Chamber and committees

The Women’s Health Pan will be published by the end of this month, August 2021, and within the first 100 days of the new session of the Parliament.

The Scottish Government’s Women’s Health Plan (WHP) will be published within the first 100 days of this new government and includes a number of actions to improve access to appropriate support, speedy diagnosis and best treatment for endometriosis.

We are working closely with organisations and support groups representing women with endometriosis to implement these actions and work is already underway, for example, through the Modernising Patient Pathways Programme to develop a pelvic pain pathway for Scotland. This integrated care pathway will assist women to access and be better informed and empowered to make choices about treatment and management for endometriosis.

The dental sector has been disproportionately impacted by the pandemic. Pre-COVID levels of patient volume are currently not achievable within the current framework of infection, protection and control (IPC) measures.

The Scottish Government has recently announced a 50 per cent increase in free PPE to dental practices and new funding of £5m to support improved ventilation facilities in dental surgeries. Both these measures are intending to increase the productivity of practices, enabling them to see more patients, within the current set of IPC constraints.

We can also confirm that we are working closely with UK partners as part of the review of IPC Guidance as we emerge from this pandemic. The intention is to ensure that as soon as it is safe to do so dental services can resume normal levels of activity.

The Scottish Government continues to promote testing in its communications and public messaging. To raise awareness of how individuals can access testing at walk-through test centres and mobile testing units, the Scottish Government has:

• supported local authorities and health boards to promote new sites by creating a communications toolkit, which includes templates for news releases, social media content and signage,
• engaged with local authorities and health boards to inform them of upcoming Test and Protect communications campaigns and new site openings, and,
• promoted new sites online with the public and health journalists, broadcasters and bloggers with a Ministerial quote and UK Government news release.

Before the Summer break, schools and education leaders were advised to provide all staff and secondary pupils with a pack of Lateral Flow Devices (LFDs) test kits prior to going on leave that they can use to restart testing in the week prior to return. In addition, they were also advised to ensure they have sufficient stock to support testing for at least the first few weeks after the return and to make any necessary orders before the Summer break – though of course they are also free to make additional test kit orders after their return to school in August. In preparation for the return of schools this month, the Scottish Government has allocated sufficient stocks of lateral flow tests to support the continuation of the twice weekly testing programme in all schools and ELC settings across Scotland.

The Scottish Government has taken a range of actions, in collaboration with key partners including the UK Government, local authorities and Young Scot, to support staff and secondary pupils to test and record their results regularly. For example, in response to user feedback about the discomfort that some pupils experience when using tests, we will be transitioning from LFDs that require both throat and nasal swabs to a nasal-only LFD model over the first months of the new term. These new LFDs are also quicker to use, cutting down on the time it will take staff and pupils to test. Feedback suggests also that some participants are testing but not recording results for a range of reasons. We have shared relevant feedback with UK Government partners about the UK-wide online reporting portal to support ongoing improvements. To make reporting easier, users of the self-reporting portal now have the ability to create a “household account” where the results of multiple family members can be inputted at the same time without having to manually enter their child’s details every time they report. Best practice has been actively shared with local authority Directors of Education and we have refreshed national communications in advance of the new term, including a communications pack developed in collaboration with Young Scot that will be provided to every secondary school in Scotland. All local authorities have also been asked to ensure that their return to school communications make clear the need to test and record results prior to return and twice-weekly thereafter.

The Scottish Government continues to be committed to improving the lives of autistic people in Scotland. We work closely with autism organisations in the third sector and the public sector and actively seek the views of people with lived experience on autism services. This is reflected in our “Towards Transformation” plan and in specific pieces of nationally funded work, such as the National Post Diagnostic Support pilot for Autistic People.

While the Scottish Government has overall responsibility for health and social care policy in Scotland, it is for the regional health & social care partnerships to determine the level of services that are required to meet local needs and to arrange an appropriate and suitable range of services to meet these local needs, as mandated under statute in the Public Bodies (Joint Working) (Scotland) Act.

Local Authorities are distinct corporate bodies whose powers are set out in statute and as such are entirely separate from the Scottish Government, however it is also the expectation of the Scottish Government that Local Public Bodies will engage with the third sector regarding local autism services.

Autistic children and young people are supported through local Getting it Right Pathways and processes to have needs identified early and individualised plans in place. Support should be in place before, during or after diagnosis according to need and not diagnosis. All health boards have an autism or neurodevelopmental pathway, with a local plan for ‘post diagnostic support and information’.

The Children and Young People’s Mental Health and Wellbeing Joint Delivery Board has recently agreed the final version of the National Neurodevelopmental Principles and Standards of Care. The Principles and Standards of Care is for those children and young people who have neurodevelopmental profiles and support needs, including those with autism, and require more support than is currently available. The National Neurodevelopmental Principles and Standards will be published shortly.

The Additional Support for Learning Act places duties on education authorities to identify, provide for and review the additional support needs of their pupils, including those with autism. We provide free professional learning opportunities for practitioners, including the Autism Toolbox and Inclusive Practice online professional learning modules.

In addition, we published our Autism Action Plan in December 2020, setting out the actions we will take to improve the support to children and young people with autism in Scotland’s schools. We have made significant progress in implementing these actions and will formally report our progress in December 2021. Our work on supporting young people with Autism in mainstream schools is also supported by our guidance on the presumption of mainstream education.

Housing to 2040 is Scotland’s first ever long-term national housing strategy and makes clear our ambition to deliver 100,000 affordable homes by 2031-32, 70% of which will be for Social Rent.

Local authorities as the statutory housing authority are responsible for assessing housing requirements in their area and setting out their plans to meet these requirements as part of their Local Housing Strategy and Strategic Housing Investment Plan.

The South West Scotland Breast Screening Clinic does not accept GP referrals. Patients are referred to the clinic through the national screening programme, therefore this data is not available. The clinic does track the waiting time from initial screening to assessment. In May, the wait to assessment was 100% by week 3.

In February 2021, the then Cabinet Secretary for Communities and Local Government, wrote to the Chief Operating Officer of Mears Housing Management about issues that had been raised with her about the mother and baby unit. She asked that no new women be transferred to the unit until there had been further engagement with local partners on its operation and concerns were addressed. In June 2021, the Cabinet Secretary for Social Justice, Housing and Local Government wrote to Mears Group about issues raised with the suitability of the accommodation provided and asked for information about how they are addressing them. On both occasions we received a response from Mears Group setting out measures they have taken.

Officials from Scottish Government, Glasgow City Council and Mears Group sit on the Asylum Regional Partnership Board and the Delivery and Procurement Group, which support collaborative working on asylum accommodation and support in Glasgow.