setting.

Guidance to education authorities and other agencies on their duties under the 2004 Act is provided through the statutory Supporting Learners' Code of Practice. Education authorities and other agencies are further supported through guidance on Supporting Children and Young People with Healthcare Needs in Schools and guidance on the Education of Children Unable to Attend School Due to Ill Health.