Chamber and committees

I refer you to the answer to oral parliamentary question S6O-02452 on 29 June 2023 available on the Scottish Parliament website: Written question and answer: S6O-02452 | Scottish Parliament Website.

The Scottish Government is committed to ensuring that people living with hypothyroidism and other thyroid diseases are able to access the best possible support and benefit from healthcare services that are safe, effective and put people at the centre of their care.

We expect clinicians to adhere to current guidelines on the diagnosis and treatment options from authoritative sources such as the National Institute for Health and Care Excellence (NICE) and the British Thyroid Association (BTA) and have no plans at present to undertake a review of timescales for receiving a diagnosis.

While employment law is reserved to the UK Parliament, our Fair Work approach seeks to improve workers’ rights and conditions and aims to address women’s workplace inequalities by encouraging employers to take action to tackle gender pay gaps across the labour market in Scotland.

Our refreshed Fair Work Action Plan: Becoming a Leading Fair Work Nation by 2025 published in December 2022, reiterates our commitment to tackling Scotland’s gender pay gap and recognises that an intersectional approach is needed to address the overlapping labour market inequalities faced by women, disabled people, racially minoritized people and the over 50s workforce.

The information requested relates to Scottish Qualifications Authority (SQA) operational data and is not held by the Scottish Government. This is an operational matter for the SQA and I have asked the Chief Executive to write to you.

Yes, third sector organisations are still able to receive funding through the National Drugs Mission. This might be direct funding from the Scottish Government, via Corra, or as a result of local commissioning by ADPs.

The Scottish Government is working closely with NHS Scotland Assure and all NHS Boards to establish the current position with reinforced autoclaved aerated concrete (RAAC). Once the survey programme has assessed properties that may contain RAAC and it's extent within the NHS Estate has been determined, the Health Infrastructure and Sustainability Division within Scottish Government will consider whether Ministerial meetings with NHS Boards are required.

More than £711 million has been spent in the last five financial years to mitigate the effects of UK Government policy. It included investment in Discretionary Housing Payments, the Scottish Welfare Fund, money advice services, and Universal Credit Scottish choices.

The Scottish Government uses Discretionary Housing Payments (DHPs) to fully mitigate the bedroom tax and we have recently provided funding to mitigate the benefit cap as far as is possible within devolved powers. DHPs are also used to support those affected by the ongoing freeze to local housing allowance rates.

In 2023-24 we are making £83.7 million available to local authorities to spend on DHPs. Since 2018 (including 2023-24) we have invested over £452 million in DHPs, and a further £8.7 million to assist local authorities with the administration of the scheme.

The Scottish Welfare Fund (SWF) is an essential source of occasional support for those most in need. In 2023-24 we are investing £35.5 million in the SWF. Since 2018 (including 2023-24) we have invested over £210 million in the fund and a further £32 million to assist local authorities with the administration of the scheme.

From 2018 to late 2022, the Scottish Government allocated funding from its overall welfare and debt advice budget for advice relating to UK Government welfare reforms. From October 2022, this funding stream was brought together with previously separate funding streams to support the Money Talk Team service delivered by Citizens Advice Scotland. Since 2018, £6.58 million has been invested in money advice services specifically relating to UK Government welfare reforms.

Since 2017, the Scottish Government has been giving people in Scotland the choice to receive their Universal Credit award either monthly or twice monthly and to have the housing costs in their Universal Credit award paid directly to their landlord. Since 2018, the cost to the Scottish Government of providing these choices has been £0.8 million.

A breakdown of spend on Discretionary Housing Payments, the Scottish Welfare Fund, money advice services, and universal credit Scottish choices in the last five financial years and the current financial year is provided in the following table.

I will attend the next meeting of the Orkney Internal Ferry Replacement Task Force, now confirmed for 17 August in Orkney. Future meetings will be led by the Deputy First Minister and Cabinet Secretary for Finance with my support.

Information on the outcomes of students enrolled at Scottish colleges is published by the Scottish Funding Council (SFC) in their annual college performance indicators release.

College Performance Indicators 2021-22 (sfc.ac.uk)

The SFC are continuing to develop and improve this data collection and are working to collect more robust data on the reasons why people are not completing their courses.

Data is not readily available for universities on those completing courses within a set time length as some university courses have more flexibility with mode and course length. The number of enrolments and qualifiers on courses at Scottish universities is published by the Higher Education Statistics Agency (HESA).

Enrolments: Figure 3 - HE student enrolments by level of study 2017/18 to 2021/22 | HESA

Qualifiers: Figure 15 - HE qualifications obtained by level of qualification 2017/18 to 2021/22 | HESA

As students withdraw from university for a number of interlinked reasons, HESA no longer collect information on why students withdraw. Their statistical release concentrates on the proportion of students not continuing with university study. This Non-continuation release was last published in March 2022:

Table D - Percentage of UK domiciled full-time entrants who did not leave within 50 days of commencement not continuing in HE after their first year by location of HE provider and academic year 2014/15 to 2019/20 | HESA .

The identification, assessment and management of people with long-term effects of COVID-19 in Scotland is guided by the recommendations of an evidence-based UK-wide clinical guideline developed by the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Care Excellence (NICE) and the Royal College of GPs (RCGP). The guideline provides clinical case definitions for ‘Acute COVID-19’, ‘Ongoing symptomatic COVID-19’ and ‘Post-COVID-19 syndrome’, to support the identification and diagnosis of long-term effects of COVID-19.

The guideline was first published on 18 December 2020, was last updated on 11 November 2021 and is being reviewed as new evidence, policy and practice emerges. The guideline can be accessed at https://www.nice.org.uk/guidance/ng188 .

The recommended clinical case definition to identify and diagnose Post-COVID-19 syndrome is signs and symptoms that develop during or after an infection consistent with COVID-19, continue for more than 12 weeks and are not explained by an alternative diagnosis. It usually presents with clusters of symptoms, often overlapping, which can fluctuate and change over time and can affect any system in the body. Post-COVID-19 syndrome may be considered before 12 weeks while the possibility of an alternative underlying disease is also being assessed. In addition to the clinical case definitions, the term ‘long COVID’ is commonly used to describe signs and symptoms that continue or develop after acute COVID-19. It includes both ongoing symptomatic COVID-19 (from 4 to 12 weeks) and post-COVID-19 syndrome (12 weeks or more).

The International Classification of Diseases provides a common language that supports health professionals to share standardised information across the world, containing around 17,000 unique codes for injuries, diseases and causes of death.

The World Health Organization made available a diagnostic code for ‘Post COVID-19 Condition’ within the International Classification of Diseases and Related Health Problems 10 th Revision (ICD-10) in January 2021. Further information can be accessed at https://www.who.int/publications/m/item/updates-3-4-in-relation-to-covid-19-coding-in-icd-10 .

On 11 February 2022, the World Health Organization’s Eleventh Revision of the International Classification of Diseases (ICD-11) came into effect. Post COVID-19 Condition has the code RA02 and is listed in Section 25 ‘International provisional assignment of new diseases of uncertain aetiology and emergency use’.

The Scottish Government recognises the inclusion of Post COVID-19 Condition in the International Classification of Diseases and the importance of coding diagnoses to support a range of processes that require classification of diseases.

The Scottish Government has put a range of measures in place to address the risk of future pandemics. These are informed by learning from experience of the Covid-19 Pandemic about the need to respond differently to non flu pandemics. We continue to maintain stockpiles of PPE and medicines to address a pandemic threat and we are also working with 4 Nations partners to review the countermeasures and capabilities required to address future pandemic threats and ensure our resilience measures remain robust. In Scotland, we have established the Standing Committee on Pandemic Preparedness to bring together scientists and technical experts to advise the Scottish Government on the future risks from pandemics and how we can be as prepared as it is possible to be for these.