Chamber and committees

The Women’s Health Plan: A plan for 2021 – 2024 aims to reduce health inequalities and improve health outcomes for women and girls. The Plan focusses on a specific set of priorities and thyroid conditions are not specifically mentioned in this iteration of the Plan.

However we do recognise that many women are significantly affected by the condition and we are committed to ensuring that people living with hypothyroidism are able to access the best possible support from healthcare services that are safe, effective and put people at the centre of their care. Information on symptoms and treatments are available at NHS Inform .

The priorities for any future Women’s Health Plan are not yet determined. Future aims and priorities will be developed in collaboration with women and girls, including our lived experience stakeholder group, clinical experts and relevant stakeholders alongside the most up-to-date evidence base.

The identification, assessment and management of people with long-term effects of COVID-19 in Scotland is guided by the recommendations of an evidence-based UK-wide clinical guideline developed by the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Care Excellence (NICE) and the Royal College of GPs (RCGP). The guideline provides clinical case definitions for ‘Acute COVID-19’, ‘Ongoing symptomatic COVID-19’ and ‘Post-COVID-19 syndrome’, to support the identification and diagnosis of long-term effects of COVID-19.

The guideline was first published on 18 December 2020, was last updated on 11 November 2021 and is being reviewed as new evidence, policy and practice emerges. The guideline can be accessed at https://www.nice.org.uk/guidance/ng188 .

The recommended clinical case definition to identify and diagnose Post-COVID-19 syndrome is signs and symptoms that develop during or after an infection consistent with COVID-19, continue for more than 12 weeks and are not explained by an alternative diagnosis. It usually presents with clusters of symptoms, often overlapping, which can fluctuate and change over time and can affect any system in the body. Post-COVID-19 syndrome may be considered before 12 weeks while the possibility of an alternative underlying disease is also being assessed. In addition to the clinical case definitions, the term ‘long COVID’ is commonly used to describe signs and symptoms that continue or develop after acute COVID-19. It includes both ongoing symptomatic COVID-19 (from 4 to 12 weeks) and post-COVID-19 syndrome (12 weeks or more).

The International Classification of Diseases provides a common language that supports health professionals to share standardised information across the world, containing around 17,000 unique codes for injuries, diseases and causes of death.

The World Health Organization made available a diagnostic code for ‘Post COVID-19 Condition’ within the International Classification of Diseases and Related Health Problems 10 th Revision (ICD-10) in January 2021. Further information can be accessed at https://www.who.int/publications/m/item/updates-3-4-in-relation-to-covid-19-coding-in-icd-10 .

On 11 February 2022, the World Health Organization’s Eleventh Revision of the International Classification of Diseases (ICD-11) came into effect. Post COVID-19 Condition has the code RA02 and is listed in Section 25 ‘International provisional assignment of new diseases of uncertain aetiology and emergency use’.

The Scottish Government recognises the inclusion of Post COVID-19 Condition in the International Classification of Diseases and the importance of coding diagnoses to support a range of processes that require classification of diseases.

The Scottish Government has put a range of measures in place to address the risk of future pandemics. These are informed by learning from experience of the Covid-19 Pandemic about the need to respond differently to non flu pandemics. We continue to maintain stockpiles of PPE and medicines to address a pandemic threat and we are also working with 4 Nations partners to review the countermeasures and capabilities required to address future pandemic threats and ensure our resilience measures remain robust. In Scotland, we have established the Standing Committee on Pandemic Preparedness to bring together scientists and technical experts to advise the Scottish Government on the future risks from pandemics and how we can be as prepared as it is possible to be for these.

The Scottish Government remains committed to improving the quality of life and wellbeing of people with chronic pain. Involving people with lived experience remains a priority to help inform the improvement work we have set out in our Framework for pain management service delivery - implementation plan .

Our plan was developed with extensive engagement with people with chronic pain. The Scottish Government conducted a public consultation where four-fifths of respondents were individuals living with chronic pain. All of their views have informed the actions set out in the plan.

In summer 2022, we commissioned the Lines Between to establish a Pain Management Panel. The panel included a diverse cross-section of people with chronic pain across Scotland. The findings from this report, published in July 2022 , have helped inform the implementation of the plan.

We are continuing to engage with a range of diverse voices of those living with chronic pain across Scotland as we develop and deliver the plan. Officials attended the most recent Cross Party Group for Chronic Pain to request feedback and further engagement sessions with the group are planned. We have also invited our stakeholders, including people with lived experience, to a series of drop in sessions to give their input as we update our Implementation Plan.

I meet local authority representatives on a regular basis to discuss a wide range of issues which I am responsible for as the Minister for Local Government Empowerment and Planning. The Leader of the City of Edinburgh Council 2023 raised third party rights of appeal with me at a meeting on 11 May. Scottish Government and City of Edinburgh Council officials met on 30 May 2023 to discuss planning appeal procedures – the matter of third party rights of appeal was briefly raised during that discussion.

The Scottish Government has no direct role in the provision of student accommodation, whether managed by universities, colleges or private sector organisations.

Colleges operate independently of government and there is therefore very little scope for the Scottish Government to intervene in the operational businesses of colleges.

The Scottish Government has commissioned a review of purpose-built student accommodation (PBSA) sector to consider how supply, affordability and standards can be improved. The review which is being led by a cross-sectoral expert group and informed by independent research, has now concluded and we will receive the recommendations of the Review Steering Group shortly.

The consultation responses have been analysed and the Scottish Government published a consultation analysis and government response to the consultation prior to the draft SSI being laid before parliament, which will occur by 1 October 2023.

The consultation analysis can be found at: https://www.gov.scot/isbn/9781835210758

The government response can be found at: https://www.gov.scot/isbn/9781835210925

I refer the member to the answer to question S6W-19456 on 24 July 2023. 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 .

Ministers and Officials follow the Scottish Government’s travel policies when travelling on official business. The policy for air travel is outlined below. Section 5 of the policy relates to private air travel.

Travelling by air - Colleagues can book flights for long distances, but should choose greener forms of transport, for example bus or rail, for shorter journeys.

Things to consider before booking flights - Before booking flights you should be aware that:

• mainland UK flights need to be approved at director level
• economy class should be used for journeys of 10 hours or less
• business class is only permitted if the flying time on a specific flight is more than 10 hours one-way, unless otherwise agreed
• always try to book well ahead of the planned trip to enable the travel agent to find competitively-priced tickets

To maximise negotiated fares/services available to the SG all official air travel must be booked through the SG’s Travel Agent. This should include travel required in emergencies as the SG’s Travel Agent operates an out of hours service.

1. Class of Travel -The class of air travel is governed by the airline’s fare structures on the various routes, the level of the officer travelling, and the duration of the flight. The following information sets out entitlements. Countersigning Officers may however exercise discretion.

Fare Structure Available on Flight Level of entitlement

Economy All staff

Business Senior Civil Service – however economy is encouraged

First Senior Civil Service in exceptional circumstances with prior approval of Director General.

2. Domestic flights - Air travel within the mainland United Kingdom should only be made with Director level (or above) approval.

The SG wishes to show leadership in getting best value for money, and prudent use of the public purse. Economy Class must be used in all circumstances where this is available, unless the Countersigning Officer is willing to sanction a higher level of ticket in accordance with the exception:

Where a member of staff, who is not a Senior Civil Servant, necessarily travels for official reasons, in company with a person who is not a United Kingdom civil servant, and who is travelling in a higher class.

Last minute bookings should be avoided. In exceptional circumstances, or where the Director is not available, retrospective Director level approval can be sought. However, before bookings are made you should discuss it with your line manager and inform your Director’s office of your intentions.

3. Travel to London -The presumed method of travel for staff going to London on official business is rail. Staff who intend to fly to London must obtain Director level authorisation. The SG’s Travel Agent can provide more detailed information on fares and ticket types.

4. Overseas travel -When travelling on official business staff should travel economy on any individual flight when the flying time (one way) is less than 10 hours.

Business class travel is only permitted when:

the flying time (one way) for that flight is more than 10 hours, or

the Countersigning Officer is willing to sanction a higher level of ticket in accordance with exception noted in part 2.

5. Charter flights - Special regulations apply in connection with the charter of air transport. The SG’s Travel Agent must be consulted in all cases where it is proposed to use that method of travel. The exception is if the aircraft is chartered by another government department.

We have committed to investing £97.5m over a five year period from 2021-22 to 2025-26 to support The Scottish Ambulance Services fleet replacement programme, which includes dedicated funding to support the introduction of over 250 electric vehicles.

Transport Scotland's Switched on Fleets programme has also invested just under £8.4m to support the decarbonisation of vehicles and install associated infrastructure.