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.

All NHS Scotland Boards are providing support for children and young people with long COVID.

Assessment and initial investigation is being provided by local primary care teams, who can give advice and guidance about the management of symptoms and any potential treatment options for these in the first instance. Primary care clinicians can refer to occupational therapy and physiotherapy for further support where appropriate. In cases where referral to secondary care is required, children and young people may be referred to general paediatric services for investigation and management.

The information requested is not held centrally by the Scottish Government.

The National Child and Adolescent Mental Health Services (CAMHS) Specification (published in February 2020) and the National Neurodevelopmental Specification for Children and Young People: Principles and Standards of Care (published in September 2021), set out the levels of service that children, young people and families can expect across Scotland.

This includes nationally agreed referral criteria, a first engagement appointment for all those that meet the criteria, and personalised and meaningful signposting for all those that do not require treatment .

The National Specification for the delivery of Psychological Therapies and Interventions is also due to be published this month and will set out what patients can expect following a referral, and detail the whole system approach including early intervention options that services should offer.

As outlined in our response of 16 June 2023 to the COVID-19 Recovery Committee report on long COVID, I wrote to NHS National Services Scotland on 16 June 2023 to request implementation of a range of actions to support internal and external communication regarding activities being undertaken by the long COVID Strategic Network. NHS National Services Scotland has confirmed that these actions are in progress, and include the identification of an appropriate web solution to share priorities, key outputs, and meeting minutes.

The Scottish Government is represented on the Strategic Oversight Board of the long COVID Strategic Network. The Strategic Oversight Board provides oversight of the workplan and programme outcomes of the Strategic Network.

NHS Inform is Scotland’s national health information service. Its aim is to provide the people of Scotland with accurate and relevant information to help them make informed decisions about their own health and the health of the people they care for.

NHS Inform has a dedicated long COVID microsite for people with ongoing symptoms after Coronavirus, setting out key information and sources of support for people impacted by long COVID.

This information is publicly accessible at www.nhsinform.scot/long-covid and comes in a variety of different languages and accessible formats to provide clear and accessible guidance to people living with long COVID on managing their symptoms.

The Scottish Government revised the Code of Conduct for Property Factors in August 2021 to make it clearer, to drive up standards and to improve transparency and consistency. The changes ensured that the Code remains up to date and responds to concerns raised by homeowners.

There is evidence that the Property Factors (Scotland) Act 2011 is working as intended. However, officials will be taking a wider look at the operation of the property factor sector to see what more can be done to promote an ongoing improvement in standards in line with the requirements currently set out in legislation.

The Scottish Government uses a robust process to support the development and updating of all national COVID-19 guidance. This includes the use of national clinical expertise and consideration of evidence and research.

In this instance, in April 2023 Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) Scotland reviewed the latest scientific evidence and updated on the epidemiology of COVID-19, producing an evidence paper. The evidence paper, which is inclusive of an options appraisal from ARHAI Scotland can be found In the Scottish Parliament Reference centre, bib number is 64523.

Due to the risk of patient identification, a point has been redacted within the paper. ARHAI’s recommendation, based on the scientific evidence, was to withdraw the extended use of face masks and face coverings guidance across health and social care settings.

Scottish Government Professional Clinical Advisors in Infection, Prevention and Control (IPC), the Professional Advisory Group for health and social care, the National Clinical Director, Chief Medical Officer, Chief Nursing Officer, the Director for Primary Care and the Interim Director of Social Care Resilience were engaged and agreed that services should revert to the guidance on personal protective equipment, including the use of face masks, contained within the National Infection Prevention and Control Manual.

National Records of Scotland were last contacted by the Church of Scientology in 2022 with regards to religious and belief bodies nominating to the Registrar General members they wish to be registered as empowered to solemnise marriages under Section 9 of the Marriage (Scotland) Act 1977.

We have not identified any other instances of SG contact with the Church of Scientology.

There are no current regulations specifically aimed at the conduct of religious bodies, however, a number of areas of regulation may apply to religious bodies.

The Scottish Government is currently running a collection of four public consultations on different aspects of regulation of the funeral sector in Scotland. This may be of interest to religious bodies.

The collection of four consultations cover regulations on the following topics: alkaline hydrolysis (‘water cremation’), burial, inspection of burial authorities, cremation authorities and funeral directors and licensing for funeral directors.

The consultations are all available on the Scottish Government’s consultation hub, Citizen Space and will be live from 25 August – 17 November 2023.

Some religious bodies are registered charities in Scotland, and charity trustee duties are set out in the Charities and Trustee Investment (Scotland) Act 2005. The Cabinet Secretary for Social Justice has committed to work with the third sector and partners to develop the scope for a wider review of charity regulation. Charity trustee duties may be considered as part of this scoping work.

The Marriage and Civil Partnership (Scotland) Act 2014 and the Civil partnership (Scotland) Act 2020 contain provisions on qualifying requirements for religious and belief bodies to meet before they can solemnise marriage (or register a

civil partnership). These provisions are not in force. The Scottish Government has committed to carrying out a full public consultation before making any regulations to introduce qualifying requirements. This consultation has not been a priority given other workload pressures.