Chamber and committees

The Scottish Government has not received £30 million from the National Lottery Community Fund, but has been notified by HM Treasury of an estimated £30 million consequentials relating to UK Government grant to the National Lottery Community Fund in respect of England.

The Cabinet Secretary for Communities and Local Government announced additional support for the third sector in Scotland on 18 March 2020 as part of a £350 million package of communities funding, prior to the UK Government announcement of funding for charities.

This funding exceeds the consequentials expected for Scotland from the UK Government.

The Scottish Government funding package includes a £50 million Wellbeing Fund to provide support to third sector organisations, including charities and social enterprises, helping them to work with at-risk people most affected by the coronavirus pandemic. It also includes a Third Sector Resilience Fund, now worth £25 million, to provide an emergency fund for charities, community groups, social enterprises and voluntary organisations working in Scotland.

Cancer waiting times data collects information on eligible referrals who started first treatment for the ten main cancer sites that are part of the waiting times standards. This does not include blood cancer. The number of eligible referrals, from any source, who started chemotherapy as their first treatment in April 2019 is shown in Table 1 by cancer site. Information for April 2020 is not available. Therefore, Public Health Scotland has no information on the impact of COVID-19 on these figures.

Table 1 – Number of eligible referrals who started chemotherapy as their first treatment in the month of April 2019:

Guidance is based on reviewing the available published evidence and informed by expert opinion drawn from a wide range of sources, including from behavioural sciences. Guidance and advice for the public is available through NHS Inform, a substantive media campaign is underway to raise awareness of these resources.

Clinical waste is regularly collected from Health Board sites. This arrangement means clinical waste is not stored for prolonged periods.

Information on the number of people who have received cancer treatment in each week since 1 January 2020 is not available yet from Public Health Scotland. Quarterly Information on the number of referrals who started first treatment up to the end of 2019 is available for the ten main cancer sites from the Cancer Waiting Times dataset. The ten main cancer sites are: breast, cervical, colorectal, head & neck, lung, lymphoma, ovarian, melanoma, upper gastro-intestinal (hepato-pancreato-biliary and oesophago-gastric), and urological (prostate, bladder, other). Quarterly information up to end of March 2020 will be available from 30 June 2020 .

That information is not held centrally. Between 1 March 2020 and 27 April, over 97 million items of PPE have been distributed to NHS Boards.

Each board now has a single point of contact for supply and importantly distribution of appropriate PPE to each clinical setting in hospital and to ensure any issues are speedily addressed.

All Health Boards have produced mobilisation plans which set out the steps they are taking to maximise intensive care capacity while maintaining essential services, such as emergency, cancer and maternity care. All Health Boards have now implemented plans to increase ICU capacity to treble their baseline. This increase in ICU bed capacity includes increased staffing delivered through internal redeployment supported by education and training which is being locally provided to meet the needs of each Board. The Chief Nursing Officer issued guidance to all Health Boards to support the deployment of Nursing, AHP, Pharmacy and other staff in Critical Care last month.

The Scottish Government COVID-19 Advisory Group has discussed this issue and is following the research being carried out on a UK-wide basis by SAGE. Further to this, discussions are ongoing with Public Health Scotland on understanding variance in rates of infection and death from Covid-19 by a range of factors, including ethnic minority status. The four CMOs across the UK are also working with Public Health England to explore the impact of COVID-19 on people from minority ethnic backgrounds.

From the outset of the Covid-19 outbreak, the Scottish Government has maintained frequent contact with the General Medical Council, as well as the Nursing and Midwifery Council, Health and Care Professions Council and General Pharmaceutical Council (GPhC), to discuss and agree the phased roll-out of their Covid-19 temporary registers in exercise of their emergency powers.

In respect of the GMC, whose Registrar already had powers to temporarily register anyone deemed to be a "fit, proper and suitably experienced" person, the Covid-19 temporary register was established on 27 March 2020 for doctors who gave up registration or licence to practise in the previous 3 years. It was expanded on 2 April 2020 to include those who gave up registration in the previous 3-6 years and those who are registered but do not currently have a licence to practise. On 7 April 2020 it was further expanded to include final year medical students by accelerating the annual provisional registration process.

All cohorts have automatically been granted temporary registration on an opt-out basis. All doctors are registered on the Covid-19 register on the basis that there are no open fitness-to-practise investigations, sanctions or conditions on their practice.

There have been no discussions between the Scottish Government and these organisations on the provision of exams for GP trainees, which are primarily issues for the statutory medical education bodies, the GMC and the Royal College to resolve.

On the recommendation from NHS Education for Scotland, the Scottish Government has however approved interim arrangements to enable those impacted to remain in their training posts in Scotland until solutions are agreed, including providing the estimated costs of £1.1m. There are ongoing discussions between these organisations, including participation from the BMA Junior Doctor Committee, to ensure all trainee GPs in their final year of training can complete their exams as soon as practically possible.