Chamber and committees

Travellers arriving into Scotland from green and amber list countries must use the NHS tests, which can be booked through the UK Government’s booking portal for international travel. These kits are home test PCR kits provided by NHS Test & Trace.

Travellers arriving into England from green and amber list countries are allowed to book private sector tests.

To date, there are concerns with the flow of data from private sector providers into Public Health England/Public Health Scotland to help with contact tracing and to identify Variants of Concern (VoCs). The UK Government has recently introduced key performance indicators (KPIs) for private providers to meet and is increasing the requirements on such providers to try to address these problems in England.

There are risks associated with the use of private sector tests. In particular, there have been concerns with the data flow from private laboratories into relevant contact tracing systems on either side of the border. There have been examples of it taking 30 days for positive test results to be transferred, making it impossible for contact tracing to be undertaken to interrupt chains of transmission.

We are currently exploring options to allow the use of private sector tests, provided this can be done safely and we can be assured that there aren’t any issues with the flow of data from the testing provider to Public Health Scotland regarding test results, as well as the need for positive test results to be analysed for evidence of any variants of concern. No decision has been made yet on this, however this is under review.

The Scottish Government does not hold a breakdown of the requested figures by local authority area. The annual figures are shown in the following table:

All of our decision making in the approach to responding to Covid-19 is guided by the latest scientific evidence from the Scientific Advisory Group for Emergencies (SAGE) , advice from Health Protection Scotland and our Chief Medical Officer. The Joint Committee on Vaccination and Immunisation (JCVI) provides advice on immunisation to all UK Health Departments, including on the efficacy and safety of vaccines.

Decisions to prioritise one population group over another are not taken lightly, nor are they straightforward. That is why our prioritisation decisions have been, and will continue to be, guided by the independent expert advice from the JCVI.

It is also worth noting that this is the case with many other vaccines. People are not routinely offered a choice of the type of vaccines in other vaccine programmes in Scotland. The Scottish Government currently has no plans to introduce an option for receiving either Covid-19 vaccine, beyond a clinical recommendation.

Following the statements by the Medicines and Healthcare products Regulatory Agency (MHRA) and the Joint Committee on Vaccination and Immunisation (JCVI) we want to stress that the evidence shows that, overall, the benefits of the Oxford/AstraZeneca vaccine outweigh the risks and it continues to be a safe and effective vaccine.

However, the Scottish Government will follow the JCVI recommendation to offer alternative vaccines to adults under 40 without underlying health conditions.

The JCVI and MHRA continue to monitor this carefully and are in regular contact with other regulators.

JCVI recommendations are set out in the Green Book, available at COVID-19 Greenbook chapter 14a (publishing.service.gov.uk)

GPs may make a recommendation for their patients to receive a specific vaccination if they believe there is a clinical need.

If the JCVI recommend a specific vaccination for any specific group we will of course take up this advice immediately.

The updated guidance regarding the extended use of face masks and coverings in hospitals, primary care, wider community care and adult care homes was published after consultation with numerous stakeholders, including Scottish Social Services Council, Scottish Care, Fair Work in Social Care Group, COSLA and GMB Scotland.

The guidance relating to residents wearing face masks in specific situations in care homes contained in the updated version (Version 3) guidance, published on 7 June 2021, was also contained in Version 2 of the guidance published in October 2020. Scottish Care, COSLA and the Coalition of Care and Support Providers in Scotland (CCPS) were given the opportunity to comment on this earlier version of the guidance.

The Scottish Government listened to feedback on the recent update and worked in partnership with representatives from the sector to rapidly review the language and information relating to social care within the guidance. As a result of this review, social care guidance has been separated from hospital and primary care settings and has been updated to ensure it accurately communicates that residents are not required to wear a Fluid Resistant Surgical Mask (FRSM) or face covering within the care home. which is first and foremost their own home. It is a resident's choice whether to wear one.

The updated guidance on the use of face masks within social care settings including adult care homes was published on 23 June and is available at the following link

Coronavirus (COVID-19): use of face coverings in social care settings including adult care homes - gov.scot (www.gov.scot)

The Chief Nursing Officer and Scottish Government officials met with representatives from Scottish Care and Erskine Care Homes on 9 June 2021 to discuss the updated extended use of face masks and face covering guidance in hospitals, primary care, wider community care and adult care homes.

The guidance for social care settings was previously contained within the Coronavirus (COVID- 19): guidance on the extended use of face masks and face coverings in hospitals, primary care, wider community care and adult care homes, which was updated on 7 June 2021.

The Scottish Government listened to feedback on the recent update and worked in partnership with representatives of the sector to rapidly review the language and information relating to social care within the guidance. As a result of this review, social care guidance has been separated from hospital and primary care settings and has been updated to ensure it accurately communicates that residents are not required to wear a Fluid Resistant Surgical Mask (FRSM) or face covering within the care home, which is first and foremost their home. It is a resident's choice whether to wear one.

The updated guidance on the use of face masks within social care settings including adult care homes was published on 23 June and is available at the following link

Coronavirus (COVID-19): use of face coverings in social care settings including adult care homes - gov.scot (www.gov.scot)

Data on vaccination is compiled and forwarded to the Scottish Government by Public Health Scotland.

We do not hold data on vaccination rate for specific illnesses of conditions, but on how many people in a specific cohort have been vaccinated.

Latest vaccination figures can be found here : Coronavirus (COVID-19): daily data for Scotland - gov.scot (www.gov.scot) and COVID-19 Daily Dashboard | Tableau Public

We remain on track to deliver the disability benefits to the timetable announced in November last year, starting with Child Disability Payment which will be piloted in summer this year and rolled out fully from the autumn.

Adult Disability Payment, our replacement for the UK Government’s Personal Independence Payment, will begin with a pilot for new applications in spring 2022 ahead of national launch by summer 2022.

This is of course subject to the continuing impact of the pandemic on our partners in delivery including in health and social care, local authorities, and the UK Government. We continue to work closely with colleagues in the Department for Work and Pensions to re-plan delivery of the remaining devolved benefits with this in mind.

In June 2017, Healthcare Improvement Scotland published their report on the Review of Ayrshire Maternity Unit, University Hospital Crosshouse, NHS Ayrshire & Arran (Adverse Events).

Recommendation seven said that NHS Scotland should develop and agree a list of mandatory skills and competencies for maternity services to support ongoing training programmes in NHS boards . NHS Education for Scotland facilitated a short life working group which identified a package of core mandatory update training for midwives and obstetricians. In December 2018 Scottish Government requested all NHS Boards ensure that midwives and obstetricians undertake the core mandatory update training required.

Due to the COVID-19 pandemic it has not been possible for staff to undertake face to face training, including elements of the package of core mandatory training, and staff time to undertake training has been significantly curtailed. Boards are actively looking at ways to take forward training in a COVID safe way, and many of the training packages have moved to virtual platforms to mitigate restrictions as a result of COVID.

As routine business is remobilised we expect Boards to move forward with completion of the package of Core Mandatory Training.

Everyone attending the Glasgow Fan Zone is encouraged to take a lateral flow test prior to the event. From Monday 14 June, rapid lateral flow test kits were mailed to 17,000 ticket holders due to attend the Glasgow Fan Zone, as part of a series of measures to help reduce the risk of transmission before and after the event.

A mobile testing bus has also been based at Glasgow Green to provide on-site lateral flow testing as an additional option for attendees. A selection of attendees have been asked by COVID marshals on site whether they have taken a test as part of ongoing reporting on the site.

These testing measures are in place in addition to other robust public health interventions, such as physical distancing, contact tracing, hand sanitiser stations, frequent cleaning, table-service, PPE for staff, and clear and informative signage.

We have no plans to bring forward secondary legislation to introduce a no-fault compensation scheme at this time.

Despite carrying out considerable research and a number of consultations since no-fault compensation proposals were first introduced in 2007, forming expert groups and looking to other countries, including Sweden, there has never been consensus on the most appropriate compensation or redress model for Scotland, or how such a scheme would meet its objectives within our health and social care framework. The member herself has previously questioned whether a no-fault compensation scheme might introduce an additional administrative burden, a culture of compensation, more litigation and a charter for lawyers.

Working with Healthcare Improvement Scotland and other health and care partners we are creating a health and social care environment that uses knowledge from adverse events to inform continuous improvement to health and care services in a culture that embraces openness and learning, without fear of censure when things go wrong. The Duty of Candour Procedure (Scotland) Regulations, which we introduced in April 2018, places this approach on a legal footing.

We will continue to focus our energies and use all the mechanisms at our disposal in driving forward preventative measures in the delivery of person-centred treatment and care that is safe and of a high quality.