Chamber and committees

Recommendations for future transport investment will emerge from the ongoing second Strategic Transport Projects Review (STPR2) which is considering potential improvements to the trunk road network (and all other modes) across Scotland. The South West Scotland Transport Study, published in January 2020, did not recommended taking forward the option for full dualling of the A75 between the A74(M) and Dumfries and onwards to Stranraer. Instead an option for targeted road improvements on the A75 (including some partial dualling), along with 22 other recommendations, are now subject to further appraisal as part of the review.

The appraisal process for STPR2 is considering the performance of all options against transport planning objectives, which are aligned to our National Transport Strategy priorities and outcomes. We also need to consider Value for Money based on performance against these objectives and the five Scottish Transport Appraisal Guidance Criteria. This will be an important consideration given the pressures on current and future public finances. The interventions will seek to contribute to our vision of a sustainable, inclusive, safe and accessible transport system helping to deliver a healthier, fairer and more prosperous Scotland for communities, businesses and visitors.

Until the appraisal process is completed, it is not possible to make individual decisions on dualling or improving specific sections of the A75, including that between Dumfries and the A74(M) motorway. STPR2 will conclude later this year, with publication of recommendations for investment and an appropriate statutory consultation period.

The Scottish Government continue to work closely with Scotland’s airports and airlines to help restore connectivity.

Transport Scotland, working in partnership with VisitScotland and Scottish Development International, has a well-established process in place to help Scotland’s airports recover routes lost as well as help secure new ones. Our ambition is to return to pre-Covid levels of connectivity as quickly as possible without restoring previous levels of emissions. We will remain focussed on restoring previous routes and securing new routes that are essential for inbound tourism, business connectivity and the economy as a whole.

We have a positive track record in helping airports secure new routes which meant that in 2019 Scotland was better connected than ever before. We do not underestimate the challenge but share the ambition of Scotland’s airports to make Scotland as well connected as peer nations and regions.

The majority of stock to complete second doses in this phase of the programme has now been received and is being made available to Boards, as it is required.

It is vital for the current COVID-19 vaccination programme to reach everyone and that no one is left behind, both for individual health and our collective community wellbeing.

In order to achieve this, we have embedded inclusion as a key aspect of our national programme, working alongside Health Boards and other partners to encourage uptake, remove barriers and respond to evidence of low uptake in certain communities, including those from more deprived areas.

We have worked with Health Boards to map the locations of our vaccination clinics, ensuring that they are accessible for those in more deprived areas, and local partnerships with transport providers has supported people with free travel to appointments, if required.

Health Boards have also adapted their delivery models to ensure they are reaching communities with lower uptake. For example, mobile outreach units have been provided by the Scottish Ambulance Service (SAS) and some Health Boards have partnered with local transport providers to use their vehicles to take out into community settings. Pop-up and drop-in clinics are now being used across the country for those who are unable or unwilling to access the mass vaccination clinics. Health Boards plan the locations of these to suit the needs of their populations, and respond to evidence of lower uptake in certain areas.

The Coronavirus (COVID-19): vaccine deployment plan provides further information on our approach to delivering the vaccine to everyone in our society.

The Scottish Government held a meeting with key stakeholders, including Scottish Swimming, on 11 August to discuss water safety.

Discussions included the provision of lessons and also water safety education.

More discussions on how to move forward are scheduled for the coming weeks.

The Scottish Government does not routinely provide funding for Public Access Defibrillators (PAD). The purchase of PADs is usually through fundraising in the community, from charitable sources or business resources. Charities and organisations including the British Heart Foundation provide access to subsidised defibrillators.

In March this year, the Save a Life for Scotland (SALFS) partnership published an updated Out-of-Hospital Cardiac Arrest strategy and a key part of this programme of work is to ensure mapping, maintenance and accessibility of defibrillators.

The Scottish Ambulance Service (SAS) is committed to supporting and improving the use of defibrillators across Scotland. SAS support and advice on Public Access Defibrillators (PAD) is available to any council, community, organisation or business from their community resilience teams. Further information can be found at:

www.scottishambulance.com/YourCommunity/Default.aspx .

We would encourage anyone wishing to install a PAD to work with a community group, if possible a specific community PAD group, who will offer support should a PAD be vandalised.

Transport Scotland recognise the importance of tourism to the Scottish economy and the role that Dumfries and Galloway and the Scottish Borders serve within this sector as popular tourist destinations. As the current signs on the M74 are in a good state of repair no reviews are currently planned. For new tourist signs to be considered on the Scottish Trunk Road that highlight visitor attractions, applications from the tourist attraction must meet the criteria set out in Transport Scotland’s Trunk Road and Motorway Tourist Signposting Guidance document.

As I noted in my statement to Parliament on 24 June, a single NHS Board first discovered in December 2020 that a small number of women who had subtotal hysterectomies had been wrongly excluded.

In 2016, a review was carried out of all individual records on the Scottish Cervical Call-Recall System (SCCRS) which had both a subtotal hysterectomy entry and also an open exclusion on the record. This was prompted by an IT error that had led to ‘no cervix’ exclusions being automatically added to the system when a subtotal hysterectomy was recorded together with recommended management of ‘no follow up’ or ‘no further recall’. This error was swiftly addressed.

In the course of addressing the issue, a number of other cases were identified, where a subtotal hysterectomy had been recorded on SCCRS and a manual exclusion had subsequently been opened. As soon as this was discovered, a process was initiated to identify all records on SCCRS with subtotal hysterectomies and open exclusions.

Following a rigorous review of affected records, it was established that some exclusions had been opened in error. Anyone affected was re-instated to the screening programme, and provided with a full explanation. Recommendations were made for safeguards to be put in place to prevent further instances of inappropriate manual exclusions.

At that time, it was believed that the records review had captured all affected patients, and there was no evidence to suggest further widespread errors in the recording of subtotal hysterectomies or the general application of exclusions.

It should be noted that, in 2006, in preparation for the migration to SCCRS, a data cleansing exercise was carried out. GP practices were provided with a list of women where there were discrepancies between the exclusion status and screening history and asked to resolve these before the transfer to SCCRS was complete.

This data cleansing exercise was standard good practice prior to the migration to SSCRS and did not uncover significant coding or data issues that gave rise to widespread concerns. Once the inconsistencies were resolved, the migration to SCCRS was carried out. A decision was made to migrate total hysterectomy information and all exclusions but not subtotal hysterectomy information, as individuals with subtotal hysterectomies would continue to be screened.

Although the actions taken in response to the issues detected in 2006 and 2016 were reasonable in light of the available evidence, we will consider whether there were opportunities to detect the wider issues now identified, and, if so, what lessons can be learned to strengthen monitoring and auditing going forward.

The Covid-19 test kits are home PCR kits provided by NHS Test & Trace. Currently, we are not using private test providers for international travellers arriving into Scotland from green and amber list countries.

We are having on-going discussions with the UK government on using private test providers, particularly about the speed and reliability of the flow of data from private companies. We are keen to understand fully the key performance indicators (KPIs) that have been recently set for these companies and the process should these not be met.

Detailed information on hospitalisations by age group and vaccine status of hospitalised patients is available in Public Health Scotland's Weekly Statistical reports. These are accessible here : Publications - Public Health Scotland

COVID-19 Statistical Report - 14 July 2021 - COVID-19 statistical report - Publications - Public Health Scotland

COVID-19 Statistical Report - 7 July 2021 - COVID-19 statistical report - Publications - Public Health Scotland

COVID-19 Statistical Report - 30 June 2021 - COVID-19 statistical report - Publications - Public Health Scotland

COVID-19 Statistical Report - 23 June 2021 - COVID-19 statistical report - Publications - Public Health Scotland

COVID-19 Statistical Report - 16 June 2021 - COVID-19 statistical report - Publications - Public Health Scotland

COVID-19 statistical report - 9 June 2021 - COVID-19 statistical report - Publications - Public Health Scotland

COVID-19 statistical report - 2 June 2021 - COVID-19 statistical report - Publications - Public Health Scotland

COVID-19 statistical report - 26 May 2021 - COVID-19 statistical report - Publications - Public Health Scotland

COVID-19 statistical report - 19 May 2021 - COVID-19 statistical report - Publications - Public Health Scotland

COVID-19 statistical report - 12 May 2021 - COVID-19 statistical report - Publications - Public Health Scotland

COVID-19 statistical report - 5 May 2021 - COVID-19 statistical report - Publications - Public Health Scotland

Details on age cohort, crossed with vaccination status is available in each report from the week starting 10th of May 2021 onwards.

Further information including charts and tables are available on Publish Health Scotland's Dashboard, available here : COVID-19 Daily Dashboard | Tableau Public