Chamber and committees

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.

While elective surgery has not halted in NHS Greater Glasgow and Clyde, there have been reductions in the number of elective surgeries being carried out in order to focus on cancer and other urgent cases.

The scale-down of elective routine surgery is under weekly review, and an increase in sessions is planned from week beginning 18 October; however, this will be dependent on staffing levels and COVID patient numbers.

The Case Record Review is underway. Introductory interviews with the participants are close to completion. More than half of the participants have received an ‘information gathering’ form from the Administrator. Following return of this form, Clinco, a commissioned contractor involved in the retrieval of patient records, will request the appropriate case records from Health Boards. This process is already underway for a number of participants.

As is standard practice, data sharing agreements are required for the release of medical records. Agreements are in place already for a number of Health Boards and it is expected that agreements will be in place in relation to all relevant Boards shortly.

Health Board Accountable Officers have been kept abreast of developments with the Case Record Review through the Short Life Working Group on mesh complications.

We have worked closely with a range of delivery and partner organisations to prepare, plan and respond to a range of issues and risks which may impact on NHS services. Planners and officials are using a range of modelling and intelligence to minimise potential impact of COP26 and to help protect NHS services across our communities.

Our planning has also used the experience and learning from previous large-scale events in Scotland, the UK and internationally including previous UN COP summits .

The Scottish Government publishes a weekly Research Findings which models the COVID-19 epidemic in Scotland. The Research Findings includes a section which estimates infections, as well as hospital and ICU bed demand from COVID-19. This gives an assessment of the impact of COVID-19 on the NHS in the next few weeks. This will provide information in the run up to COP26 and after the event has taken place.

The publications can be found on the Scottish Government website at the following link:

https://www.gov.scot/collections/coronavirus-covid-19-modelling-the-epidemic/

Each Health Board operates their own escalation policy for the management of inpatient capacity that includes well established processes with locally agreed trigger points for maintaining a safe service and ensuring patient safety.

Health Boards across the country are operating under significant pressure due to the direct and indirect consequences of the pandemic, which has been the biggest challenge the NHS has faced in its 73 year existence.

The Scottish Government is in daily contact with all Health Boards to monitor the pressures in the system and continues to support improvement work to minimise delays for patients no matter where they are in the system.

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 Scottish Government has been discussing with businesses and other stakeholders the detailed plans for implementing the previously-announced policy to end overseas trade support and promotion activities focused solely on fossil fuel goods and services by the time of COP26. Under this policy, trade support and promotion will be refocused to support the Scottish Government’s objective of a Just Transition.

In the light of those discussions, and in recognition of the need for SMEs to have sufficient time to adjust, when this policy enters into force on 1 November 2021 it will include an exemption for SMEs until 31 March 2022. This matches the timing of the equivalent policy of the UK government, bearing in mind that in many cases the companies affected work with and receive support from both governments. Detailed guidance on the implementation of the policy, including this and other exemptions, will be published on the Scottish Government website at 2pm Friday 15 October at this link - https://www.gov.scot/isbn/9781802014662 .

I have today announced a £15 million Communities Mental Health & Wellbeing Fund. This is in recognition of the important role that small, grass roots, community groups play in supporting adult mental health and wellbeing and aims to build on the excellent examples of good practice we have seen emerge throughout the pandemic.

It also reflects the importance that the Scottish Government places on promoting good mental health and early intervention for those in distress, ensuring that individuals can access a range of different types of support to match their needs.

Between 1 April 2020 and 31 March 2021, COPFS concluded 59 FAIs, an increase from 57 the previous year. This increase took place notwithstanding an increase of more than 40% deaths reported to COPFS compared to previous years as well as the restrictions on court business for much of that period due to the COVID-19 pandemic.

In relation to those 59 FAIs, 43 related to deaths which had occurred between 2018 and 2020.

In recognition of the fact that some death investigations have taken too long, COPFS has made significant changes to its practices and additional resources have been applied to this important area of work. There has been a particular focus on clearing a backlog of cases and consequently some older FAIs concluded during this period which will have affected the figures quoted.

There are legitimate and unavoidable reasons for prolonged periods of investigation: the overriding necessity of conducting death investigations thoroughly; the need to wait for the outcome of other related investigations; the need to obtain expert advice; and the need to consider and, in some cases, conclude criminal proceedings before holding an FAI.

It would not be appropriate for Scottish Ministers to comment on the day to day operational matters of SEPA as independent environmental regulator. However, I understand that SEPA intend to provide you with a written update regarding the Tarbolton Moss Landfill Site.