Chamber and committees

Discussions on vaccine certification are conducted via the night time sector and wider hospitality’s trade representatives at a national level, the most recent of which took place with Ministers on 12 October 2021.

The Scottish Government is committed to the early detection of cancer. We are in currently in the process of establishing Scotland’s first Early Cancer Diagnostic Centres which will see the creation of a person-centred fast-track pathway for patients with non-specific symptoms (i.e. weight loss, nausea, fatigue) suspicious of cancer. These centres have been in operation since June 2021 and are continually taking patients with plans for equitable access across Scotland over the course of this parliament.

An estimate of the number of patients who have missed an early diagnosis of melanoma can be made by using data from the Public Health Scotland (PHS) Covid Wider Impacts Dashboard ( https://scotland.shinyapps.io/phs-covid-wider-impact/ ). The data indicates there were a total of 1,131 individuals with pathologically confirmed specimens for malignant melanoma of the skin between 1 April 2020 and the week ending 21 st February 2021. This was 398 individuals fewer than in the same period one year before.

Therefore, the data suggests there have been around 400 fewer melanoma diagnoses overall during the time of the COVID-19 pandemic.

Ambulances are not single-crewed other than in exceptional circumstances, such as short notice unplanned staff absences, and every effort is made to double crew ambulances through rostered and relief staff, overtime or our bank staff.

Unfortunately as a result of COVID-19 there has been occasions where single crewing has had to be used as a result of late notice staff abstractions, however we are continuing to work with the Scottish Ambulance Service to reduce this where possible.

The following table outlines the number of single crew shifts, not ambulances each year since 2017/18.

The NHS Scotland COVID Status app was released on
‎ 30 September. The App allows users to display their vaccination status for international travel and to gain entry to late night venues and large events within Scotland. To date it has been downloaded over 600,000 times.

To date 791 paramedics have been recruited. Another 126 will come on stream in 4 months with more than 100 joining in early 2022.

Covid-19 has resulted in some delays to recruitment which will push the achievement of this commitment out to 2022 but revised plans indicate a high level of confidence in achieving this.

With increasing A&E attendances, demand and capacity concerns and the impact of Covid-19, it is important that we ensure the NHS is equipped with the resources it needs to meet the challenges of the future. By investing in a professional, highly skilled ambulance workforce, this will help deliver a better service for patients all across Scotland.

The number of patients who have waited over 12 weeks for Trauma and Orthopaedic surgery in NHS Highland are published by Public Health Scotland (PHS) on a quarterly basis. These details are available on PHS’s website and can be found in table 1.2 through the following link: https://www.publichealthscotland.scot/media/8811/newop_aug21.xlsx

Scottish Government officials are in regular contact with NHS Highland to support the service management team with the delivery of orthopaedic elective procedures within the Health Board.

In response to the pressures on NHS services caused by the pandemic, which we are still firmly in the midst of, the First Minster launched the NHS Recovery Plan, on the 25 August. The Plan sets out the Scottish Governments key headline ambitions and actions to be developed and delivered now and over the next 5 years, including an increase in both inpatient and outpatient capacity across the Country. The plan is backed by more than £1 billion of investment over the next five years.

As part of this, we are investing over £400 million in a network of National Treatment Centres, one of which will be located in NHS Highland. When fully operational, the National Treatment Centres will provide increased capacity for surgeries and procedures across 14 specialties, including hip and knee surgery.

We are working closely across the four nations and international partners on restarting international travel safely. Our discussions are still ongoing with the UK Government and international partners on exemptions for people who cannot receive COVID-19 vaccinations. In the meantime, people intending to travel should check that vaccination status is a requirement of the country they are visiting on the GOV.UK foreign travel advice pages, as PCR testing is also widely accepted.

The number of people for whom vaccination cannot be safely completed with the right support will be very small. Reasons for exemptions would be medical contraindications that might include severe anaphylactic reaction across the range of vaccines and those receiving end of life care. We would encourage people to take a vaccine where they can do so safely and they can contact our national helpline on 0808 196 8565 for support in arranging this.

GP practices have remained open, accessible and at the forefront of our community services to deal with non-COVID-19 medical care throughout the pandemic. As outlined in the NHS Recovery Plan, a key aim is to work with our GPs to continue to restore face-to-face practice consultations as quickly and safely as possible, while ensuring everyone can continue to make use of eHealth services if that is their preference.

Public Health Scotland have published guidance on social distancing and infection control measure in health settings, changing the 2 metre social distancing rule to 1 metre, enabling more patients in waiting rooms, while continuing to ensure that vulnerable patients and staff are kept safe. In addition, specific guidance to general practices has been published making it clear that there is no longer a need to triage every patient, although they should continue to screen patients for Covid before seeing them face-to-face. We will continue to take advice from public health experts and clinicians when reviewing these measures.

With these recently announced changes I would expect the number of face-to-face appointments to increase.

While high quality data from across the health system is collected, we are working with stakeholders to improve the quality of data we can collect from GP practices to ensure it is robust.

We have continued to meet routinely with GPs and their representatives, and hear regularly from patients, to help build intelligence around appointments and pressures in GP practices throughout the pandemic, and are currently working together with NSS and PHS on a more advanced digital solution for capturing this information moving forward.

Consideration for people who do not have digital access has been built into our vaccination programme from the start. Communication has gone out via non-digital channels and we have also undertaken a door-to-door paper leaflet drop with important information on vaccines. COVID-19 vaccine leaflets are available in audio, BSL, easy read and large print as well as other languages.

Those who do not have online access can call the COVID-19 National Helpline on 0800 030 8013. The helpline allows people to check and, where required, reschedule appointments. All information and services on NHS Inform are available via this phone line. We encourage people to double check their GP holds correct address details, to make sure that any appointment letter reaches them.

For those who are eligible for flu and/or COVID-19 booster vaccines, we have ensured that:

• Those aged 70 and over or those who are clinically extremely vulnerable will receive a vaccine invitation by post or may be contacted by their GP.
• Letters will be sent to those aged 60-69 years of age inviting them for vaccination from late October.
• When the online booking portal becomes available for those in stage 2, people who do not have access to digital booking will also be able to book their vaccinations via the COVID-19 National Helpline.

Our forthcoming national marketing campaigns for both flu and COVID-19 booster will direct people towards both the online booking system as well as the phone line so no one should be left out.