Chamber and committees

Due to the importance of the autumn/winter vaccines, some health boards are utilising Community Nursing Teams.

This will particularly be for those patients who are on their current caseloads and are housebound. Community Nurses are also supporting vaccinations in care homes, not only to those on caseload but to help support delivery to this priority group. Community Nurses are also undertaking additional shifts in vaccination clinic settings.

We issued standing instructions to health boards as part of the delivery of phase 1 of the Covid-19 vaccinations programme (broadly December 2020 – August 2021), requiring health boards to build a capacity to deploy up to 1,400 Whole Time Equivalent (WTE) vaccinators in any given week, subject to scheduling of appointments and supply. We maintain this standing instruction for the current winter seasonal Flu and Covid-19 booster programme which requires up to 1,400 WTE vaccinators to be in place for deployment. Deployment in any given week is determined in coordination with the scheduling of appointments and clinics. The substantive difference between phase 1 and the winter programme is that we co-administer flu and Covid-19 boosters, which allows Boards to administer vaccinations at significantly higher rates. We continue to monitor workforce deployment capacity on a weekly basis through the collation of management information.

As set out in the announcement, £62 million for 2021-22 has been allocated for building capacity in care at home community-based services. This is recurring funding intended help to fulfil unmet need, and deal with the current surge in demand and complexity of individual needs, also helping to ease pressures on unpaid carers.

The additional funding of £62 million to expand care at home capacity has been approved for distribution to local authorities by the Settlement and Distribution Group meeting on 18th October and will be passed in full to IJBs . The distribution methodology for the funding is GAE for All Adult Social Work for 2021-22 and thereafter.

The distributions for 2021-22 will be made as redeterminations of the General Revenue Grant in March 2022. A letter with the full breakdown of allocation by Local Authority will be issued shortly.

Most influenza infections typically occur in the winter months with a peak between December and March. Public Health Scotland produce a weekly report monitoring the surveillance of influenza infection which currently sits at baseline activity (week 42). The latest weekly report can be found here: Weekly national seasonal respiratory report - Week 42 2021 - Weekly national seasonal respiratory report - Publications - Public Health Scotland .

We are currently working with Public Health Scotland and Health Boards to plan and deliver the 2021-22 Seasonal Flu Vaccination Programme for the autumn.

We welcome the advice from the Joint Committee on Vaccination and Immunisation who have indicated that where possible, a COVID-19 vaccination booster programme could run synergistically with the flu vaccination programme. This allows for eligible cohorts to be offered both the flu vaccination and a COVID-19 booster at the same appointment and we are working closely with partners to align the programmes to achieve this where possible (taking into account the minimum 24 week gap required between a 2nd dose and booster).

In light of this advice, we have started this year’s programme on the 6 September aiming to vaccinate over 3 million people, with work completed to identify the eligible group populace. It began with rollout of the childhood and schools programme and Health & Social Care Workers were able to book appointments using the online portal from 21 September. Those age 70 years and over have been sent letters inviting them for vaccination and pregnant women are being offered through maternity services.

Those aged 60-69 years of age are being sent letters from late October inviting them for vaccination and an online self-booking portal is being developed for those aged 50 years and over and unpaid carers to allow people to book an appointment at a convenient time and location allowing greater flexibility during November and December in advance of the anticipated start of flu season.

Transport Scotland worked closely with ScotRail to develop contingency measures to mitigate the impact that strike action would bring. COP26 Delegates, business as usual and key workers were considered in the development of mitigation measures. I am delighted that an agreement has been reached with the RMT which means that all four rail unions have now accepted a pay offer ending all current disputes.

Booster vaccinations in Scotland started as soon as possible once the Joint Committee on Vaccination and Immunisation (JCVI) provided their advice on boosters, which stated that the booster dose should be offered no earlier than six months after completion of the primary vaccine course.

627,898 people have received a booster to 29 October, and we are working as quickly as we can, prioritising those most vulnerable.

Data on boosters by JCVI priority group is not yet published. We continue to work closely with Public Health Scotland to develop the vaccination data to provide robust statistics that enhance public understanding.

Booster vaccinations in Scotland started as soon as possible once the Joint Committee on Vaccination and Immunisation (JCVI) provided their advice on boosters, which stated that the booster dose should be offered no earlier than six months after completion of the primary vaccine course.

627,898 people have received a booster to 29 October, and we are working as quickly as we can, prioritising those most vulnerable.

Data on boosters by JCVI priority group is not yet published. We continue to work closely with Public Health Scotland to develop the vaccination data to provide robust statistics that enhance public understanding.

The infection, prevention, and control (IPC) guidance for dentistry is currently being reviewed by Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) Scotland are responsible for the Scottish Guidance. This Guidance has a provisional publication date of 29 November.

The Cabinet Secretary recently wrote to NHS dental teams describing the proposals from the Scottish Government on how we recover NHS dental services to normal practice. This letter is attached for reference: Letter from the Cabinet Secretary to NHS dental teams | Scottish Dental.