Chamber and committees

Public Health Scotland (PHS) uses the national waiting times warehouse to collect electronic patient records covering the waits that patients experience waiting for treatment as an inpatient or day case under the Treatment Time Guarantee. This data source can be used routinely to identify the specialty of treatment. However, although the records are designed to collect coded information on the procedure that is planned for the patient, this information is often either incomplete, lacking in essential detail and/or its accuracy cannot be assured. In addition, for patients who have completed their wait, the procedure(s) that was planned may not always reflect that actually performed after they were admitted for treatment. The latter is not captured through the warehouse. Consequently, PHS is not currently able to report accurately on waiting times to this level of detail. More detailed information on the procedure(s) that is planned or undertaken for a patient will be held locally by NHS Boards.

Statistics relating to the waits patients experience for inpatient or day case treatment at specialty level are published up to 31 December 2021 and can be found using the link below:

https://publichealthscotland.scot/media/11657/ipdc_feb22.xlsx .

The Skills Action Plan for Rural Scotland (SAPRS) is a joint initiative supported by Skills Development Scotland, Scottish Government, Plan stakeholders and partners.

I refer to the response I gave on 7 March 2022 (S6W-06724). An evaluation of the SAPRS is currently underway; it will be published in Summer 2022.

This evaluation will help inform what future action is needed to drive forward co-ordination and delivery of skills for rural Scotland.

Anyone experiencing long term effects following vaccination should speak to their GP or clinician involved in their care. They should expect an equal level of care for their condition to those with similar conditions not caused by vaccination. Those experiencing side effects from the vaccination can report these using the MHRA yellow card scheme.

Currently there are no plans for a separate public inquiry into the alleged historic abuse at Fornethy House Residential School. The Scottish Child Abuse Inquiry has the remit to consider the extent to which institutions and bodies with legal responsibility for the care of children failed in their duty to protect children in care in Scotland from abuse, regardless of where that abuse occurred.

Curriculum for Excellence does not prescribe specific approaches or pedagogies for any aspect of the curriculum including learning to read but in practice, systematic synthetic phonics and other phonics approaches are widely implemented across Scotland's classrooms.

The exchange of factually accurate patient information is pivotal to the delivery of high quality, safe, patient centred healthcare whether it takes place locally, regionally, nationally in Scotland or elsewhere in the UK. Normal practice would be that where a patient is referred by a specialist team in Scotland to a specialist team in another part of the UK, the clinician responsible for their care would write a formal referral letter which would include details of the patients diagnosis, investigations already undertaken, treatments pursued so far and any proposed treatment plan or specific request of the team to which they are referring. It is also often the case that the referring clinician may provide some further detail as part of a Multidisciplinary Team Discussion, Virtual Consultation or telephone call.

On the occasion that the treatment is unplanned, the NHS facility providing the treatment should contact the individual’s GP Practice, in Scotland, directly to exchange key information from their patient record. NHS National Services Scotland (NSS) are available to support Scottish practices and the NHS in England, Wales and Northern Ireland to facilitate the sharing of records and or important information about the patient.

Systems integration and providing greater access for the public to their health and care data is a priority for Scottish Government and our ambitions are set out in our Digital Health and Care Strategy which was published in October 2022 and available at: https://www.gov.scot/publications/scotlands-digital-health-care-strategy/

Weekly management information published as part of the Coronavirus (Covid-19): Trends in Daily Data publication ( https://www.gov.scot/publications/coronavirus-covid-19-trends-in-daily-data/ ) shows that delays first exceeded pre-pandemic levels (1,640 delays in January 2020) on 19 January 2020, with 1,664 delays recorded. Delays remained above 1,640 for the next two weeks before reducing again to pre-pandemic levels between 9 February and 23 March.

The whole health and social care system is under severe pressure and staff continue to work tirelessly to provide safe care. However, we continue to see extreme pressures across the whole health and social care system, with more people coming through hospitals who need high levels of care and support to go home, alongside high levels of unmet need in the community.

To address this significant additional funding has been allocated to support social care, including £62m to enhance care at home capacity; £48m to increase the hourly rate of pay; £40m to provide interim care arrangements; and £20m to enhance multi-disciplinary teams. Funding is also being used to rapidly scale up Hospital at Home services, which aim to reduce acute admissions and support timely discharge.

Since the significant landslides that occurred in August and September 2020, contractors have installed various landslide mitigation measures including drainage improvements, debris fences, a catch pit and material barriers to improve the resilience of the A83 and the Old Military Road diversion route. The mitigation has been augmented by the construction of a 175m long, 6m high debris bund, which further protects the Old Military Road.

In addition to this contractors have enhanced operational procedures for managing the A83 corridor including how we monitor hillside conditions during periods of bad weather. So far, the protection afforded by these measures has meant that the A83 and the Old Military Road local diversion have been able to remain in operation for all but eight occasions during 2021 and 2022 to date, meaning traffic did not have to use the longer diversion via Inveraray and Crianlarich. The effectiveness of these measures will continue to be reviewed and improved where possible. As part of the Access to Argyll and Bute (A83) project we are also progressing plans for a medium term resilient route through Glen Croe and we will bring forward proposals for this by late 2022.

The Scottish Government gives full consideration to ensuring all human rights obligations are stringently assessed and observed for all Police Scotland requests for overseas deployments, including to Colombia. For our part, the Scottish Government condemns human rights abuses wherever they occur and has always been clear that Scottish public authorities, including Police Scotland, should act to promote human rights and to challenge poor practice in the context of any engagement with overseas partners

Police Scotland complete an Overseas Security and Justice Assistance assessment prior to any approach to the Scottish Government to ensure that all activity is consistent with all domestic and international human rights obligations. All Police Scotland engagement with Colombia has been undertaken with the full support of the British Embassy in Bogota, and the UN International Organization for Migration (UN IOM). Safeguards have been built in to the arrangements for the deployment so that appropriate action can be taken should any human rights concerns be identified by Police Scotland officers. These are as follows:

• All interventions by Police Scotland incorporate measures to reduce the risk of human rights violations.
• Training on Human Rights is incorporated into all courses and interventions.
• Police Scotland retains and provides for reduction, suspension or stopping assistance, if they identify any human rights concerns.
• Police Scotland staff are specifically briefed to raise participants’ awareness that good practice respects human rights at every opportunity.

The Scottish Government recognises the importance of measuring post-acute sequelae of SARS-CoV-2 infections, or long COVID, in Scotland. This is needed to help forecast and plan the provision of healthcare services for people experiencing long COVID.

Currently the best source of data about people with long COVID in Scotland is the monthly Office for National Statistics (ONS) reporting on ‘Prevalence of ongoing symptoms following coronavirus (COVID-19) infection in the UK’. The ONS survey sample is weighted to represent people aged two years and over living in private households in the UK. This contrasts with the ZOE COVID Symptoms Study, whose participants are self-selecting and are not necessarily representative of the whole population.

The most recent ONS monthly report, published on 6 May 2022, covers the four-week period ending 3 April 2022 ( Prevalence of ongoing symptoms following coronavirus (COVID-19) infection in the UK - Office for National Statistics (ons.gov.uk) ). It showed that in Scotland:

• An estimated 151,000 people (2.88%) of the private residential population, who had (or suspected they had) COVID-19, self-reported experiencing long COVID of any duration .
• An estimated 105,000 people (2.00%) of the private residential population, who had (or suspected they had) COVID-19 at least 12 weeks previously , self-reported experiencing long COVID.
• An estimated 64,000 people (1.22%) of the private residential population, who had (or suspected they had) COVID-19 at least 12 months previously , self-reported experiencing long COVID.

It is estimated that self-reported long COVID symptoms were adversely affecting the day-to-day activities of 107,000 people in private households in Scotland with long COVID of any duration, with an estimated 36,000 of these individuals reporting that their ability to undertake their day-to-day activities had been limited a lot.

Going forward, Public Health Scotland will lead on surveillance of long COVID. It is currently anticipated that this will be undertaken via the EAVE II study, described below.

The Scottish Government’s Chief Scientist Office has funded nine research projects designed to improve our understanding of the longer term effects of long COVID. Three projects focus on measuring the prevalence and symptoms of long COVID. All started in early 2021 and will run for two years.

LTE2015.pdf (scot.nhs.uk) ‘Developing and validating a risk prediction model for long COVID-19’. Undertaken by the University of Edinburgh, in collaboration with Public Health Scotland, this research uses the EAVE II study, originally funded by the Medical Research Council ( An Introduction to EAVE II | The University of Edinburgh ). EAVE II used a pseudonymised patient dataset to track the COVID-19 pandemic as it unfolded across Scotland. This dataset will now be used to create a tool to identify people at greatest risk of developing long COVID. In the course of developing that tool, the research will generate data about the number of people in Scotland diagnosed with long COVID and their use of health services.

lte2006.pdf (scot.nhs.uk) ‘Defining and understanding the longer-term effects of COVID-19: a mixed methods study exploring the frequency, nature, and impact of ‘long COVID’ in the Scottish population’. Undertaken by the university of Glasgow, this study will identify how many people continue to be unwell, their symptoms, and how it affects their lives. Scottish adults who had a positive COVID-19 test, and a negative test comparison group, will be sent an SMS message inviting them to take part in the study. If they agree, they will answer questions about their health before and after COVID-19, and any effect on their lives, with the questions repeated at regular intervals.

LTE2008.pdf (scot.nhs.uk) ‘COVID-19: Tracking Persistent Symptoms in Scotland (TraPSS)’ – undertaken by the University of the West of Scotland. This project aims to improve our understanding of long COVID in the Scottish population, and particularly in people whose original symptoms were relatively mild. The current evidence describing the types of symptoms other studies have reported will be reviewed, and people will be surveyed at different stages of recovery to find out what kinds of persistent symptoms they have.