Chamber and committees

A significant difference with the underpinning data model makes interoperability between the Check in Scotland app and the NHS Covid19 app. challenging. However, we are exploring what enhancements can improve the overall user experience for citizens and visitors travelling between Scotland and the rest of the UK, and for contact tracing teams dealing with the visiting public.

The NHS England and Wales Covid app. cannot be used in Scotland, in any venues nor can the Test & Protect Check in Scotland app be used in England and Wales. This is due to a difference in legislation relating to the collection of contact details and the technical platform and data model of both products being used.

The data capture process that underpins both services, is completely different. The NHS Covid19 app, holds data locally on an individual’s device, contact tracing can push notifications to the device used to scan in/out and request contact information, no visitor contact details are collected at point of check-in. In Scotland, in line with regulations the Check In Scotland service (app and web service) collect contact details of visitors on check-in and hold for 21 days making contact tracing more effective in terms of timely access to contact data in the event of an outbreak.

All venues and settings in England and Wales must by law display Official NHS Covid19 posters and visitors must use the NHS Covid19 app to scan these posters. This is integrated into contact tracing systems in NHS England and Wales. This is not mandated in Scotland.

The Check In Scotland service can only be used in Scottish based venues (Scottish postcode and within a Scottish Health Board area) that have registered to participate. In Scotland, Check In Scotland is completely voluntarily voluntary for Scottish businesses to adopt, participating venues must display Official NHS Scotland posters and visitors must use the Check In Scotland app, camera function app or QR scanning app on mobile device to provide contact details. This is integrated directly into NHS Test & Protect contact tracing systems in Scotland.

Any UK or International visitors to Scotland that do not wish to download the Test & Protect Check In Scotland app. can use the camera function or QR scanning app on their mobile phone and use the Check In Scotland web service to provide contact details or provide these manually using a paper form that must be offered as an alternative by venues.

The Check In Scotland delivery team has recently been in communication with the UK Dept. of Health and Social Care, NHS Covid-19 app product team to explore what options are available and to enhance the user experience with a follow-up discussion planned week commencing the 21 June 2021.

Diagnostic codes for post-COVID-19 syndrome, or long COVID, were recently added into the primary care information systems used by GP practices. Guidance on coding has been issued to GP Practices, most recently in the Scottish Government ‘Implementation Support Note’ published on the SIGN website.

NHS Education for Scotland has an educational session, which covers long COVID, scheduled in August as part of its series of online webinars for primary care clinicians. All of their resources for health and care staff related to COVID-19 can be found on their dedicated Turas Learn Site ( https://learn.nes.nhs.scot/27993/coronavirus-covid-19 ). In addition to their own resources, they plan to signpost through Turas Learn to appropriate resources on long COVID developed by partner organisations as these emerge.

The University of Edinburgh’s EAVE II project has used pseudonymised GP and other patient data to track the COVID-19 pandemic as it unfolded across Scotland, and its analysis has helped inform Scottish Government policy.

That project now has funding from the Scottish Government’s Chief Scientist Office to use this pseudonymised data to investigate long COVID. The project will generate analysis on the number of people assessed as having long COVID. This analysis will be shared with the Scottish Government and will be used to inform the planning of services for people with long COVID. The analysis will inform publications on long COVID in due course.

The Medicines and Healthcare products Regulatory Agency (MHRA), which is the UK body responsible for ensuring that medicines and medical devices work and are acceptably safe, and the Joint Committee on Vaccination and Immunisation (JCVI), an independent clinical group of experts that provides all Governments in the UK with advice on vaccinations, both concur that the evidence shows that, overall, the benefits of vaccination, including vaccinating the under 30 year olds, outweigh the risks. In coming to this conclusion, both organisations looked in detail at all the evidence from the clinical trials undertaken by the pharmaceutical companies and the post-approval authorisation monitoring of the vaccines. The JCVI also reviewed and took into consideration the latest available evidence on the current UK COVID-19 infection rate, the scale and pace of the vaccine programme and modelling of the timing and size of any likely third pandemic wave. It is important that all those who are eligible and advised to be vaccinated take up the offer of a vaccine, and complete the course for maximum protection.

The Scottish Government provides a range of grants and loans to help deliver energy efficiency improvements and support investment by owner occupiers, private and social landlords. Last year we introduced a new loan scheme for private landlords to support achievement of minimum energy efficiency standards. We review the guidance for all of our schemes each year and currently have no plans to change the grants available to private landlords owning multiple properties.

Compliance with the Nutritional Requirements for Food and Drink in Schools (Scotland) Regulations 2020 is monitored by Education Scotland Health and Nutrition Inspectors who support local authority caterers to undertake a nutrient analysis of school lunch menus using appropriate software to assess compliance with the nutrient standards. They also support local authority teaching and catering staff to assess compliance with all other food and drink provision across the school day against the relevant specifications.

Under the Education (Scotland) Act 1980 each local authority is responsible for ensuring that they comply with the statutory duties set out in the Regulations. The Regulations are flexible enough to allow for local variations in menu design which helps to ensure that local needs and preferences can be taken into account. As such we would expect to see different menus between local authorities and between schools within a local authority area.

Paediatric craniofacial surgery in Scotland is delivered by NHS Greater Glasgow and Clyde as a national specialist service commissioned by the National Services Division. Within the Board there is an ambition to develop endoscope assisted surgery as part of a wider practice to correct children with skull deformity due to a craniosynostosis. Physicians from the Board had intended to visit a centre in North America to share best practice but the COVID-19 pandemic has resulted in this being postponed.

At present the only nationally designated craniofacial service in the UK that is known to offer endoscope assisted surgery is Great Ormond Street Hospital. Whether a patient should be referred to Great Ormond Street Hospital is dependent on individual clinical circumstances. The perioperative follow-up for patients after this procedure is more complicated as reassessment and repeat helmet fittings are required.

General practices are following Public Health Scotland’s advice to reserve face to face appointments in primary care settings for those consultations where the GP decides it is clinically necessary. This is not just to prevent the general transmission of the coronavirus but to protect general practices as medical spaces for patients who have a clinical reason for face to face attendance.

Public Health Scotland's advice is not tied to the levels Scottish local authorities are in. General practices will remain open regardless but will continue to manage face to face appointments consistent with this advice. At present all patients are still able to get an appointment by telephone or video call.

Our Coronavirus guidance on reducing the risks in schools was developed in collaboration with local authorities, unions, parents representative groups and teaching bodies, with input from technical experts working across the UK. This includes a section on the potential use of CO2 monitors to assist in assessing whether adequate ventilation is being provided. Each local authority and school can utilise this technology as appropriate to their particular circumstances.

We have worked from the start of the COVID-19 pandemic with the Scottish Heads of Property Services forum to get input and feedback on guidance, and ventilation is a standing agenda item at each meeting. The forum was used to request progress information including: local authority plans to utilise CO2 monitoring, ventilation upgrades required, observations from operational schools and issues arising during different weather conditions where ventilation and thermal comfort could be in tension. The Scottish Heads of Property Services use this forum to share expertise and learning to ensure that efforts and resources are best deployed to optimise solutions across the whole learning estate in Scotland. Links have also been established with other expert groups representing the UK governments to help inform future guidance.

We acknowledge how challenging this past year has been for everyone in our society, including places of worship. We are grateful to all of Scotland’s faith and belief communities for all they have done to keep their congregations safe and to support our communities during this unprecedented time.

From 26 April, we moved towards greater easing of the health protection restrictions, with the removal of the 50 person limit in places of worship; instead the numbers of people who can attend are limited according to the building capacity and physical distancing of two metres, along with other measures informed by a risk assessment.

The Scottish Government is reviewing physical distancing including its impact on places of worship and an announcement, which will consider the faster spreading Delta variant, is expected in the near future. Sectoral guidance will be further updated at that time to reflect the outcome of the review, including proposals for as clear a route as possible to the reduction/removal of physical distancing to enable people and organisations to plan effectively for a full reopening. Physical distancing has been an important tool for controlling the virus, but as with all restrictions, we will only have this in place as long as is necessary

The Scottish Government has to balance the harms from the virus which are potentially fatal, with the impact on faith and belief communities of the restrictions on places of worship. However, please be reassured that the Scottish Government understands the important role of congregational worship in supporting spiritual, mental and social wellbeing and will continue to engage with faith and belief communities regarding the scope for further easing.

The coronavirus outbreak remains a real and sustained threat to human life in Scotland as well as to social and economic well-being. The Scottish Government has always relied on a range of indicators and criteria, combined with clinical advice and local intelligence about the state of epidemic, to construct a full, reliable, and robust picture of the threat posed by COVID-19 across the four harms.

On 14 May, we published Coronavirus (COVID-19) protective measures: indicators and data which sets out the indicators to assess the threat of Covid-19, and inform when and how we introduce, adapt, or ease protective measures. This includes core indicators, measuring both community transmission and healthcare capacity at a local level, and secondary indicators which provide critical information on viral concentration, prevalence and incidence of COVID-19 cases, testing (including access), vaccination, mortality, and hospitalisations at any given local level.

The scale and extent of our successful vaccination programme is enabling us to consider how we can respond to the virus moving forward. We are growing increasingly confident that vaccination is helping break the link between case numbers and hospitalisation and death. However, currently the evidence base remains insufficient, especially in light of the Delta variant, which we are currently attempting to better understand. That is why it is still important to keep cases as low as possible, to reduce the chances of transmission and new variants developing.