Chamber and committees

The construction of the A92/A96 Haudagain Improvement project is progressing well and is anticipated to be complete in winter 2021 as confirmed in the Infrastructure Investment Plan update published in December 2020.

This date is subject to any unforeseen circumstances such as the effects of exceptional weather.

We are currently considering options for pilots. These pilots will test out how to successfully rollout a programme of free bikes to school age children who cannot afford them, including what the eligibility criteria should be for children to access the scheme.

Access to the scheme in 2021 will initially be through pilot projects as set out in our ‘First Steps’ document.

All residents should be able to enjoy meaningful time with loved ones (where local conditions support this) particularly given the beneficial impact which visits have on mental and emotional wellbeing.

Existing guidance, published in February, encourages care homes to resume good quality, meaningful contact between residents and loved ones in a flexible and person centred way, and with advice from local oversight arrangements as necessary.

Beyond the minimum starting point of two visitors per week and upper limits to group sizes as in the COVID-19 regulations, the guidance does not limit numbers, and instead encourages care homes to increase and embed support to meaningful contact in a person centred way. In June 2021, a review of progress with Open with Care reiterated that care homes should continue to increase the frequency and duration of visits, with local oversight monitoring and support. The vast majority of adult care homes are supporting indoor visiting with increased numbers supporting daily visits and multiple visitors.

On 15 July 2021, Scottish Government wrote to the care home sector encouraging care homes to increase opportunities for good quality and meaningful contact, in line with existing guidance, and setting out recommended relaxations in care homes from Level 0 on 19 July 2021. These include the removal of the ‘Designated Visitor’ status to support further flexibility in reconnecting, as daily and group visits become the norm. Looking ahead we hope to see care homes continue to strengthen all residents to have more meaningful lives and to have greater connection with communities. Advice will follow in coming weeks.

We will continue to monitor the situation and to work with the sector to support continued improvements to making good quality, meaningful contact the norm.

The latest annual statistics from Public Health Scotland show that uptake of cervical screening is still lower in the most deprived areas of Scotland, compared to the least deprived areas. We recognise that there is further work required to tackle this issue, and that the impacts of the COVID-19 pandemic have increased the importance of this work. We have therefore committed £2 million over the next two years to build a programme of evidence-based, sustainable and scalable projects that tackle inequalities in a systemic way.

The Scottish Government is also supporting work to explore the potential introduction of self-sampling into the screening programme, which could be an important tool to widen access to the programme and tackle inequalities. Allowing people to take the test in their own home could overcome some of the barriers that prevent people taking up screening, such as accessibility issues, embarrassment or previous trauma. The UK National Screening Committee is evaluating research ahead of making a recommendation on its use, and we have established a working group to contribute evidence and plan for implementation so that we can act quickly following any recommendation.

(a) The Joint Housing Resilience Chairs Group was convened by the previous Minister for Local Government, Housing and Planning at his request and were held over the period at the height of the pandemic. The need for specific meetings with the resilience group reduced as the recovery progressed. The group last met on 17 March and has not reconvened.

(b) No meetings of the Local Government Resilience Group have taken place since 6 May 2021 as this meeting was chaired and organised by COSLA. It has now been moved to meeting by exception.

(c) The Private Rented Sector Resilience Group met on the 17 May, 7 June and 23 June. The next scheduled meeting of the group is 26 July.

(d) The Social Housing Resilience Group met on the 25 May and 22 June. The next scheduled meeting of the group is 27 July.

(e) Rapid Rehousing Transition Plans Sub-group met on the 18 May and the next meeting of the group is on the 17 August.

Validated information on referrals to NHS dentals hospitals is not held centrally.

However the member may find it useful to know that information relating to outpatient activity including total number of attendances by NHS Board and location of treatment can be found in the Acute Hospital Activity publication using the link below.

https://publichealthscotland.scot/media/4991/table-1-outpatient-activity-consultant-led.xlsx.

Invasive cervical cancer audits have been carried out annually by Health Boards for at least the last 20 years, although a new national methodology to standardise the information collected was introduced in 2014. These audits review the screening histories of people who develop invasive cervical cancer.

As set out in my response to S6W-00871 on 5 July 2021 we’ve taken a number of steps to provide advice and support to people with chronic pain during the pandemic, including highlighting relevant information on the matter of injections to assist them in discussions with their clinician and Health Board.

In June 2020, joint guidance was issued by the Faculty of Pain Medicine (FPM) and the British Pain Society (BPS) in relation to pain interventions which stated: ‘decision[s] to resume injections should be based on a balance of risks and benefits for individual patients’ . This statement reflected the factors the FMP/BPS said should be considered when resuming pain interventions, including the local prevalence of COVID-19, reducing the risk to patients (specifically in relation to steroid injections) and prioritising lower risk aspects of pain services first. It also emphasised the importance of patient consent in relation to additional risks of attending hospital and receiving an injection during the pandemic.

Following this, the advice issued by the FPM in July 2020 again set out that there was insufficient evidence to assess the potential associated risks should a patient come into contact with COVID-19. It goes on to on to clearly state: ‘Our previous recommendations - “FPM & BPS Joint Guidance on Pain Interventions during the COVID-19 Recovery Phase” published on the 8th of June 2020 in conjunction with the British Pain Society […] still stand ’. The update also stated, when making treatment decisions, the: ‘risk benefit ratio [should] also [be] measured in the context of the local prevalence of the COVID-19 virus at that point in time.’ Our replies to correspondence about this matter therefore continued to include a link to the June 2020 guidance and in response to feedback from a member of the public in April 2021, we now direct people to the overarching FPM webpage containing both advice documents.

Neither Scottish Government officials or Ministers make or influence treatment or prescribing decisions as these are entirely for clinicians in charge of a patient’s care to make. When taking these decisions we expect clinicians to discuss risks and options fully with their patients taking into account relevant guidance, the impact of pain on people’s quality of life and any safety considerations.

All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

There were no death certificates stating any involvement with food poisoning in each of the last five years.