Chamber and committees

Electric scooters (e-scooters) are effectively illegal to ride on streets and in other public places due to a number of pieces of UK-wide and Scottish legislation.

Last summer, the UK Government made some amendments to UK legislation to allow limited trials of rentable e-scooters to take place in local authority areas – aiming to gather evidence on effects of their use in a controlled environment. These amendments were made on a fast-track basis to facilitate rapid progression of trials in English local authorities. The UK Government did not factor-in time in planning the trials for the Scottish Parliament to consider and potentially implement the changes to Scottish law that would be required in order for trials to take place in Scottish local authority areas.

The UK Government has signalled its intention to publish proposals in 2022 for potential further legalisation of e-scooters beyond the current trials. Scottish legislation continues to apply in Scotland which makes use of e-scooters on roads or cycle paths illegal. The Scottish Government will continue to monitor trends as a matter of course in order to inform future policy.

Children and young people who require inpatient support for an eating disorder will be admitted to either one of the 3 regional Child and Adolescent Mental Health Services (CAMHS) inpatient units, as outlined below, or be admitted to a paediatric ward.

• 24 beds - Skye House Regional Adolescent Unit, Stobhill Hospital, Glasgow
• 12 beds - Dudhope House, Dundee
• 12 beds - Young People’s Unit, Royal Edinburgh Hospital, Edinburgh

Similarly, adults who require inpatient support will be admitted to general adult mental health wards locally, or to one of the 3 adult specialist inpatient units in Scotland:

• The Regional Eating Disorder Unit at St John’s Hospital, Livingston, which is a 12 bed unit.
• The North of Scotland Eating Disorder Unit (Eden Unit), Royal Cornhill Hospital Aberdeen, which is a 10 bedded specialist eating disorder unit.
• There are also 4 specialist eating disorder beds in general adult psychiatry ward in Stobhill Hospital, Glasgow.

The UK Government’s Scientific Advisory Group for Emergencies (“SAGE”) Environmental and Modelling Group (“EMG”) published a paper on 4 November 2020 on the “ Potential application of air cleaning devices and personal decontamination to manage transmission of COVID-19 ”, to which NHS National Services Scotland contributed on behalf of the Scottish Government. Work is due to start with the Office of Product Safety and Standards and the SAGE EMG to consider air cleaners further as there is no recognised standard for their efficacy.

The Open with Care guidance, published on 24 February 2021, recommends a minimum of two indoor visits per resident per week (where they so wish), as long as certain conditions are met. This was a starting point to enable care homes to increase the frequency, duration and quality of visits through local assessment and support from local oversight arrangements. The guidance should be adopted to reflect the Protection Level of each care home’s local authority area.

Additional advice on supporting residents to make outings and overnight stays away from the care home was published on 17 May www.gov.scot/publications/coronavirus-covid-19-
adult-care-homes-visiting-guidance/ . The general principle is that when a resident wishes to go on outings away from the care home, that these should take place in line with general population COVID-19 permissions relevant to the local area, unless there is clear evidence justifying a more restrictive approach.

The Open With Care National Oversight Group is monitoring implementation of the guidance, identifying any additional support that might be required, and will report on progress in June .

Scottish Healthcare Technical Memorandum (SHTM) 03-01 provides information relating to legal requirements, design implications, maintenance and operation of general and specialised ventilation in all types of healthcare premises. This has been supplemented with specific UK-wide guidance on ventilation and COVID-19, particularly for aerosol generating procedures. Patients should not be treated in poorly ventilated areas. There are currently no plans to implement the use of high-efficiency particulate air purifiers across the NHS estate.

NHS Scotland works in partnership with Integrated Authorities, Local Authorities, the third sector and other service providers to deliver care, services and support to people with eating disorders and their families funded from the overall resources they receive from the Scottish Government. The total anticipated spend, including by NHS Scotland on mental health, in 2021/22 is estimated to be in excess of £1.2 billion.

The Scottish Government’s £262.2 million programme budget for mental health and autism in 2021/22 is more than double when compared to the previous year and funds implementation of key priorities and commitments which span different types of need, including many which will contribute directly and indirectly to the treatment of eating disorders.

For example, through NHS Lothian, we continue to fund a national peer support service for those with an eating disorder and their parents and carers at nearly £38,000 this year. Implementation of other commitments to improve care and access to both psychological therapies and children and young people’s mental health services will also have a positive impact on eating disorder services. The Government’s response to the National Review of Eating Disorder Services will also be considered in due course.

Public health measures have been implemented at borders to minimise the risk of importation of the virus from foreign travel. Recently, this has included alignment on the traffic light system for international travel which came into effect on 17 May 2021. This applies to all arrivals with a few limited sectoral exemptions where necessary to ensure essential or emergency work can be resumed in Scotland. People returning from overseas charity work are currently not exempt from the restrictions and should refer to the guidance provided. All decisions regarding exemptions are kept under review by the Scottish Government and assessed in the light of the latest scientific evidence.

Coronavirus (COVID-19): international travel and managed isolation (quarantine) - gov.scot (www.gov.scot)

The mental health and wellbeing of children and young people is a priority for the Scottish Government and schools play a key role in supporting positive mental health and recognising when children and young people may need additional support.

Prior to the onset of the COVID-19 pandemic, we established a mental health in schools working group made up of expertise within the sector. The working group has developed a new mental health professional learning resource for all school staff to support the wellbeing of children and young people within their schools. The resource covers topics such as body image, self-esteem, and talking to children and young people about mental health and wellbeing. This free online professional learning resource will be available in June 2021 and will be open to anyone who wishes to enhance their knowledge and skills. It is primarily aimed at school staff, but anyone who wishes to upskill their knowledge and understanding will be able to access the learning resource.

In addition to this, the National Review of Eating Disorder Services published their recommendations in March 2021, which included recommendations on ensuring that key stakeholders, such as school staff, could identify the signs and symptoms of all eating disorders. We are currently developing our approach to implementing these recommendations.