Chamber and committees

The Scottish Government is not aware of any evidence of distance decay in relation to health outcomes in Scotland.

Responsibility for service delivery rests locally with Health Boards and Health and Social Care Partnerships (HSCPs). For NHS Boards that cover remote and rural settings, local planning is expected to take account of the particular needs of these communities. Officials engage with Health Boards and HSCPs on a regular basis to review health outcomes.

Information relating to the number of patients residing in NHS Highland, NHS Orkney, NHS Shetland, and NHS Western Isles that are currently waiting over six months (26 weeks) and 12 months (52 weeks) for a new outpatient appointment or treatment as an inpatient or day case in other NHS Boards can be found at Bib number 64130.

Please note that PHS are unable to provide data at procedure level, and so data are provided at specialty level only.

The statistics in Bib number 64128 provide a total count of elective and emergency hospital activity for inpatients stays and day cases; and elective new and return outpatient appointments, for patients resident in NHS Highland, NHS Orkney, NHS Shetland and NHS Western Isles, by NHS Board of Treatment and Specialty.

In Scotland gaming addiction in children and young people is treated as a compulsive disorder and not as a standalone condition. The Scottish Government understands that compulsive disorders such as gaming addiction can be both debilitating and distressing. We expect children and young people in Scotland with any compulsive disorders to receive the appropriate help and support that they need when they need it.

Since 2020 we have invested over £300,000 to provide a range of resources for children, young people and parents on healthy use of screen time, social media, online gaming and their known impacts on sleep and emotional and mental wellbeing. This includes the ‘Mind yer time’ web resource, created in partnership with the Scottish Youth Parliament and Children’s Parliament, and advice hosted on ParentClub.Scot .‎

In common with other issues classed as addiction or compulsive behaviours we would direct children, young people and their families who have concerns around gaming addiction to seek support from their GP in the first instance.

Treatment for compulsive disorders or addiction is delivered by Child and Adolescent Mental Health Services (CAMHS) and ongoing support for those children and young people facing these issues is provided through local NHS boards.

At the end of 2022 the Scottish Government reached agreement with social landlords that average rent rises across the social sector in Scotland for 2023-24 would be around 6%, recognising the balance to be struck between acute cost pressures faced by tenants and the need for social landlords to cover the costs of services and invest in new and improved homes. Whilst most social sector landlords expected to raise rents below this level it was recognised that there may be individual circumstances where a higher increase would be made.

In practice, social landlords have kept rent increases below the agreed level with an increase of around 5% on average and well below inflation. Individual landlords will have rents above or below that average, depending on their own service and investment plans and their own consultation with tenants.

The Scottish Government recognises the pressure on household budgets which is why last year and this, we have allocated almost £3 billion to support policies which tackle poverty and protect people as far as possible during the ongoing cost of living crisis. This includes £68.1m to fully mitigate the bedroom tax, helping over 91,000 households in Scotland to sustain their tenancies. We would encourage anyone struggling with rent or other costs to visit our website for information about the help available Cost of Living Support Scotland and to contact their landlord who can provide them with specific support and advice.

We recognise that accurate local data on long COVID prevalence, distribution across the population and symptoms are needed to forecast and plan for the need for NHS services and specific specialties arising from long COVID.

a. Diagnosis of cases. We do not anticipate that the pausing of the ONS COVID-19 Infection Survey will have any impact on the ability of clinicians to diagnose individuals with long COVID (which includes the case definitions of ‘Ongoing symptomatic COVID-19’ and ‘Post-COVID-19 syndrome’). The identification, assessment and management of patients with long-term effects of COVID-19 in Scotland is guided by the UK-wide clinical guideline developed by the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Care Excellence (NICE) and the Royal College of General Practitioners (RCGP). Further information can be accessed at Overview | COVID-19 rapid guideline: managing the long-term effects of COVID-19 | Guidance | NICE .

b. Monitoring of cases. The ONS survey data has provided a valuable means of estimating the prevalence of self-reported long COVID over time in Scotland. While a pause in the COVID-19 Infection Survey (CIS) will create a gap in the tracking of time-series data on long COVID, long-term trends in prevalence estimates are unlikely to change markedly within a short timeframe. Further, to improve local data collection, we are already supporting activity with NHS National Services Scotland’s long COVID Strategic Network. The Network is taking forward a dedicated workstream to agree outcomes, indicators, monitoring and evaluation to accelerate progress on capturing data to inform the planning of health service provision for people with long COVID.

The Coronavirus (Recovery and Reform) (Scotland) Act 2022 introduced a range of changes to specific legislative areas, many of which originated in temporary Scottish and UK Covid legislation.

These reforms include permanent public health protection powers, similar to those which already exist in England and Wales, increased protection for private rented tenants facing evictions, and a temporary extension of some changes in the justice system to help manage the backlog of court cases arising from the pandemic.

The Act is now permanent legislation including those provisions relating to the private rented sector which means extension to these powers are no longer required.

The provisions in the Act relating to the private rented sector, saw pre eviction protocols relating to rent arrears made permanent, ensuring that tenants who reside in the sector have all the information they need about their rights and also ensuring that Tribunals are able to continue taking circumstances of both parties into account when deciding whether to grant an eviction order or not.

The Scottish Government is continuing to take steps towards achieving the World Health Organisation’s targets to eliminate cervical cancer. As part of this, we have recently provided funding to Strathclyde University to conduct research into modelling that will estimate when we might expect to reach the point of elimination.

83.9% of S4 pupils in 2021/22 completed the two dose schedule for the HPV vaccine in Scotland. From January this year, a one dose schedule will be introduced for all those eligible in the programme up to their 25th birthday. It is expected this simplified schedule will increase uptake further. One-dose HPV vaccine coverage is currently 91.5% for girls in S4. The Scottish Government will continue to work with Public Health Scotland (PHS) and Health Boards to maintain high vaccination uptake.

Data regarding cervical screening uptake in Scotland is due to be published by Public Health Scotland later this year, and efforts are on-going to improve uptake. We have awarded £456,000 to Jo’s Cervical Cancer Trust to support campaign work on screening benefits. Additionally, in preparation for a potential UK National Screening Committee recommendation, the screening programme continues to consider the steps necessary for introducing cervical self-sampling, which has the potential to remove some of the barriers which deter people from attending screening appointments.

We are developing a new 10 year cancer strategy which will launch in spring this year and take a comprehensive approach to improving patient pathways from prevention and diagnosis through to treatment and post-treatment care.

The requested information is not collected or held by the Scottish Government. This is a matter for NHSScotland Health Boards.

The topic of Scottish Independence was not discussed at this meeting, which was about the important role of the cultural national collections, their current challenges post-pandemic and future plans.