Chamber and committees

The Scottish Government is working closely with Public Health Scotland and third sector organisations, such as HIV Scotland and Waverley Care, on health promotion activity to inform affected communities. We have provided funding for this work, and co-ordinated communications are in development; this will include targeted communications for communities at risk and will cover information on vaccine availability and eligibility.

Further information on the symptoms of and treatment for monkeypox, and the vaccination programme is available on NHS Inform.

I refer the member to the answer to question S6W-10235 on‎ 29 August 2022. 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

The public health response to the current monkeypox outbreak in Scotland is being led by Public Health Scotland (PHS) and delivered in partnership with local NHS Health Protection Teams (HPTs) in each of the NHS Boards of Scotland. PHS has established a national Incident Management Team (IMT) who meet weekly and whose membership includes representation from experts in clinical infectious disease, sexual heath, infection prevention and control, health promotion, immunisation and health protection.

The response is on a four nations approach and PHS work closely with the other UK public health agencies.

Monkeypox is a notifiable disease under the provisions of the Public Health etc. (Scotland) Act 2008 and as such, all medical staff across Scotland report any suspected or confirmed cases to their HPTs. PHS undertake epidemiological analysis on the data gathered to better understand: who is affected; trends over time; and any risk factors; in order to plan measures to limit onward transmission. Case numbers are published regularly on the PHS website and PHS also contribute to a more in-depth analysis at a UK level.

PHS has produced guidance and resources throughout the response to provide evidence based advice on steps for HPTs and others to take to limit transmission of monkeypox. The core guidance for HPTs sets out the public health actions in relation to contact tracing, follow-up of cases and contacts, post-exposure vaccination and other approaches. These actions are undertaken by HPTs and aim to interrupt any onward transmission once a case is identified, or limit the health impact of any subsequent transmission. This guidance is supplemented by resources such as infection prevention guidance for healthcare settings, produced by Antimicrobial Resistance and Healthcare Associated Infection Scotland (ARHAI) and leaflets including advice for people with monkeypox.

PHS is also working with SG and NHS Boards to undertake the rollout of vaccination for those considered to be at highest risk of contracting monkeypox. More details on the vaccination Programme are available on NHS Inform.

Relevant public information is kept up to date on NHS Inform including advice on: monkeypox symptoms, transmission and treatment; and monkeypox and safer sex. In addition the Scottish Government has recently funded further targeted health promotion messages which is collaborative work between experts in sexual health, PHS and third sector partners.

Curriculum for Excellence (CfE) is non-prescriptive in nature, allowing teachers and schools to judge the context for learning that best suits their learners and their individual circumstances. Therefore decisions about which pedagogies to use are for schools and local authorities to determine, in line with CfE.

Although we do not collect the specific data requested, play pedagogy is encouraged and utilised to support the social, emotional, physical and cognitive development of young children in a developmentally appropriate way at the early level of Curriculum for Excellence, from early learning and childcare(ELC) and into the early stages of Scotland’s primary schools.

In 2020 the Scottish Government and Education Scotland published ‘Realising the Ambition: Being Me – Practice Guidance for the Early Years in Scotland’. This guidance for practitioners in early learning and childcare and the early years of primary school updates, extends and strengthens the approaches to active learning and play introduced in ‘Building the Curriculum 2’ (2007). ‘Realising the Ambition’ reflects current evidence and the progress made in understanding how best to support learning and care for children in their early years.

In July 2022 Education Scotland updated the online Early Level Play Pedagogy Toolkit. The toolkit was co-produced with Scottish practitioners and complements the quality improvement support Education Scotland is providing in collaboration with Regional Improvement Collaboratives and local authorities. The toolkit aims to support a deeper understanding of play pedagogy and increase the confidence of early level practitioners (including those in schools) in using play effectively to support children’s learning and development.

There are a number of routes that developers of a new medical device may follow, in order to pursue NHSScotland approval. As a test for early cancer detection, Trucheck would fall within the remit of the Scottish Health Technologies Group (SHTG), which is a national Heath Technology Assessment (HTA) agency based within Healthcare Improvement Scotland. SHTG advice is developed following a request for evidence support on issues facing health and social care services. The SHTG has not provided advice on the use of Trucheck to date.

Scottish Government have just released in Beta form, Scotland Innovates ( www.innovator.scot). Scotland Innovates allows suppliers and citizens to submit proposals to the entire public sector in Scotland that could potentially create innovate goods and services and bring benefit to our citizens. Advice is available on the site regarding the possible submission of a proposal.

The medicines and Healthcare products Regulatory Agency (MHRA) regulates medical devices in the UK, we recommend that medical devices are registered with MHRA prior to placing the device on the UK market.

I refer the member to the answer to question S6W-10057 on 18 August 2022. 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

The responses are still currently being analysed and considered carefully. This will help to determine the next steps and will also provide more understanding of what support is needed to help the people affected by historical adoption practices.

In the meantime, we have started the process of establishing specialist support and peer support groups for those affected. We have also introduced a working group to assist with the implementation of peer support groups where we are working with partners to scope and develop the support service.

At its heart, Scotland’s Baby Box strongly signals our determination that every child, regardless of their circumstances, should get the best start in life by ensuring that every family with a new-born has access to essential items needed in the first six months of a child’s life.

NHS Inform advice is to keep children aged under six months out of direct strong sunlight and promotes staying safe and healthy in the summer Summer health | NHS inform .

We do not propose including sunscreen products in the Baby Box at this time, however, we will continue to evaluate how Scotland’s Baby Box is helping families and continue to monitor how it can be improved.

We are considering carefully the Joint Committee on Human Rights report along with the responses to our recent questionnaire on the issue of historical adoption.

This will help to determine the next steps and will also provide more understanding of what support is needed to help the people affected by historical adoption practices.

At the heart of our Active Travel Policy is the drive to close the mobility gap and take action against transport poverty. A truly accessible Active Travel landscape is one in which there is equal opportunity to access provision that allows people the opportunity to choose walking, cycling or wheeling as their method of transport for everyday journeys.

The Scottish budget for 2022-23 increased investment in active travel to a record £150 million as we progress towards our commitment to invest at least £320 million or 10% of the transport budget by 2024-25.

We are clear that in all of the funding which we give out in grants to active travel delivery partners, they must ensure that funded schemes promote and support equality for all. A few examples of specific schemes are:

To encourage our youngest citizens to participate in Active Travel, we are running 9 pilot projects to test mechanisms to provide free bikes for all Children of school age who cannot afford them.

In 2022-23, £3 million was allocated to the e-bike Loan Fund in order to provide interest-free loans to support individuals and businesses to purchase e-bikes, adaptive and e-cargo bikes.

In 2019 we launched the £1.3 million Social Housing Fund for improved Walking and Cycling Facilities to encourage active travel within communities, particularly those in areas of multiple deprivation. This project will receive funding of £900,000 in 2022-23.

Scotland’s Cycle Repair Scheme provides free repairs to those who otherwise couldn’t afford it, and the Access Bikes scheme is exploring ways of providing affordable bikes through a variety of different mechanisms, to those who are experiencing financial exclusion.