Chamber and committees

In January 2021, the then Cabinet Secretary for Health and Sport accepted the NHS Lanarkshire’s recommendation of Wester Moffat as the preferred site option for a new University Hospital Monklands. NHS Lanarkshire is currently preparing an Outline Business Case which will then be submitted to Scottish Government for consideration.

The Scottish Government remains committed to reducing fares on Northern Isles ferry routes.

Following engagement with European Commission officials in 2019, Transport Scotland officials were developing proposals to introduce RET. This work was rightly paused in early 2020, while resources were pivoted to deal with the Covid outbreak, however work has recently resumed.

Engagement between Transport Scotland officials and ferry operators has taken place and will continue as the work progresses. I will keep the member updated on progress.

As the member is aware, fare reductions for passengers, cars and cabins have been introduced on Aberdeen-Kirkwall-Lerwick routes, in addition to the existing 30% discount for islanders.

I refer the member to the answer to question S5W-35553 on 10 March 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 .

In addition to our work with the airports, the Scottish Government also has regular engagement with airlines. Most recently this included productive discussions held in April with 19 airlines, all of which are important to Scotland’s international connectivity. Given the commercial nature of these discussions I am unable to share specific details.

We recognise that globally, as well as here in Scotland, the aviation industry faces one of the longest recovery periods given the impact of the Covid-19 pandemic on route networks, which is why we have extended the 100% non-domestic rates relief for the aviation sector for another year (2021-22).

The fact that Scotland’s own supply is secure, and its abundant generation of electricity via wind means that Scotland has long been a net exporter of electricity with Net Exports to England and Wales being 10,036 GWh in 2006 and 19,050 GWh in 2020. This is thanks to the record renewable generation so far in 2020, as recorded by the Scottish Energy Statistics Hub . The forecasts from National Grid’s Electricity Ten Year Statement and recently published Network Options Assessment indicate that Scotland's export capacity will increase over the next decade.

We are committed to carrying out an Islands Communities Impact Assessment for the new free bus travel scheme for young people prior to it coming into operation.

Following a consultation on free bus travel for young people late last year, officials are now consulting further with island communities. We expect to publish the Islands Communities Impact Assessment later this summer.

Ferry fares policy options are being considered through the ongoing review of concessionary travel arrangements across all modes for under 26 year olds and through the Islands Connectivity Plan.

According to Scottish Fire and Rescue Service (SFRS) Performance Data analysis for the year 2020-2021 the total number of dwelling fire fatalities stands at 46, with a further 7 in non-dwelling property types. As further information may yet come to light, for example from coroners reports, the figures are subject to change. SFRS Fire and Rescue Incident statistics are published annually and include figures on fire fatalities and trends. These can be found here https://www.firescotland.gov.uk/about-us/fire-and-rescue-statistics.aspx .

The discretionary power to align with European Union legislation provided through the UK Withdrawal from the EU (Continuity) (Scotland) Act 2021 entered into force on 29 March 2021. Ministers have not yet used this provision, but will do so where appropriate to maintain and advance the high standards Scotland has enjoyed as part of the EU, including but not limited to the areas of environmental protection, animal health and welfare, plant health, equality, non-discrimination and human rights, and social protection.

The Scottish Government is supporting Scotland’s Towns Partnership to set up a national platform for a Scotland Loves Local loyalty card scheme. The scheme is a quick and efficient way to encourage local spend, support local business and build wealth in the local economy, helping communities be more resilient, sustainable and economically secure.

The Scottish Government did not seek any advice on whether the discharge of patients who had not been tested for COVID-19 or had tested positive from hospital to care homes was unlawful. Any decision on whether a patient is ready for discharge is a clinical one, made by the clinician in charge. Where someone is most appropriately cared for after discharge is based on a multi-disciplinary assessment involving the individual and their family carers. In cases where a patient lacks capacity, an appointed guardian or carer with power of attorney, will be involved. If somebody is discharged to a care home it is because that has been assessed as the best place to meet their needs.

In March 2020 the Scottish Government issued guidance which stated that prior to people being admitted to a care home whether from hospital or the community, clinical screening should be undertaken of patients alongside a risk assessment to ensure sufficient resources including appropriate isolation facilities are available within the care home to support social distancing and isolation. The guidance recommended all admissions to be isolated for 7 days and if known to have contact with COVID patients for 14 days. Both clinical decisions around discharge and risk assessments are undertaken locally by health and social care professionals. There is no involvement of Scottish Ministers.

On 21 April 2020 the then Health Secretary announced that all admissions to care homes from hospital should have a negative test for COVID-19 prior to admission to the home, regardless of symptoms unless it is in the clinical interests of the patient to be moved, and then only after a full risk assessment. Where a patient has tested positive for Covid two negative tests are required. This policy is reflected in both Scottish Government and Health Protection Scotland guidance for care homes.

On 28 October 2020 Public Health Scotland published analysis of discharges to care homes between 1 March and 31 May 2020. This report was subsequently updated on 21 April 2021 This report is available on the Public Health Scotland website at https://beta.isdscotland.org/find-publications-and-data/population-health/covid-19/discharges-from-nhsscotland-hospitals-to-care-homes/ .

The Mental Welfare Commission (MWC) report did not take account of the testing status of patients discharged from hospital. During the early stages of the Covid-19 pandemic concerns were raised that people who were in hospital and lacked capacity may have been moved from hospital to care homes without full understanding of the legal requirements to ensure rights are upheld, and the move to care was lawful. This report details the findings of their investigation into these specific concerns.

The report concluded that some people had been moved without the appropriate legal authority, for example a Power of Attorney or Welfare Guardian. You can access the full report on the MWC website at https://www.mwcscot.org.uk/news/moves-hospitals-care-homes-during-pandemic-new-report-finds-wider-concerns-over-adherence-law .

The Scottish Government was first made aware that some people had been moved from hospital without the appropriate legal authority when we received the Mental Welfare Commissions draft report in April 2021.

Regarding the testing status of patients discharged to care homes, as stated in Parliament on 4 November 2020 by the then Cabinet Secretary for Health and Wellbeing, prior to the Sunday Post publishing their FOI, neither Scottish Ministers nor Government officials had information on the results of covid-19 tests prior to discharge, or where these patients were discharged. The Cabinet Secretary commissioned Public Health Scotland to carry out work to identify and report on discharges from NHS Hospitals to care homes during the first wave of the COVID-19 Pandemic. This report is available on the Public Health Scotland website at https://beta.isdscotland.org/find-publications-and-data/population-health/covid-19/discharges-from-nhsscotland-hospitals-to-care-homes/.