Chamber and committees

I wrote to NHS National Services Scotland on 16 June 2023 to request that an evaluation of post COVID services (including long COVID clinics) in comparison to pathways in Scotland was added to the long COVID Strategic Network’s workplan for 2023-24. Consequently, the Strategic Network has contracted the University of Leeds to support the initial evaluation of long COVID services in Scotland.

The University of Leeds is currently the only institution in the UK evaluating long COVID services under the LOCOMOTION study, which includes NHS Highland as a pilot site. The University of Leeds also collaborates with ELAROS which has produced the C19-YRS digital tool which has been procured for use within NHS Scotland to monitor long COVID services. This partnership will also enable Scotland to benefit from the lessons already being learned from NHS England’s long COVID services.

As part of the evaluation, the University of Leeds will provide an: analysis of demand and capacity within Scotland’s long COVID services; analysis of longer-term outcomes for long COVID patients assessed within NHS Health Board services; and where possible, compare differences in service models.

Patient care and service delivery are the statutory responsibility of local healthcare providers. NHS Boards are responsible for working with their partners to plan and provide health services which meet the needs of their populations.

When a patient has an experience that does not meet their expectations, they should contact their local Health Board at NHS Inform.

The Scottish Government remain committed to supporting all Boards to meet the standard that 90% of patients start treatment within 18 weeks of referral. We have allocated £48.6 million of supplementary funding to Boards this year via the Mental Health Outcomes Framework to improve the quality and delivery of mental health and psychological services for all. This is in addition to the £36.7 million directly allocated to Health Boards via the Outcomes Framework in 2022-23, and to the total package of core funding that Health Boards receive.

We have allocated £48.6 million of supplementary funding to Boards this year via the Mental Health Outcomes Framework to improve the quality and delivery of mental health and psychological services for all. This is in addition to £36.7 million allocated to Health Boards via the Outcomes Framework in 2022-23, and the total package of core funding that Health Boards receive.

We recognise that not all children and young people need specialist services like CAMHS and that many can access more suitable support in their local community. This is why we are providing local authorities with £15m per annum to fund community-based mental health supports for children, young people and their families.

We have also invested £36m in our Communities Mental Health and Wellbeing Fund for adults over two years, with approximately 3,300 grants being made to local organisations across Scotland. A further £15m committed in 23-24.

The new National Specification for the delivery of Psychological Therapies and Interventions is due to be published at the end of this month. It sets out what patients can expect following a referral and details the whole system approach including early intervention options that services should offer. This includes offers of evidence based digital therapies, which are accessed by around 5,000 people in Scotland annually.

Last week, we published our 2023-24 Programme for Government, which outlined our commitment to take action on the impacts of single use vapes.

We will be consulting on measures to tackle the environmental impacts of single use vapes, including a proposal to ban their sale. Our approach will be subject to further engagement, policy development and consultation and developed in the spirit of the new deals recently agreed with local government and with business.

In addition, our 2022 consultation on Tightening Rules on Advertising and Promoting Vaping Products proposed restrictions on vaping products that strike a balance between protecting non-smokers from the potential harms of vaping, whilst providing existing adult smokers with the information they need to make an informed choice on cessation.

We published our consultation analysis in September 2022 and are considering next steps as a priority, which will form part of our refreshed Tobacco Action Plan when it is published in autumn 2023.

Children and young people learn about the negative impact of tobacco and vaping products on their health through the Health and Wellbeing curriculum. This includes understanding the laws around sales of tobacco products, and how to make positive choices in sometimes challenging situations. It is up to individual schools to decide what to study against the experiences and outcomes within the Curriculum for Excellence.

The Scottish Government wants to build on the success of no smoking education, and are reviewing vaping education for young people in schools with the Children and Young People Health and Wellbeing team to ensure that it provides the best impact.

We also recently distributed a survey via the National Parents Forum for Scotland to inform future education and marketing campaigns on youth vaping.

In addition, ASH Scotland have undertaken work with young people to help them understand the risks associated with using nicotine vaping products –resources can be found on the Young Scot website and social media channels.

The Scottish Government’s 2023-24 Programme for Government, published on 5 September 2023, outlined our commitment to take action to reduce vaping among non-smokers and young people and to tackle the environmental impact of single use vapes, including consulting on a proposal to ban their sale and other appropriate measures.

On 13 September, at the initiation of the Scottish Government, a meeting was held between ministers and senior officials from across the UK to discuss the available evidence and shared challenges, and agreement was reached to work together on a range of options to tackle the impacts, up to and including a ban.

Our approach will be subject to further engagement, policy development and consultation and developed in the spirit of the new deals recently agreed with local government and with business. Development of the consultation will also take place alongside careful consideration of the public health impacts and impacts on young people.

On 6 September, Scottish Government hosted a roundtable with a range of stakeholders to explore the findings of the Zero Waste Scotland report and discuss policy options to tackle the environmental impacts of single use vapes. The detailed findings of this engagement will inform our approach and further engagement and we will be working constructively with retailers, local government, young people and other stakeholders to develop and deliver solutions.

We have a clear message on vaping – that it is one possible smoking cessation method and not a lifestyle accessory. Vapes should not be used by children and young people or adult non-smokers.

Our 2022 consultation on Tightening Rules on Advertising and Promoting Vaping Products proposed restrictions on vaping products that strike a balance between protecting non-smokers from the potential harms of vaping, whilst providing existing adult smokers with the information they need to make an informed choice on cessation.

Officials are working to develop further action in this area, which will form part of our refreshed Tobacco Action Plan when it is published in autumn 2023.

Any action that we seek to take will build on the regulations that are already in place to restrict the marketing, promotion and sale of vaping products to under-18s.

We are also supporting work with young people to help them understand the risks related to vaping.

We continue to work with the UK Government, alongside Welsh Government and the Northern Ireland Assembly, over joint approaches where appropriate and welcome their commitment to help address underage vaping.

The purchase of tobacco and vaping products is age restricted and they should not be sold to, or purchased for, anyone under the age of 18.

The Health (Tobacco, Nicotine etc. and Care) (Scotland) Act 2016 introduced new laws on the sale of tobacco and Nicotine Vapour Products (NVPs) which made it an offence to:

1. sell NVPs to people aged under 18

2. buy NVPs on behalf of people aged under 18 (proxy purchase)

3. allow a person under 18 to sell tobacco, cigarette papers or NVPs without authorisation

4. fail to operate an age verification policy at premises selling these products

5. carry on an NVP business without registration

Enforcement of legislation around the sale and purchase of nicotine vapour products (NVPs) is carried out by Local Authorities as part of the Enhanced Tobacco Sales Enforcement Programme (ETSEP).

This is overseen by the Society for Trading Standards Officers in Scotland (SCOTSS) and funded by the Scottish Government. Officers are using every tool at their disposal - including test purchasing - to ensure retailers are not selling tobacco or vaping products to under 18s.

Public Health Scotland produces a range of reports on sexual health data, which include breakdowns by demographic characteristics where this is appropriate and feasible. There are no imminent plans to change any of the demographics reported on in these publications.