Chamber and committees

The most recent long COVID statistics published by the Office for National Statistics on 1 July 2021 state that, over the four-week period ending 6 June 2021, an estimated 962,000 people living in private households in the UK reported experiencing long COVID (symptoms persisting more than four weeks after the first suspected coronavirus (COVID-19) episode that are not explained by something else). Of those people, an estimated 81,000 lived in Scotland. Detailed estimates by age are available for the UK at Prevalence of ongoing symptoms following coronavirus (COVID-19) infection in the UK - Office for National Statistics (ons.gov.uk) .This detail is not available for Scotland.

We do not currently have for Scotland a breakdown of people experiencing symptoms of long COVID by age, or according to whether or not they were originally hospitalised due to the virus. We are working with the EAVE II project, on which the University of Edinburgh and Public Health Scotland collaborate. Funded by the Medical Research Council, this project used pseudonymised GP and other patient data to track the COVID-19 pandemic as it unfolded across Scotland. This dataset is now being used in a separate project funded by the Chief Scientist Office to investigate long COVID, and will generate analysis of people assessed as having long COVID. Early results will be available later in 2021.

The PFI contracts in place for car parking are held between each of the NHS Boards, NHS Lothian, NHS Greater Glasgow & Clyde and NHS Tayside, and the PFI providers. Therefore discussions with the PFI providers are led by NHS Boards, not the Scottish Government. The Scottish Government attended a meeting between NHS Tayside and the Ninewells Hospital PFI car park operator on 16 December 2020. Further discussions have taken place since that date between NHS Tayside and the PFI car park operator. The Scottish Government has not attended meetings between NHS Greater Glasgow and Clyde, NHS Lothian and their PFI car park operators.

Since the suspension of charges, the costs of parking and therefore total savings for all users are estimated to be in the region of £8.1m.

Beyond this, there is no means to robustly track the composition of those individuals who are using these car parks and therefore it is not possible to appropriate estimated savings to each of these groups.

The main release to air from Scotch whisky maturation is the fugitive emission of ethanol, which disperses very quickly in the atmosphere and is not considered to be harmful to human health through this exposure route.

Whilst emissions from maturation of Scotch whisky are not subject to regulation under the Pollution Prevention and Control (Scotland) Regulations 2012, SEPA works with regulated business through sector plans to help drive improvement and reduce emissions across environmental media.

The Scottish Government released new forestry cultivation guidance on 27 July.

The guidance can be found at: https://forestry.gov.scot/publications/1032-cultivation-for-upland-productive-woodland-creation-sites-applicant-s-guidance/viewdocument/1032 .

Whilst Covid-19 has change the way the NHS works, the Scottish Government has been clear since the start of the pandemic that NHS remains open and those with health concerns should be able to access the care they need safely and quickly. In a life-threatening emergency, 999 and A&E services will always be available.

A National Door Drop to all households in Scotland in January 2021 - “ A Guide to NHS Scotland Services ” - included information about the different healthcare services the public can seek advice from. This information can be accessed on an ongoing basis on the “ Your Community Health Care Services ” page on NHS Inform. To assist NHS Health Boards with local messaging, the Scottish Government has also produced the Primary Care Digital Communications Toolkit , which provides resources for primary care providers to utilise when communicating with the public on how to access healthcare services.

The Scottish Government’s Primary care Directorate meets weekly with the Scottish General Practitioners Committee of the BMA to discuss a range of issues including Covid related issues such as long Covid.

NHS Boards are developing pathways according to local services and the needs of their respective populations, to support people with long COVID. We continue to invest in and expand multidisciplinary teams in primary care consisting of health and care professionals that play a key role in the provision of rehabilitation services.

Since the publication of the rehabilitation framework in August 2020, we have established a National Advisory Board to oversee its implementation.

The rehabilitation programme is currently undertaking a significant scoping exercise through a self-assessment process to understand the current status of rehabilitation services in Scotland, from the perspective of the staff working in them.

The self-assessment tool has been circulated to all NHS Boards, Health & Social Care Partnerships, third sector organisations, and Leisure Trusts as part of Local Authorities.

The outputs from the self-assessment tool along with demand and capacity data will help us shape priorities, understand challenges and opportunities and inform funding decisions.

The Scottish Government has supported the following research:

‘Genetic Testing for Sudden Arrhythmic Death Syndrome and the British Coronial System’. This is currently in follow-up in NHS Grampian and ran from May 2014 to June 2020.

‘The Role of Genetic Testing & Molecular Autopsy in Sudden Arrhythmic Death Syndrome (SADS)’, NHS Greater Glasgow and Clyde which ran from 2011 – 2014.

‘Phenotype-driven molecular autopsy for sudden cardiac death’ through the Familial Arrhythmia Network Scotland, the Scottish Genetics Consortium, NHS Grampian and NHS Highland which ran from 2001 to 2013.

‘Non-invasive prediction of total and sudden cardiac mortality in patients with heart failure’, University of Glasgow, which ran from 1994 to 1996.

It is currently not practical to establish a definitive implementation timetable for bringing the Health and Care (Staffing) (Scotland) Act 2019 (the Act) into force. Covid-19 has considerably stretched resources within Health Boards and the wider health and social care sector, with the focus being on maintaining and delivering essential services and rolling out the vaccination programme.

Prior to the pandemic, we proposed a phased commencement of the Act, with a programme of preparatory work to lay the way for implementation. This work had not concluded pre-Covid when the Act became one of several areas of policy/legislation to be paused in order to prioritise the Government’s and Health Boards pandemic response.

Additionally, during the previous session there were substantial demands on parliamentary time arising from Covid-19 and EU Exit legislation and also critical legislation needing to be progressed prior to the dissolution of Parliament.

However, the Scottish Government continues to be resolutely committed to the Act and its aims and principles. Health and social care staff across Scotland have risen to the very significant challenges posed by Covid, showing incredible resolve and flexibility, and as the Health Service recovers and remobilises we will ensure this Act is implemented as soon as is practicable to effectively drive positive change for NHS staff and patients .

The Scottish Government continues to work under the interim Subsidy Control regime introduced by the UK Government on 1 January 2021 and provisions held within the EU-UK Trade and Cooperation Agreement. Alongside this, consideration has to be given to any further UK Subsidy Control obligations such as World Trade Organisation membership and commitments arising from international treaties and Fair Trade Agreements to which the United Kingdom is a party.

The UK Government introduced a Bill on Subsidy Control to Parliament on 30 June 2021 with a view to implementation of a permanent Subsidy Control regime.

Officials will continue to diligently work through the UK Government’s proposals to understand the impact on subsidies, including on ferry services.