Chamber and committees

The necessary quality standards, including the detailed product requirements, requirement for clear labelling of the strength or dose, as well as specifying the product as a food supplement and not a licenced medicine, were set out in the tender specification.

As the Vitamin D product is a food supplement rather than a licenced medicine, this means that it must comply with food standards regulations and legislation covering food supplements. This includes dosage instructions and the vitamins and minerals which may be added to them. The labelling of food supplements must also comply with the food information requirements under which claims to prevent, treat or cure disease cannot generally be attributed to food. In addition, separate rules on nutrition and health claims mean that only authorised claims may be made about food. As with other food, the relevant food hygiene requirements apply at all stages of production, processing and distribution for food supplements.

Food Standards Scotland operational hubs are completing Export Health Certificate documentation to ensure that the EU authorities will accept them. Between 1 and 27 January 2021, the total number of EHCs completed across the three central logistics hubs in Scotland (Larkhall, Bellshill and Harthill) was 635*.

Single commodity load EHCs presented with complete and accurate paperwork can be processed in less than an hour. Multiple commodity loads, groupage or loads presented with incomplete or incorrect paperwork are taking longer.

Food Standards Scotland currently has the capacity and skills required at the sites to ensure efficient attestation of export health certificates and can increase resources further if that becomes necessary. SG and FSS are committed to supporting industry, and have hosted four well attended webinars highlighting the key challenges and improvements which can be made going forward, including correct completion of paperwork. These webinars can be accessed on FSS’ EU Exit food and drink exports webpage as well as other information to support businesses.

*Please note this does not represent a total number of EHCs completed in Scotland since EU Exit, only data for sites where FSS is operational (so doesn’t include EHCs issued by Local Authorities or by the private sector).

Everyone on the shielding list was offered a free 4 month supply of vitamin D as additional information attached to a letter from the Chief Medical Officer on 23 October 2020. The offer included advice, informed by clinical advisors and the Chief Pharmaceutical Officer, about contraindications and toxicity including that people should seek advice from their GP, pharmacist, midwife or health visitor if they had certain conditions or were taking certain medications or vitamin supplements already. Following further discussion with GP representative bodies, this advice was broadened to seeking advice also from clinicians and specialist nurses.

The Chief Medical Officer has issued advice to care homes that residents should be assessed for vitamin D supplementation as part of their regular routine clinical review. It is important that decisions on whether to prescribe vitamin D for care home residents are be taken on an individual basis. This approach ensures that the provision of vitamin D is considered for all care home residents, including those who are on the shielding list, and is prescribed where it is considered to be of benefit.

In relation to patients on the shielding list, they were advised that for most people taking a 10-microgram supplement of vitamin D daily is safe, but there are some who should seek advice first due to certain health conditions or medication. It was explained this is because taking too much vitamin D can cause calcium to build up in your body and this can weaken your bones and damage your heart and kidneys. As outlined above, they were advised to seek advice from their clinician, specialist nurse, pharmacist, midwife or health visitor if they were already taking a vitamin supplement.

Vitamin D is not available through the NHS Pharmacy First Service. Decisions to prescribe vitamin D to people in care homes or care at home settings is a matter for the individual’s clinician.

The Chief Medical Office wrote to care home providers and others including NHS Directors of Pharmacy and Community Pharmacy Scotland on Thursday 21st January 2021 outlining that, residents should be individually assessed for vitamin D supplements as part of their regular routine clinical review. This is to ensure that the supplements would be of benefit and to check the need for co-prescribing with calcium as well as for the other contraindications or side effect. Care home staff are encouraged to discuss this with clinical colleagues as part of routine communication arrangements.

People on the shielding list were offered a free 4 month supply of a daily supplement of Vitamin D in October 2020. Opt-in was via the Scottish Government shielding text messaging service or the free national helpline. The deadline for sign up was 11 November. Vitamin D was procured through NHS National Services Scotland National Procurement. 71,833 people opted in and supplies were posted from week commencing 23 November and arrived during December. The offer included residents in care homes and those in prison who will receive their supply through individualised discussions and prescriptions where it is of benefit.

Export Health Certificates (EHCs) are not dealt with by Marine Scotland.

EHCs for seafood exports are normally issued by Environmental Health Officers (EHOs) working for local authorities. However, given the anticipated massive increase in demand for EHCs arising from the UK leaving the EU single market, the Scottish Government, Food Standards Scotland (FSS), seafood businesses and logistics providers have worked to put in place a FSS-staffed certifying service at three logistics hubs in central Scotland, thereby reducing what would be an unmanageable burden on local authorities.

The disruption to Scotland’s high quality seafood export business is entirely a result of the UK Government’s reckless decision to pursue a hard Brexit in the middle of the pandemic.

It is difficult, at this stage, to provide an accurate figure for the average time being taken to complete the certification process. On some occasions the process can be completed in 45 minutes. In other, more problematic cases, it has taken almost 10 hours before all documentation is in order and a certificate can be issued.

There are no armed forces personnel, regular or reserve, deployed in ICU wards or in patient facing roles in hospitals or other medical settings in Scotland.

A MACA (Military Aid for Civil Authorities) has been agreed with the armed forces to support the Covid Vaccines Programme, with approximately 80 personnel supporting this logistical work. The Scottish Government does not hold information as to whether the personnel deployed are regular or reserve personnel. The MOD are responsible for selecting the people with the necessary skills needed for the task.

I refer the member to the answer to question S5W-34456 on‎ 29 January 2021. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx

The Scottish Government has already listed Vaccination sites for January and will continue to do so. NHS territorial boards have led on the identification and provision of vaccination sites and have been supported by the armed forces where required. Delivery Sites (www.gov.scot)

Groups (a) and (b) in the question refers to JCVI priority groups 6,7,8,9, as follows:

6. All individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality and Unpaid carers.

7. All those 60 years of age and over.

8. All those 55 years of age and over.

9. All those 50 years of age and over.

For JCVI priority groups 6,7,8,9 - We expect to start these cohorts in March and aim to complete first doses by early May 2021 as set out in our Covid-19 Vaccine Deployment Plan published 14th Jan 202, subject to availability of supplies.