Chamber and committees

We engaged with a range of stakeholders to inform the development of the draft Framework for Pain Management Service Delivery including the people with lived experience who were members of the National Advisory Committee for Chronic Pain (NACCP).

The structure and membership of the Committee was reviewed in 2020 in order to increase representation of people with lived experience and other key groups with an interest in improving care and support for people with chronic pain. As set out in the updated Terms of Reference, the Committee is advisory in nature, and members were encouraged to seek consensus in providing advice. The Committee met in its new format in February and May 2021 with all members invited to attend these meetings. Members were also asked to provide feedback and responses a number of other relevant request between meetings.

All members of the Committee had the opportunity to freely share their views on the priorities for improving pain management support which were used to inform the development of the draft Framework. Lived experience members of the Committee were provided with additional support in their role in a number of ways including: meetings to gather the views of a wider cohort of people with chronic pain via the Chronic Pain Patient Reference Group; being offered the choice to participate in capacity building sessions; and being offered the opportunity to directly share a summary of the views of people with chronic pain both in advance with officials and during Committee meetings as part of dedicated agenda items. We have also carried out a Scotland-wide survey to better understand the priorities of people with chronic pain and increase the range of voices involved.

All members of the Committee had access to the same information and resources throughout the development of the Framework, and were provided with a draft version in advance of the launch of the public consultation.

As communicated to the Committee previously, we are currently reviewing existing stakeholder engagement processes and structures, including the NACCP, to ensure that they are fit for purpose and can meaningfully support the future delivery and implementation of the Framework once the current public consultation has been completed.

The Scottish Government unequivocally condemns any form of racism hatred or prejudice, in sport and wider society. There is no excuse – it is totally unacceptable and will not be tolerated. Scotland is a diverse, multi-cultural society and this diversity strengthens us as a nation. That is why we work with sport scotland and a range of organisations throughout the country to tackle all forms of hatred and prejudice in sport.

Any reports of racism must be investigated swiftly. Most recently after allegations of racism in cricket in Scotland, sport scotland, announced that it is taking immediate steps to appoint a team of independent experts to carry out a full a review of racism within Scottish cricket.

In addition, in June 2021, sport scotland, with the other Home Country Sports Councils responsible for funding sport and physical activity across the UK, published the outcomes of a joint review into Tackling Racism and Racial Inequality in Sport (TRARIIS). sport scotland has begun identifying TRARIIS work for each of its three Equality, Diversity and Inclusion strands (People, System and New Ideas) in order to embed this into the organisation’s business planning and use to inform future Equality Impact Assessments. A full update is available on the sport scotland website.

Ethnically diverse communities are a priority group for sport scotland’s 2021-25 Equality Outcomes published earlier this year.

We need to eradicate any forms of racism in sport and we will continue to work with partners to achieve this.

The Scottish Government remains committed to transparency on this important issue. Since the last update to Parliament on 15 September, I can confirm that:

• As was the case in September, no invasive cervical cancer has been detected in any individuals who were written to over the summer on this issue and who have subsequently attended either for screening or gynaecological exam.
• Work in reviewing exclusions has continued to be prioritise based on risk, and in early autumn, an audit of all records where an obstetric hysterectomy has been performed was carried out. All individuals identified as either having been or likely to have been wrongfully excluded have now been contacted and re-instated in the screening programme or invited for examination as required.
• Work is ongoing to review the remaining exclusions; the NHS is committed to completing this as quickly as possible, and I will update Parliament on progress in due course.
• Dr Karin Denton is a consultant pathologist with North Bristol NHS Trust and leads the laboratory service for Cervical Screening in the South West of England. She has been appointed to chair the Healthcare Improvement Scotland review of the systems and processes of exclusions in the cervical screening programme. It is anticipated that the review findings will be published in autumn 2022.

Officials across the Scottish Government are working with the bus sector to facilitate solutions to workforce issues through the Labour and Skills Shortages Action Plan, and connecting Local Employability Partnerships who are aware of opportunities in their areas with bus service operators (through the Confederation of Passenger Transport). However, we have no plans to introduce an apprenticeship scheme for bus drivers.

These conditions are usually recorded in an inpatient setting. Public Health Scotland can confirm that the SMR01 dataset contains records where idiopathic pulmonary fibrosis and interstitial lung disease are listed as the primary diagnosis.

Information on the number of patients delayed waiting for an Intermediate Care bed is published by Public Health Scotland within the delayed discharge monthly census which is available at https://publichealthscotland.scot/publications/delayed-discharges-in-nhsscotland-monthly/delayed-discharges-in-nhsscotland-monthly-figures-for-october-2021/

The development of services at a local level is the responsibility of individual health and social care partnerships, in consultation with their NHS, local authority, housing and third sector partners, and we are encouraging partnerships across Scotland to develop and grow a range of Intermediate Care services.

To support this the Cabinet Secretary for Health and Social Care announced on 5 October 2021 additional £300 million funding to address winter pressures on Health and Social Care services, which included £20 million to help develop and enhance multi-disciplinary working.

A requirement to keep at least 1 metre physical distancing between groups in hospitality and leisure settings came into force at 5 am on 27 December. Also from 27 December (at 5 am), we have put in place a table service requirement for hospitality venues serving alcohol for consumption on the premises. Venues such as hospitality within theatres, which are unable to operate a table service, are required to put in place an adequate queue management system which maintains physical distancing. However, these measures do not apply to educational settings, workplaces, retail, public buildings and places of worship. These measures will remain into force at least until 17 January when their necessity and proportionality will be next reviewed in light of the latest data and evidence.  

We know that childcare providers are concerned about the impact of the new Omicron variant on their businesses. The Scottish Government is working as a matter of urgency to assess the implications of the most recent public health interventions on the sector.

The Scottish Government is limited as to what additional financial support can be provided as our budget is fully committed at this late stage of the financial year. That is why we have urged the UK Government to make further funding available to support our public health interventions and the impacts of restrictions.

Since the start of the pandemic the Scottish Government has made more than £22 million of dedicated support available to day care of children services through the Temporary Restrictions Fund and the Transitional Support Fund. Round 3 of the Temporary Restrictions Fund was targeted at school age childcare services recognising the specific impacts for those services. We have also provided up to £3.2 million to childminding services, in particular through the Childminding Business Sustainability Fund.

Our Financial Sustainability Health Check, published on 31 August, sets out the further actions that we will take to build on the substantial targeted financial support made available to the sector since March 2020.

This includes commitments to review the administrative requirements on providers, to develop a five-year workforce strategy for the childcare sector, and to deliver a programme of targeted business, financial management, marketing, and human resources support. We will also work with COSLA and local authority childcare teams in order to map the various existing approaches to the contract management of let agreements, understanding how important that is to financial sustainability.

The Scottish Government has committed to build a system of school age childcare by the end of this Parliament, free to those families on the lowest incomes. We will continue to work closely with school age childcare services to do all that we can to offer support, within the budgetary constraints that we face.

Following a fair and open recruitment exercise Scottish Ministers have appointed a Chair and three non-executive Directors to the Board of David MacBrayne Limited.

Analysis of the recruitment exercise confirms that a total of 52 applications were received, and 6 of those were from Island residents.

A total of 6 applications were received for the position of Chair of the Board, direct links to Scottish islands cannot be broken down for this appointment.

Edinburgh Health and Social Care Partnership has been experiencing a period of significant hospital flow pressures due to a combination of sustained front door attendances and workforce issues and a drop in packages of care at home capacity, which has contributed to the increase in delayed discharges in Edinburgh. These are in addition to long standing recruitment and retention of Social Care staff within Edinburgh, and the availability of staffed care home places.