Chamber and committees

We want everyone who would benefit from palliative and end of life care to have access to it, including those who are homeless. As the Marie Curie report makes clear, good end of life care requires collaborative, multi-disciplinary support which is based on the specific needs of the individual and their loved ones. However, we know that people experiencing homelessness are less likely to engage with healthcare services regularly and are more likely to have multiple mental or physical health problems - often with uncertain trajectories. This can make it challenging for care and support services to recognise a palliative care need in a timely manner.

To support better identification of the healthcare needs of homeless people, Public Health Scotland published a learning resource primarily aimed at primary care staff earlier this year. The course aims to raise awareness of the health challenges and barriers that homeless people face and support staff in better identifying the health and care needs of people who are homeless. Although the course has been developed with primary care staff in mind as they act as first healthcare points of contact, it is a foundation level course which is accessible and relevant to all staff working with people who are homeless, particularly those working in frontline homelessness services. This course can be accessed here: https://learning.publichealthscotland.scot/course/view.php?id=553

Over the coming months we will continue to work with key stakeholders to explore what further steps we can take to help ensure that people who are experiencing homelessness can access the palliative care and support that is right for them.

We want everyone who would benefit from palliative and end of life care to have access to it, including those who are experiencing homelessness.

We are committed to working with key stakeholders to strengthen partnerships between health, homelessness and frontline services to improve outcomes for people experiencing homelessness with multiple and complex needs. Over the coming months we will continue to work with stakeholders to explore areas where improvements to palliative and end of life care could be made as well as reflecting on lessons learned during the pandemic.

I would also refer the member to the answer to question S6W-01041 on
22 July 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

I refer the member to the answer to question S6W-00977 on 22 July 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  

Since the publication of the rehabilitation framework in August 2020, we have established a National Advisory Board to oversee its implementation and we have appointed a professional advisor to lead on this programme of work.  

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.  

We remain committed to reforming the Gender Recognition Act 2004. We will announce our legislative programme to Parliament in September as part of the Programme for Government.

The Scottish Government recognises the severe impact that COVID-19 restrictions have on the events sector and on the ability of groups, including Pride organising groups, to organise large-scale gatherings and marches. The measures within the Strategic Framework , including physical distancing and limiting mass gatherings, have been crucial for controlling the virus, particularly as new and highly infectious strains emerge, and have been necessary and proportionate to protect lives and the NHS.

Since the start of the pandemic, Scotland’s LGBTI organisations have, where possible, arranged virtual alternatives to traditional Pride events, bringing people together to celebrate Scotland’s diverse and vibrant LGBT community. We are currently reviewing physical distancing measures, taking account of available and emerging evidence, including the ongoing rollout of the vaccination programme. Public events will be considered as part of this review.

Throughout the COVID-19 pandemic, we have provided funding of over £74,000 to LGBTI organisations from the Immediate Priorities Fund. This includes:

• Funding to LGBT Health and Wellbeing to provide additional cover for the National LGBT Helpline, for an additional 2 days a week (which brings coverage from 2 days a week to overall 4 days a week) and to offer more tailored individual support for particularly isolated members of the community.
• Funding to Equality Network to increase access to Zoom for community groups, to maintain social connectivity.
• Funding to LGBT Youth Scotland, to fast track their digital youth work platform to ensure that young people are better supported during the pandemic and beyond.

A partnership of LGBTI organisations was also awarded short term funding of £87,700 from the Scottish Government’s Supporting Communities Fund, delivered via the National Lottery, to support a community response to COVID-19. Outputs included the creation of a dedicated LGBTI micro-site to: support Pride organisers to put on events; support LGBTI groups to provide social and COVID-19 services; and provide LGBTI digital care packages to up to 50 isolated LGBTI people through local LGBTI community groups. Further details of this can be found online at: https://www.equality-network.org/funding-announcement/ .

As announced in March, the recommendations from the Review will be taken forward by an Implementation Group. On the 18 June we announced that the Group will be Co-Chaired by Dennis Robertson and a clinical lead who will be confirmed shortly.

We also announced we are providing £5 million of funding to respond to the recommendations from the Review in this financial year. The majority of this funding will be provided to NHS Boards to support them in responding to the increase in eating disorder presentations due to the Covid-19 pandemic. This is Recommendation 1 from the Review. This funding is being provided from the £120 million Mental Health Recovery and Renewal Fund.

In addition, in response to Review recommendation 6 (Self-help Resources) and Recommendation 13 (Families and Carers), we are also providing funding to Beat, the UK’s Eating Disorder Charity, to provide a wide range of support options such as support to families and carers of those with an eating disorder; support for children, young people and adults who are currently waiting to be seen by services; and peer support services. We will shortly announce further details of this package of support.

Data on vaccination is compiled and forwarded to the Scottish Government by Public Health Scotland.

We do not hold data on vaccination rate for specific illnesses of conditions, but on how many people in a specific cohort have been vaccinated.

Latest vaccination figures can be found here : Coronavirus (COVID-19): daily data for Scotland - gov.scot (www.gov.scot) and COVID-19 Daily Dashboard | Tableau Public

This information is not held by the Scottish Government. COVID-19 death data is published by National Records of Scotland, but is not currently available for these pre-existing health conditions.