Chamber and committees

Following careful consideration of responses to the consultation on the Children (Care and Justice) (Scotland) Bill, the Scottish Government is content that there is sufficient legislative provision to enable secure transport to be utilised when necessary, and to ensure the safety of the child and others.

An overly prescriptive approach to minimising restraint practices could bring adverse consequences around escalation and criminalisation. Instead, Ministers consider that a blended framework of regulation, guidance, practice support and precise reporting is likely to best serve Scotland’s children.

Work is ongoing with partners to reduce, and where possible eliminate, the use of restraint in respect of children in care. This includes working with the Scottish Physical Restraint Action Group (SPRAG) to explore definitions of restraint, along with the availability of data, training and support.

A national service specification for secure transport is being developed by the joint Scottish Government and COSLA led Secure Care Group. The specification states that any use of restraint must be in line with Scotland’s Holding Safely guidance. This specification aims to bring consistency to the expectations and requirements, wherever secure transport requires to be commissioned. It covers areas such as data gathering and staff training. It also prohibits the use of mechanical restraint, handcuffs or pain-inducing techniques.

Following careful consideration of responses to the consultation on the Children (Care and Justice) (Scotland) Bill, the Scottish Government is content that there is sufficient legislative provision to enable secure transport to be utilised when necessary, and to ensure the safety of the child and others.

An overly prescriptive approach to minimising restraint practices could bring adverse consequences around escalation and criminalisation. Instead, Ministers consider that a blended framework of regulation, guidance, practice support and precise reporting is likely to best serve Scotland’s children.

Work is ongoing with partners to reduce, and where possible eliminate, the use of restraint in respect of children in care. This includes working with the Scottish Physical Restraint Action Group (SPRAG) to explore definitions of restraint, along with the availability of data, training and support.

A national service specification for secure transport is being developed by the joint Scottish Government and COSLA led Secure Care Group. The specification states that any use of restraint must be in line with Scotland’s Holding Safely guidance. This specification aims to bring consistency to the expectations and requirements, wherever secure transport requires to be commissioned. It covers areas such as data gathering and staff training. It also prohibits the use of mechanical restraint, handcuffs or pain-inducing techniques.

A short life working group to look at Hepatitis C treatment in people who inject drugs was established in early 2021.

Membership comprised the Scottish Government, Public Health Scotland and clinical representation from NHS Tayside, which was one of the first areas in the world to effectively eliminate Hepatitis C 11 years ahead of the 2030 World Health Organisation target of 2030.

The group recommended exploring the development of a national service, delivered through the community pharmacy network, to provide Hepatitis C testing and treatment to people who inject drugs, and thereby support elimination of Hepatitis C as a major public health threat in Scotland by 2024. Discussions will be taken forward with the representative body, Community Pharmacy Scotland, to explore how the community pharmacy network can support this work.

The Scottish Government remains committed to eliminating Hepatitis C as a major public health concern by 2024.

We must recognise the impact the covid-19 pandemic has had on services, as well as the monitoring and evaluation of HCV data.

However, despite that impact, PHS recently published a report (“Surveillance of hepatitis C in Scotland”) which shows that major progress has been made on a number of key targets including a large drop in cases in people who inject drugs, with some parts of Scotland seeing as much as a 70% reduction. This is hugely encouraging. As we continue to recover from the pandemic, we must build on that progress and continue to work with key stakeholders to remove this public health threat.

The Scottish Government and NHS Scotland continues to promote the use of remote consultations, including NHS Near Me, as a means to support access to services and reduce the need to travel to appointments.

As an example of this support, Community Hubs are also being established in areas of Scotland where people could more easily attend and access appointments remotely. These Hubs provide a private space and equipment for members of the public to access digital services, such as video consultations.

More recently, Midwives in NHS Grampian have used Near Me Group s Consultations to provide Antenatal Classes which reduces the need for pregnant women to travel to their appointments. NHS Near Me has provided a short film which contains more information - Near Me Groups for Antenatal Classes, NHS Grampian - YouTube

Work to widen eligibility for PrEP in Scotland is well underway. This has been progressed by a dedicated PrEP Short Life Working Group, comprising clinical and third sector representatives, which is developing guidance for new eligibility criteria. The goal is to ensure that anyone who is at risk of acquiring HIV is eligible to receive PrEP.

Widening eligibility will also require ensuring appropriate capacity to provide PrEP. In December 2022, the Scottish Government committed to support a pilot for an online service providing access to PrEP. Work on this is now being taken forward. If successful, in the long term, an online service could improve access, including for those living in remote or rural areas.

Yes, the Scottish Government has taken significant steps to promote the use of video, through NHS Near Me, and telephone consultations where appropriate to support access to services for women.

Key actions have included:

• Targeted social media campaigns via the NHS Near Me Twitter account throughout 2022, including a targeted campaign in March for International Women’s day and Endometriosis month to establish stronger partnership engagement.
• Direct engagement with women and health services; the initial focus has been on Endometriosis with the view to expand this further.
• Partnerships with third sector organisations such as Endometriosis UK, Endo Warriors, Endo Bonds, Endoborders, ALLiance, Lets Get on With Scotland and Sports Scotland.

The rollout of the Women’s Health Plan also sets out commitments to ensure that all women enjoy the best possible health throughout their lives. The Near Me programme aims to ensure that healthcare services are responsive and adaptive to the individual needs of women, with practitioners adequately trained to be able to help women, particularly those who have been affected by trauma or adversity and where choice of appointment is offered routinely.

In addition, use of remote consultations continues to be explored within Family Nurse Partnerships and community maternity services.

A number of high-calibre candidates have been interviewed for this important role and the appointments process is in the final stages. Ministers will provide an update to Parliament shortly.

The Women’s Health Plan, published in August 2021, contains an action to implement a Women’s Health Service in community pharmacies.

This service will be introduced on an incremental basis over the next few years. The first step was the introduction of bridging contraception in community pharmacies from November 2021.

As set out in the August 2021 Plan the establishment of a Women’s Health Research Fund is a long term action with a delivery timescale of three years or more from publication.