Chamber and committees

We have considered carefully whether people need to continue to be on the Highest Risk List. A significant body of evidence has been reviewed by clinical advisers related to the impact of vaccination for the approximately 176,000 people who have, for the most part, been on Scotland’s Highest Risk List since the start of the pandemic when we initially asked people to shield.

Based on the strong evidence that the risk of hospitalisation or death from Covid has significantly reduced for the majority of people on the Highest Risk List as a result of vaccination, alongside effective new treatments now being made available to people who will benefit most, we have decided to stand down the Highest Risk List from 31 May 2022. The Chief Medical Officer (CMO) will write to everyone on the Highest Risk List to advise them of this, along with a summary of the evidence that informed this decision and information about further, ongoing guidance and support.

The CMO wrote to everyone on the Highest Risk List on 4 March and indicated that we were undertaking a review of the Highest Risk List in light of the evidence that has emerged over the past two years. This intention was also set out in the update to the Strategic Framework in February.

Since July 2021, the CMO has advised people on the Highest Risk List to follow the same guidance and take the same precautionary measures as the rest of the population, unless advised otherwise by their GP or clinician who will understand their health condition and individual circumstances best.

The CMO also said in his letter that we will share the evidence that we have used to make those decisions and we are publishing a summary of the clinical evidence today. You can read the full publication at the following link https://www.gov.scot/isbn/9781802017311 which will go live at 10:00. We are aware that a core of immuno-suppressed people are unable to mount a full immune response due to their condition and/or treatment. We will publish separate advice for this group. We are working with Public Health Scotland and have put an identification process in place to be able to rapidly generate an accurate and current list of individuals for vaccine prioritisation and covid treatments, and to provide additional advice in the event of any escalated threat level to those who may need it.

We are also aware from our own and Public Health Scotland research with people on the Highest Risk List of ongoing wider negative impacts, particularly in terms of mental health, and issues of isolation, for some people on the Highest Risk List. We know that some people will continue to be more cautious or anxious about what this change means for them, or need more time to reconnect with people, or to restart the things they were doing before the pandemic. To help support these people, we have funded the British Red Cross to extend their Connecting with You Service to support people to rebuild their confidence and lives. We are also engaging with partners across all sectors to find ways to support people who may need more help to adapt, and will continue to provide guidance on protecting ourselves and others, including promoting the Distance Aware Scheme.

This is a positive step as there is no longer a need for the vast majority of people who have been on the Highest Risk List to consider themselves at any significantly higher risk. Our hope is that this will enable them to adapt to living with COVID and enjoy a better quality of life.

The Scottish Government has consistently and unequivocally indicated to the UK Government the significant impact Brexit would have across our whole economy, including health and social care. Leaving the EU, and in particular the loss of freedom of movement, has undoubtedly added to the challenge of attracting and recruiting new staff to work in remote and rural communities.

Further to engagement between the Minister for Future Borders and Immigration, my predecessor and other devolved administrations about the impact of EU exit on the recruitment and retention of health and social care workers, the UK Government has amended the shortage worker visa scheme including social care workers through the Scottish Government remains of the view that this does not adequately address the barriers that exist.

We continue to invest in recruitment and retention of health care staff, including GPs in remote and rural locations and this include record levels of investment in international recruitment, direct support to international recruits, the Golden Hello scheme and the development of a National Centre for Remote and Rural Health and Social Care.

Once again, I want to thank our health and care staff for their magnificent work to date. The last few months have been enormously difficult and our health and care services are continuing to deal with a challenging combination of issues.

As we are now moving out of what has been a challenging winter period, the system remains under significant pressure. The number of new Covid-19 cases are at a high and continue to increase as well as currently having a record high number of Covid patients in hospital. Therefore, we must continue with a measured and consistent approach to the recovery and renewal of the vital service that we all rely upon. This will require balancing the capacity of the NHS and the wellbeing of our workforce to respond to increasing demands of emergency and urgent care, whilst reducing the backlog of planned care.

As we move through the next phase of the Strategic Framework, we will continue to support our NHS Boards to deliver against commitments in the NHS Recovery Plan and associated Delivery Plans to enable our NHS to plan and prepare the future delivery of health and social care services to our communities. We are confident that we have continued to build on lessons learned and that NHS Boards will be able to respond appropriately to any further challenges which lie ahead.

However, with that in mind, I have decided that the NHS will remain on emergency footing until at least 30 April 2022.

The rights to naturally occurring gold and silver in this area are managed by Crown Estate Scotland, not by the Scottish Ministers. The Scottish Government is aware that Crown Estate Scotland have issued two Mines Royal Options to JDH Exploration Ltd within Dumfries and Galloway for gold and silver exploration. Crown Estate Scotland do not manage the rights to the land or any other minerals in these areas and an option holder must obtain all other relevant permissions for its activities.

Forestry and Land Scotland (FLS) has subsequently granted access (only) permissions for metalliferous mineral prospecting to JDH Exploration Limited for an area of ground on Scotland’s national forests and land, South West of Loch Dee in Dumfries and Galloway.

These access permissions are not for mineral extraction.

The access permissions issued by FLS allow for a limited amount of ground survey work, including soil sampling using hand tools (e.g. hand auger) and aerial surveys within a defined area of Scotland’s national forests and land.

We will be publishing the Lived Experience Panel Specification shortly.

The Scottish Government is aware that Crown Estate Scotland have issued Mines Royal Options Agreements for gold and silver exploration in south west Scotland. The Scottish Government do not have direct involvement in this process, and do not hold details of Crown Estate Scotland Option Agreements or leases for mineral exploration. You may wish to contact Crown Estate Scotland directly at [email protected] .