Chamber and committees

To help free up capacity during the initial coronavirus outbreak, Health Boards were asked to postpone non-urgent operations and procedures to allow vital NHS staff and resources to be redeployed to support the response to the pandemic. All Health Boards were written to in March 2020 and asked to take a structured approach to scaling down all non-urgent elective procedures, making clear that urgent, maternity and vital cancer services should remain.

From May 2020, while NHS Boards needed to maintain capacity for the priorities of COVID-19 as well as continuing to provide urgent, emergency, maternity care and support the care home sector, they started to use spare capacity to safely and incrementally restore services which had been paused. In restarting paused services, each Health Board, whilst ensuring their approach was consistent with national guidance, made their own decision on which services could safely and effectively be resumed; as informed by local circumstances; and both local and national clinical priorities.

National screening programmes restarted over summer 2020 in a phased way with an initial focus on higher risk screening participants, with all adult screening programmes now running again, including those for breast, bowel and cervical cancer.

Remobilising and supporting the NHS remains one of the Scottish Government’s top priorities and the NHS Recovery Plan will be published shortly. This will set out how we will continue to support patients to receive the highest quality of care; safely and effectively expanding NHS capacity whilst ensuring operational resilience.

Published data on performance is available at Publications - Public Health Scotland

The Scottish Government has liaised with NHS Greater Glasgow and Clyde Board, and the analytical data captured by the management information tool records that staff are a health or social care worker, not their work location or clinical status. The Member will be aware that employees of the health board can access a dedicated email address, if they have not received a second dose of the COVID-19 Vaccine.

At a national level, 373,715 health and social care workers have received their first dose and 357,486 are fully vaccinated. This includes the 94% of specified frontline health workers, who have had their first dose and 89% that have received their second too. The COVID-19 Daily Dashboard | Tableau Public provides the latest figures.

The UK Government has proposed creating a separate Warm Home Discount scheme for Scotland that does not take account of current levels of need or the definition of fuel poverty as decided by the Scottish Parliament. We have urged the UK Government to reconsider their proposals on this basis and review their use of levy funding more generally. These proposals will increase charges on everyone's energy bills but this does not reflect every household's ability to pay.

Given that UK Ministers believe that a reformed scheme is needed in England and Wales, Scottish Ministers have proposed a simpler, fairer and more flexible fuel poverty scheme for Scotland. As set out in our draft Heat in Buildings Strategy, we believe that combining the current Energy Company Obligation and Warm Home Discount schemes would provide the flexibility needed to target the different needs of Scottish communities and reflect the will of the Parliament.

The Scotland Act (2016) does not provide powers for Scottish Ministers to simply change these levy funded schemes. In all circumstances the approval of the Secretary of State would be required for any changes to be implemented. Scottish Ministers cannot meaningfully consult about the design of a proposed Scottish scheme or engage with the Parliament on this basis.

This is a matter for local authorities. The Scottish Government does not hold this information centrally.

The Scottish Government continue to meet and work collaboratively with the recognised representative body for community pharmacy contractors in Scotland, Community Pharmacy Scotland.

Discussions have included the pharmacy networks response to the COVID-19 pandemic, additional support provided to the community pharmacy teams in providing a safe working environment and access to mental health and wellbeing support. The delivery of current and development of future pharmaceutical care service to support the NHS recovery from the pandemic and the impact of the pandemic to the financial sustainability of pharmacy network and the Scottish Drug Tariff.

Officials have also met with NHS Board Directors of Pharmacy to discuss the provision of pharmaceutical care services.

I refer the member to the answer to question S6W-01396 on 12 July 2021. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

On 15 June 2021, the Advisory Sub-group for Education and Children’s Issues provided advice on whether groups of parents should be permitted to attend ELC settings for outdoor events such as nursery graduations. Their advice was that groups of parents and carers should not attend end-of-year events in Early Learning and Childcare settings, whether indoors or outdoors. This was a carefully considered decision that weighed up all of the risks involved to safeguard public health.

In relation to the Fan Zone Scottish Ministers have undertaken significant consultation with public health officials and clinicians who have provided advice throughout development of Glasgow City Council’s proposal. The Fan Zone provides an outdoor, highly regulated space for fans to watch the tournament. Although there will be up to 3,000 people in attendance per session, this is in a large, outdoor space with normal capacity for up to 80,000 people. Necessary physical distancing and hygiene measures are in place. In addition, there is comprehensive stewarding, cleaning and contact tracing provisions in place and everyone attending are encouraged to take a lateral flow test prior to the event. Rapid lateral flow test kits are being mailed to all visitors to the Glasgow Fan Zone. This move is part of a series of measures to help reduce the risk of transmission before and after the event.

528 applications have been approved and when the next payment is made in July, £534,359 will have been paid from the Scottish Government mesh fund. This includes fees paid to GPs for providing proof of complications.

The Complex Pelvic Mesh Removal Service in NHS Greater Glasgow and Clyde (NHS GGC) is managed through a Service Level Agreement with NHS National Services Scotland (NSS). The service reports to NSS on a number of indicators, including patient experience data, any significant adverse events and waiting times. This information will be used for comparison across the UK specialist centres, and will support quality assurance and improvement.

In addition, NHS Scotland is taking part in the development of a UK-wide Pelvic Floor Registry, which will aim to monitor and improve patient safety. It will record surgical mesh implants, and related medical devices, given to patients, and the organisations and surgeons that have carried out the procedures.

The registry will also collect information about patients that receive alternative procedures that do not include a medical device or implant so that outcomes can be compared and complications can be understood.

The main aim of the registry is to improve patient safety. It will mean that patients can be traced in the event of a product recall or safety concern relating to a specific type of implant or treatment. Outcomes data collected by the registry will also be used to improve procedures offered to future patients.

NHS Scotland will pilot the registry in Scotland and the NHS GGC will be involved.

The Scottish Government hold regular meetings with Community Pharmacy Scotland, the recognised representative body of community pharmacy contractors in Scotland as set out in the National Health Service (Pharmaceutical Services) (Scotland) Regulations 2009. In response to the COVID-19 pandemic and over the last 12 months, Scottish Government officials and Community Pharmacy Scotland representatives have met on a bi-weekly cycle to discuss a range of issues related to the community pharmacy network in Scotland.

In the last 12 months, Scottish Government officials have met with the Guild of Healthcare Pharmacists on two occasions and the Pharmacists Defence Association on two occasions.