Chamber and committees

The figure of 27% quoted only represents the first quarter of Year 3, from April to June 2020.

In the most recent quarter (July – September 2020) there was a large increase in the proportion of unknown equalities monitoring data gathered by FSS Service Providers, therefore it is not possible to report on the change in the proportion of disabled people during this time.

We recognise the impacts of the COVID-19 pandemic on Fair Start Scotland where people with health concerns or disabilities have become less inclined to engage with services during this time. This has also had an impact on collection of the equalities monitoring data.

While there has been a drop in the overall percentage of people with disabilities joining the service, the proportion (27%) remains broadly in line with the Scottish unemployed population as a whole, 30% of whom report having a disability. ( Source: ONS, Annual Population Survey, Jan-Dec 2019).

As part of our continuous improvement activities with FSS Service Providers over the coming year, we aim to extend the reach of the service to disabled people, ethnic minorities and other groups as suggested by our evaluation feedback and performance data.

The Scottish Government remains committed to at least halving the disability employment gap in Scotland by 2038, and statistics show that there has been a steady growth in employment rates for disable people in between 2014 and 2019 from 41.5% to 49% (Source: ONS, Annual Population Survey, Jan-Dec data).

Fair Start Scotland’s key priority is to ensure participants receive a quality service in their journey to finding and sustaining employment, through tailored support that meets their needs and takes into account their personal circumstances.

Eligibility for Fair Start Scotland (FSS) is open to people with a range of barriers, however it is aimed that those for whom work is a realistic prospect within 12-18 months. Participants develop an action plan which sets out their goals and the pace at which they want to achieve them.

For participants with more significant barriers, up to 18 months pre-employment support is available. During this time Providers can commission any specialist support required to help participants move towards becoming work-ready, including work experience and placements to help build up to working longer hours where that meets the participant's longer-term goals.

As part of Fair Start Scotland contracts, Service Providers are paid when job outcomes reach 13, 26 & 52 weeks. These milestones are used to drive good job quality and increase income for participants, in line with Scottish Government Fair Work principles. Providers are only paid for outcomes where participants are working more than 16 hours per week as this more likely to provide a secure income however, there is no expectation that participants will work to this level if it’s not what they want to do.

Through the in-work support offered as part of the service, Providers continue to work with participants for a further 12 months after entering employment to further develop their skills, increase their confidence and ensure the job continues to fit their needs.

General practice has continued to provide services to patients throughout the pandemic, albeit with unavoidable restrictions to accommodate necessary infection prevention and control.

Patients with complex needs continue to receive the support of GP practices which are working hard to prioritise those at high clinical risk both through remote consultations and, where appropriate, face to face appointments including where patients have difficulties with remote access.

Where MSPs have specific concerns on behalf of their constituents on the availability of services from an independent contractor to the NHS, the relevant NHS Board should be able to assist in the first instance.

The Scottish Government is consulting on the future arrangements for early medical abortion at home to allow abortion providers and other health professionals, the general public and in particular women who have experience of abortion services the opportunity to comment and submit evidence. Scottish Government officials have asked NHS Boards to make women receiving abortion treatment aware of the consultation where appropriate so that they can respond to it if they wish.

NHS Boards offer counselling services for women both pre- and post-abortion. Preliminary data from NHS Lothian indicates no change in calls to their dedicated abortion service helpline.”

The Scottish Government is aware that a small number of abortions in Scotland have been carried out using a “Pills by Post” abortion kit from British Pregnancy Advisory Service providers. However the great majority of abortions in Scotland are provided by NHS Boards.

NHS staff always ensure they speak to a patient on their own, at least for part of the appointment, and this still applies in the case of appointments by telephone or video call. This aims to make sure every patient has the space to raise any concerns freely if they are feeling coerced in any way (either to have an abortion or not to have an abortion).

NHS Boards have not indicated to the Scottish Government that women have raised any concerns about this. NHS Boards can provide women with advice on options for sensitive disposal of fetal remains if requested.

Data on this can be found on the Public Health Scotland website at https://scotland.shinyapps.io/phs-covid-wider-impact/ .

This information would be held by NHS Boards.