Chamber and committees

To save lives it is important we continue to follow the Joint Committee on Vaccination and Immunisation’s (JCVI) guidance in the planning of vaccine delivery. This evidence-based guidance advises that the single greatest risk of mortality from COVID-19 is increasing age, and that the risk increases exponentially with age.

Decisions to prioritise one population group over another are not taken lightly, nor are they straightforward.

People who are blind and partially sighted encompass a wide range of individuals with degrees of severity, so it’s important that the vaccine priority list focuses in on the specific groups who are at the highest risk. Some of those with a visual impairment will fall into the priority groups below, like the clinically vulnerable priority group (the 6th category in the list below, under ‘underlying health conditions’), but this does depend on each individual’s circumstances.

Some individuals with visual impairment will also be prioritised due to their age and / or additional underlying health conditions.

The full JCVI priority list is currently:

• residents in a care home for older adults and their carers

• all those 80 years of age and over, and frontline health and social care workers

• all those 75 years of age and over

• all those 70 years of age and over, and clinically extremely vulnerable individuals

• all those 65 years of age and over

• all those 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality

• all those 60 years of age and over

• all those 55 years of age and over

• all those 50 years of age and over

I refer the member to the answer to question S5W-29587 17 June 2020. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx.

Due to the impact of COVID and ongoing development of the Patient Reference Group we are still working with the ALLIANCE to agree the final funding for this project which is intended to ensure people with lived experience have an opportunity to work with Government and other stakeholders to shape policy and improve services.

Vaccinations are taking place differently across Scotland to reflect the needs of local communities. NHS Scotland Heath Boards are responsible for the local delivery of the COVID-19 vaccine. As such, Health Boards along with GPs are responsible for making decisions regarding local delivery in line with the Joint Committee for Vaccination and Immunisation (JCVI) guidance. This includes how GPs will deliver vaccines to their temporary patients.

The Coronavirus Vaccination Helpline can be called on: 0800 0308013 (available 8am to 8pm, 7 days a week) for advice relating to receiving vaccinations in individual health boards.

Further general information about the coronavirus vaccine and its delivery is also available at NHS Inform .

We intend to publish our Respiratory Care Action Plan for Scotland before the 25 March 2021.

The relevant information available at national level is shown in the following table. The data is sourced from the Costs Book which is the national data collection covering annual expenditure by NHS Boards in Scotland. The figures shown cover expenditure that Boards have identified as relating to Mental Health Services delivered in hospitals or in the community, and that are aimed specifically at children and adolescents.

Note that, within the Cost Book, some Boards may not distinguish all expenditure relating specifically to this age group meaning some elements of expenditure are likely to omitted. Therefore, year on year trends should be regarded with caution.

Child and Adolescent mental health expenditure 1 , Total NHS expenditure 2 and Mental Health expenditure 3 Scotland 2019-20

The Scottish Government recognises the contribution the third sector makes on the issues that matter to those who live with heart disease across Scotland. That is why the National Advisory Committee for Heart Disease includes representation from third sector partners, enabling their input into the delivery of the Heart Disease Improvement Plan and the development of the refreshed plan, due to be published this year. We are committed to continuing to work collaboratively with the third sector and other key stakeholders to ensure equitable and timely access to diagnosis, treatment and care for people with heart disease in Scotland.

Providing high quality, person centred care for people towards the end of life is an important priority for the Scottish Government. We want people to get the care and support that is right for them and enable them to stay in their local community for as long as possible.

Due to the challenges associated with the pandemic, we are seeing more people being cared for in community and homely settings. That is why last year we provided additional resource to Integration Authorities to help ensure that those being cared for in community settings can get the care that is right for them.

Additionally, in November 2020, we published our Adult Social Care Winter Preparedness Plan which includes a focus on supporting people to get the care that is right for them when time becomes short. To support this work, we provided Integration Authorities with an additional £72 million to help ensure that those being cared for in the community, including those with palliative care needs, have access to the right services at the right time.

Once the final Respiratory Action Plan has been published later this year, we will develop a programme for its implementation. This implementation programme will give a clearer understanding of the funding required in 2021 and subsequent financial years to deliver the commitments and priorities for asthma, bronchiectasis, COPD, idiopathic pulmonary fibrosis and obstructive sleep apnoea.

The first publication of the results from the Carers Census was released on 15 December 2020. This report presented data on carers being supported by local services during the first year following the implementation of the Carers (Scotland) Act 2016. However, as this was the first time that this collection had been undertaken and many data providers were still in the midst of designing new systems to collect and record the required data, the figures presented in the publication are incomplete. Therefore, results should be interpreted with caution.

Young carers accounted for 12% of the individual carers identified within the Carers Census (2,680 out of 23,180). Previous estimates of the total carer population suggest that young carers account for less than 5% of all unpaid carers. This may indicate that carer support services are reaching a greater proportion of young carers compared to adult carers.

Based on records where information on support provided was available; 89% of young carers were provided with advice and information, 60% with counselling or emotional support and 45% with short breaks or respite. The data suggested that young carers were much more likely to be provided with counselling or emotional support or short breaks or respite than adult carers, which may reflect the different support needs for young carers.

The Respiratory Care Action Plan has been developed in partnership with key stakeholders from across health and social care and the third sector. The Plan will set out priorities and commitments which aim to improve the diagnosis, treatment and support of people living with respiratory conditions.

We recognise that initiatives that work in partnership with the NHS and the third sector, play an important role in providing support to people living with respiratory conditions. We will work with third sector representatives, including Chest Heart and Stroke Scotland to highlight the role of the third sector in implementing the priorities and commitments set out in the Plan.