Chamber and committees

We recognise the incredible contribution that Scotland’s unpaid carers make to our communities and know that the pandemic has added significant additional pressures. We are committed to giving a strong voice to unpaid carers, listening to their needs and acting on what they tell us.

We will develop and publish a stand-alone Carers Strategy with a focus on COVID-19 recovery and improving carer support in a meaningful and sustainable way. The strategy will focus on carers and their needs, setting out how policies across the Scottish Government can work together with other public bodies to support carers as we recover from the pandemic and beyond.

We will engage with unpaid carers about the strategy’s scope and purpose in the coming months, and this will inform its development. Our approach to the development of the strategy will be both a collaborative and an iterative one which will draw on the knowledge and lived experience of unpaid carers so that the strategy is shaped by those who best understand the many challenges faced. We will seek to publish the strategy as soon as possible to provide a clear vision for how we will respond to the challenges faced by so many carers.

We recognise the incredible contribution that Scotland’s unpaid carers make to our communities and know that the pandemic has added significant additional pressures. We are committed to giving a strong voice to unpaid carers, listening to their needs and acting on what they tell us.

We will develop and publish a stand-alone Carers Strategy with a focus on recovery and improving carer support in a meaningful and sustainable way. The strategy will focus on carers and their needs, setting out how policies across the Scottish Government can work together with other public bodies to support carers as we recover from the pandemic and beyond.

We will engage with unpaid carers about the strategy’s scope and purpose in the coming months, and this will inform its development. Our approach to the development of the strategy will be both a collaborative and an iterative one which will draw on the knowledge and lived experience of unpaid carers so that the strategy is shaped by those who best understand the many challenges faced. We will seek to publish the strategy as soon as possible to provide a clear vision for how we will respond to the challenges faced by so many carers.

Ambulances are not single-crewed other than in exceptional circumstances, such as short notice unplanned staff absences, and every effort is made to double crew ambulances through rostered and relief staff, overtime or our bank staff. Ambulance Technicians are able to deliver high quality care to patients, but where a paramedic skill set is required, paramedics will be tasked to calls.

Unfortunately as a result of COVID-19 there has been occasions where single crewing has had to be used as a result of late notice staff abstractions, however we are continuing to work with the Scottish Ambulance Service to reduce this where possible.

The following table outlines the number of ambulance that have been dispatched single-crewed in each year since 2019, broken down by (a) Scottish Ambulance Service division and (b) NHS board area, as requested.

The primary objective of the booster programme is to maintain protection against severe COVID-19 disease, specifically hospitalization and deaths, over winter 2021-22, and is aimed at maintaining protection in those most vulnerable and to protect the NHS. The autumn/winter vaccination programme also includes the biggest ever flu vaccination programme.

The Joint Committee on Vaccination and Immunisation (JCVI) is clear that both of these programmes are important for individual and public health. So, wherever possible, eligible people will be offered COVID-19 and influenza vaccines together.

Booster vaccines will be offered to the same groups who were prioritized at the beginning of the COVID-19 vaccination programme in winter and spring 2020-21, and JCVI have advised that at least 6 months should have passed since a second dose before a booster is administered, however there is some flexibility to offer a booster vaccination to the most vulnerable groups after five months.

The Autumn/Winter vaccination programme continues to roll out in line with advice from the JCVI. The JCVI priority groups are based on either vulnerability to COVID-19, or on interacting with, and therefore possibly spreading to, people who are vulnerable to COVID-19. When someone received their invitation will depend on a number of personal circumstances.

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.

I refer the Member to Public Health Scotland (PHS) weekly statistical report and the details on pages 34 to 39; that show hospitalisations by vaccine status. You can view the report at: Public Health Scotland COVID-19 Statistical Report

Includem, the charitable organisation who were awarded the contract for the National Childhood Bereavement Coordinator, facilitated roundtable discussions earlier this summer exploring the theme of ‘Training & Education’. These roundtable discussions were open for attendance to any individuals with experience of working with bereaved children and young people under the age of 25 in Scotland and attendees came from a wide range of backgrounds.

The Project will continue to work with those with lived experience of childhood bereavement, practitioners working to support them, and with schools, to make progress in this area and to work with schools on improving how they support bereaved children and young people. A full report, including final recommendations, will be delivered to the Scottish Government later in 2022.

In line with our Mental Health Transition and Recovery Plan, the Scottish Government recognises the importance of ensuring that high quality, person centred bereavement care and support is available for those who need it. It is important to reflect that each individual and family’s experience of bereavement is unique as are their support requirements. That is why there is a broad range of bereavement care available in the short and long term for those who need it, particularly at this difficult time.

Each hospital will have its own arrangements in place to support bereaved families, as bereavement services are commissioned on a local basis to meet the needs of each area’s population. To ensure effective support, health and social care professionals who work with people around the time of death and bereavement receive education and training from NHS Education for Scotland.

For families, there is also a range of helpful information around bereavement and grief on the NHS Inform website: https://www.nhsinform.scot/care-support-and-rights/death-and-bereavement/coping-with-grief

Since 2016 the Scottish Government has funded Cruse Bereavement Care Scotland and Child Bereavement UK to provide support to individuals and families who have been bereaved. This can be both short and longer term. For example, an Early Support service is available for families for the first 6 months. Beyond 6 months a counselling service is available, if required. If longer term support is needed Cruse will help find appropriate support, such as befriending support for bereaved parents through Compassionate Friends or referral to statutory psychological services.

Looking forward, work on how to best support families after the death of a child will also form part of the new child death review system launched by the Scottish Government in collaboration with Health Improvement Scotland and the Care Inspectorate on 1 October 2021. https://www.healthcareimprovementscotland.org/our_work/governance_and_assurance/deaths_of_children_reviews.aspx

In Scotland's curriculum, Curriculum for Excellence, learning about health and wellbeing is a specific curriculum area and is one of the three core areas that are the responsibility of all school staff. Schools are encouraged to develop the curriculum to suit their local context and meet the needs of children and young people, which can include delivering learning on bereavement. It is good practice for schools to consult with children and young people and respond to their views appropriately, to ensure this meets the needs of all children and young people in the school or educational setting.

Curriculum for Excellence Experiences and Outcomes make clear that, in addition to the Health and Wellbeing Experiences and Outcomes, children and young people will also experience certain aspects of health and wellbeing through focused programmes such as Personal and Social Education (PSE) programmes. Learning on bereavement is supported through resources on Education Scotland’s national improvement hub which can be accessed at https://education.gov.scot/improvement/learning-resources/resources-for-school-staff-to-support-positive-mental-wellbeing-of-children-and-young-people/ and https://education.gov.scot/parentzone/additional-support/specific-support-needs/social-and-emotional-factors/bereavement/ .

The PSE Review report recognised that secondary schools are using an increasing range of approaches to support mental health and build resilience, including dealing with bereavement. The report also recognised the use of targeted support in special schools where pupils benefit from a range of proven programmes to alleviate bereavement and loss or to promote mindfulness.

I refer the member to the answer to question S6W-03374 on 25 October 2021. 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 .

We know that schools play a key role in supporting children and young people’s mental health. We continue to support our local authority partners with £16 million in funding to ensure that every secondary school across Scotland has access to counselling services, which our local authority partners have confirmed is now in place across Scotland. Counselling can help children and young people explore, understand and overcome issues in their lives and improve resilience, including responding to loss and grief.

During the planning of the counsellors in schools provision, the British Association for Counselling and Psychotherapy and Counselling and Psychotherapy in Scotland advised that the requirements for working with children under the age of 10 is very different to that for older children. This is why our commitment is only for children aged 10 and over. Schools and education authorities have the capacity to identify specific measures to support children under the age of 10. For example, some local authorities may have staff trained to deliver ‘Seasons for Growth’, a programme widely used in primary, secondary and special sectors across Scotland to support children and young people suffering from loss and grief.