Chamber and committees

The Scottish Government has set up a National Vaccine Inclusive Steering Group with representatives from Health Boards, faith groups, third and community sector, and works closely with BEMIS, the national umbrella body supporting the development of the Ethnic Minorities Voluntary Sector in Scotland, and regularly participates in the Ethnic Minority National Resilience Group (EMNRG), which includes organisations representing the Polish Community.

Polish is one of the primary languages as set out by Public Health Scotland, and Polish translations have been prioritised for all coronavirus-related guidance, which has included regularly updated translations on NHS Inform, Strategic Framework updates on gov.scot and Polish translations of all National door drops. This is shared via SG Marketing, SG Policy, NHS 24 and via a number of stakeholders, to reach Polish communities.

Provision of messages/ guidance has been made to Polish community organisations in order to appropriately translate and share in language more likely to elicit action within the context of Polish culture/language. An explainer video for minority ethnic communities – tackling barriers – translated into Polish was developed as part of the Phase 2 campaign deliverables targeted at 18-49 year olds, which looks to address barriers to vaccine uptake identified by ME communities. The explainer video was produced in multiple languages including Polish, and provides key facts about the Covid vaccines for those who may be hesitant, or for those more likely to have been exposed to myths/misinformation. The content of this video has been shaped by engagement with BEMIS and the Ethnic Minority National Resilience Group, which includes input from the Polish community. This video has been distributed via partnership channels and via stakeholders to those groups who may not be as likely to be reached by traditional media.

FENIKS have been awarded funding via the Scottish Government award to BEMIS, for additional translations of Coronavirus vaccine information/materials into Polish. Feniks was set up in 2007 as a charity supporting integration and aiming at improving the wellbeing of the Central Eastern European Community in Edinburgh. It seeks to help individuals and families who have moved away from their homeland in facing the challenges which can result from immigration. https://www.feniks.org.uk

A live Q+A session was held online 6 July 2021 with Professor Jason Leitch, National Clinical Director, with the session chaired by Feniks. Key questions were gathered beforehand from members of the community, including issues causing some hesitancy, for example on vaccine efficacy and safety. The session was also translated live. The Scottish Government is continuing to support the work of Feniks on providing information and increasing uptake of Covid vaccine.

Public Health Scotland (PHS) are supporting the work of health boards including work continuing in local health board areas with the Polish community, including targeting workforces and large employers, including food processing.

The mesh fund is being administered by NHS National Services Scotland on behalf of the Scottish Government. The following table illustrates, as at 26 July 2021, the number of applications approved, declined and pending:

Beyond the amounts spent for the United Kingdom via the national testing programme, resource spend within the Health portfolio in Scotland for 2020-21 was £152 million and capital spend was £21 million.

The Scottish air quality monitoring network consists of around 100 central government and local authority operated sites across the country. Monitoring sites are generally located at known pollution hotspots where there is relevant public exposure, and also at background sites to provide a baseline for comparison.

Air quality monitoring measures the total concentrations of pollutants in ambient air from all sources. Emissions from specific sources such as NEE are estimated taking into account a range of information such as monitoring data, national statistics and other datasets.

Annual emissions estimates for tyre wear, brake wear and road abrasion arising from fine particulate matter and benzo(a)pyrene for the period 1990 to 2018 (the most recent year for which data are available) can be found in the report 'Air Pollutant Inventories for England, Scotland, Wales and Northern Ireland:1990-2108' - https://uk-air.defra.gov.uk/assets/documents/reports/cat09/2010220959_DA_Air_Pollutant_Inventories_1990-2018_v1.2.pdf

The Scottish Government recognises that clinical trials for vaccinations are critical for responding to COVID-19 and we would like to thank all those who have volunteered to take part in these trial, you are providing a great benefit for our society and indeed the rest of the world.

On 11 June 2021 the Deputy Chief Medical Officer wrote an open letter to UK residents who have volunteered to take part in COVID-19 vaccine studies outlining that those participating in such trials should not be disadvantaged in terms of any future domestic vaccine certification, if introduced, compared to anyone else who has had their vaccines under the standard NHS programme.

Those involved in clinical trials will shortly receive a letter confirming their involvement in the trials. This letter can be used for domestic purposes as proof of trial status. We are also working on a technical solution that will enable them to access their record on NHS Inform.

The Scottish Government has issued guidance emphasising the need to ensure good ventilation across all indoor settings.

Our Covid-19 ventilation guidance includes reference to the possibility of monitoring carbon dioxide (CO 2 ) levels in buildings, with a link to the more detailed information on CO 2 monitors provided by the Health and Safety Executive (HSE).

We are currently considering what further steps we can take to support good practice in ventilation across all settings and this includes consideration of the role of CO 2 monitors and standards.

Information relating to complaints associated with specific medical treatments such as CPR is not collected centrally.

If an individual wishes to raise a complaint about NHS treatment or care this should be addressed at a local level through the NHS Complaints Handling Procedure (CHP). The Patient Rights (Scotland) Act 2011 and supporting legislation, provides a specific right for people to make complaints, raise concerns, make comments and give feedback to NHS Boards. The Act also places a duty on NHS Boards to thoroughly investigate and respond to any concerns raised, to take improvement actions where appropriate and to share learning from the views they receive. Where an individual remains dissatisfied with the outcome of the CHP investigation, the Scottish Public Services Ombudsman (SPSO) is the second and final stage in the complaints process.

The Scottish Government Do Not Attempt Cardiovascular Resuscitation (DNACPR) guidance makes clear that the overall responsibility for making an advance decision about CPR rests with the senior clinician who has clinical responsibility for the patient during that episode of care.

This guidance also makes clear that we expect healthcare professionals to discuss treatment options openly and honestly with patients, their families and guardians - where appropriate, to help ensure that they get the care that is right for them given their specific medical circumstances.

For convenience the guidance can be accessed at: https://www.gov.scot/publications/decisions-cardiopulmonary-resuscitation-integrated-adult-policy/.

The Scottish Government does not centrally collect information or data relating to the use of Do Not Attempt Cardiovascular Resuscitation (DNACPR) forms.

As with all other clinical treatments, decisions about CPR should be based on the individual clinical circumstances and wishes of the patient, recorded appropriately and updated when medical circumstances change. This recording is done in hard copy on a DNACPR form, the existence of which is then recorded on an individual’s Key Information Summary. Such information is only shared for the purposes of direct care and is therefore not centrally collected.

As concluded in the South West Scotland Transport Study, a new station at Beattock was one of the interventions recommended for the next stage of appraisal. This option is one of 58 potential new stations across Scotland that are being appraised as part of the second Strategic Transport Projects Review (STPR2).

The appraisal process for STPR2 is considering the performance of all options against the transport outcomes we are seeking, the Transport Planning Objectives, which are aligned to our National Transport Strategy priorities and outcomes. The interventions will seek to contribute to our vision of a sustainable, inclusive, safe and accessible transport system helping deliver a healthier, fairer and more prosperous Scotland for communities, businesses and visitors.

Therefore, we need to consider the social and economic benefits and impacts based on performance against these objectives and the five Scottish Transport Appraisal Guidance criteria, to determine the overall Value for Money. This also takes into account risks, uncertainties and other factors such as affordability, deliverability and the wider acceptability of options. This will be an important consideration given pressures on current and future public finances.

Also underpinning STPR2 is the Sustainable Investment Hierarchy where we will aim first to reduce the need to travel unsustainably, make better use of and enhance existing infrastructure, before investing in new capacity. This hierarchy is also central to Infrastructure Investment Plan. STPR2 will conclude later this year, with publication of recommendations for investment and an appropriate statutory consultation period.

Until the appraisal process is completed, it is not possible to make individual decisions on potential new stations such as Beattock.