Chamber and committees

The eligibility criteria for new COVID-19 treatments were developed by an independent expert working group commissioned by the UK Department of Health and Social Care, based on detailed clinical evidence. The criteria are set out in a UK-wide clinical commissioning policy . The policy targets those higher risk individuals who have the potential to both be least likely to generate a material immune response to vaccines and be at highest risk of disease progression, hospitalisation and death.

The UK Department of Health and Social Care has recently established an expert panel to provide advice to the UK Chief Medical Officers (CMOs) on which patient cohorts should be eligible for access to COVID-19 treatments, including whether changes should be made to which patient cohorts are currently eligible for direct access to antivirals to reduce the risk of hospitalisation. More information about the Therapeutics Clinical Review Panel, including how to submit an enquiry to the panel can be found online at: https://www.gov.uk/government/groups/covid-19-therapeutics-clinical-review-panel

General information on the arrangements for direct access to COVID-19 treatments in Scotland can be found on NHS Inform .

I refer the member to the answer to questions S6W-05524 on  24 January 2022 and S6W-07942 on 29 April 2022. 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

Our best and final estimate of the number of reverse vending machines (RVMs) that will be required to operate Scotland’s Deposit Return Scheme (DRS) is 3,021, as set out in Table 2 of the amended final Business and Regulatory Impact Assessment (BRIA) published on 15 December 2021. At the time of drafting the amended final BRIA, Circularity Scotland Ltd (CSL) confirmed that this matched their estimate.

We have had no further discussions with CSL regarding any estimated numbers of RVMs since that time and do not recognise the figure of around 5,000. Although it is entirely appropriate for CSL to continue to update its own assumptions regarding key parameters for DRS, our best and final estimate prior to implementation remains unchanged and we have no intention to further revisit the amended final BRIA.

We know that the pandemic has had a significant impact on the mental health and wellbeing of many children and young people. There is help available for anyone struggling with their mental health, including support for young people feeling suicidal – details are set out on the NHS24 website. Young people who are struggling are urged to speak to a trusted adult; to contact their GP; seek help via the NHS24 helpline on 111, or call Childline on 0800 11 11.

The Scottish Government set up the National Suicide Prevention Leadership Group (NSPLG) to oversee the delivery of the Suicide Prevention Action Plan ‘Every Life Matters’, published in 2018. The Plan continues to deliver a wide range of actions, including: improving suicide prevention skills of the workforce; ensuring effective, compassionate support to anyone in crisis, and supporting local suicide prevention planning. In addition, the NSPLG identified restricting access to means of suicide as a priority during the pandemic, and is currently drawing together international evidence to identify effective approaches to reducing access to means of suicide for people in crisis, including self-poisoning.

The NSPLG is setting up a Youth Advisory Group to bring together young people with lived experience of suicide, self-harm and poor mental health. This Group will ensure suicide prevention policies and approaches are designed to reach, and support, children and young people; this includes informing the new suicide prevention strategy which will publish in September. Finally, the NSPLG is planning a social media campaign over the coming months aimed at young people, with the objective of encouraging young people to talk more openly about suicide, and to seek help.

We recognise that for some people self-poisoning is a form of self-harm rather than a suicide attempt, and the Government is actively developing a stand-alone self-harm strategy to ensure the right policies and support are in place for people who self-harm. We are currently working closely with stakeholders and people with lived experience to inform the Strategy and supporting Action Plan. We are already investing approximately £1.5 million over three years to Penumbra to pilot self-harm support services for people currently self-harming, or people at risk of self-harming. The pilots will begin over the Summer, with the learning providing valuable insight to the development of the strategy.

We know that providing emotional support to school age children is vital, and we provide local authorities with £16m per annum so that every secondary school has access to counselling support. Additionally, a learning resource has been developed for school staff to help them recognise the signs of poor mental health among young people, including signs of self-harm, and giving them skills to respond.

Finally, having provided £11.25 million to local authorities to respond to the mental health impact of the pandemic on children and young people in Financial Year 20/21, since January 2021, we have provided significant additional funding enable them to deliver further mental health and wellbeing support for children and young people in their communities. This new investment totalled £15 million in Financial Year 21/22 and we are committed to doubling the funding for community mental health supports over the lifetime of this Parliament. In 2021-22 this funding included £2.87 million to local authorities within NHS Grampian, which has enabled a range of services including ‘Fit Like’ Family Wellbeing Hubs in Aberdeen, digital mental health support in Aberdeenshire and whole family support in Moray.

Setting and paying the handling fee is a matter for return-point operators and the scheme administrator, as provided for by regulation 11 of the Deposit and Return Scheme for Scotland Regulations 2020. That is in line with the principle of industry leadership of the scheme, and the Scottish Government is not involved in this process.

As part of the British Sign Language National Plan 2017 – 2023 , we have a commitment to work with partners to deliver and evaluate two training programmes aimed at supporting BSL/English interpreters to work within the Justice sector, with a view to informing a longer-term approach. Queen Margaret University now offers an elective module for BSL interpreting in Justice settings; more details can be found in the Scottish Government’s British Sign Language: Progress Report 2021 . The BSL Justice Advisory Group met again for the first time after the pandemic in October 2021, and another meeting was held in March 2022, where plans to develop workstreams was discussed. This includes looking at improvement in provision of BSL and English interpreters in courts and police stations, and potential solutions to current issues reported by case studies.

Transport Scotland look to improve accessibility as part of wider rail enhancement and decarbonisation programme; which is why the 2 new stations on the new Levenmouth Railway, the new Inverness Airport station and the new Hairmyres Station on the East Kilbride line will all have accessibility at the heart of their design. Throughout 2019-2024 this Government will also provide funding for step-free access at Aviemore, Pitlochry, Nairn and Kingussie rail stations.

Rail accessibility is reserved to the UK Government and, while we work closely with the Department for Transport to agree priorities, the final decision rests with the UK Government. We continue to push for full devolution of rail powers to enable us to better deliver for Scotland’s rail users.

The DfT Access for All and Mid-Tier Programmes will deliver step-free access through the rail control period 2019 -2024 at selected Scottish stations can be found in the attached links:. Access for All: 73 stations set to benefit from additional funding - GOV.UK (www.gov.uk) Rail stations across Great Britain receive £20 million funding boost for accessibility improvements - GOV.UK ( www.gov.uk ) Work has already commenced on site at Croy and Johnstone with the new accessible footbridges and lifts anticipated for completion later this year.

The Strategic Transport Projects Review 2 (STPR2) was recently published and this will inform transport investment in Scotland for the next 20 years (2022-2042) and recommendation 19, Infrastructure to Provide Access for all at Railway Stations, recommends a review of station accessibility across Scotland to identify barriers and improve access . Additional details can be obtained within the Draft Technical Report - January 2022 - STPR2 | Transport Scotland .

Low Emission Zones regulations provide an exemption for Blue Badge holders, which includes both individual and organisational badges. Throughout the development of Scotland’s Low Emission Zones Transport Scotland have engaged with both the Mobility and Access Committee for Scotland, and Disability Equality Scotland organisations to shape how the schemes will work.

Transport Scotland have completed an Equalities Impact Assessment, and held a public and organisational consultation with stakeholders in December 2021. This provided valuable feedback on the development of the National Blue Badge Exemption system, and Transport Scotland continues to work closely with the four local authorities (Aberdeen, Dundee, Edinburgh and Glasgow) and Disability Equality Scotland as this system develops.

Transport Scotland will continue to consult with relevant stakeholders, including local authority partners who will be operating the schemes going forward.

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.

We are now seeing a steady reduction in new Covid cases. However, I am aware that the system remains under significant pressure. 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.

With that in mind, I have decided that the NHS will no longer remain on an emergency footing after 30 April 2022.

There are temporary terms and conditions provisions that were enacted to support the NHS through this time, including to support those who came back to work on a temporary basis to aid with pandemic response. We will now take the opportunity to review these, and will work through the established structures to set a timetable to return to normal arrangements. In the meantime, these temporary measures remain in operation.

The Scottish Government has a commitment in the British Sign Language (BSL) National Plan 2017 – 2023 to work with local authorities, providers, and service users to improve the way that adult social care is delivered for BSL users. Work is underway to explore ways to meet this commitment with the establishment of the National Care Service. There is also a commitment to learn from actions we are taking forward in health to strengthen Scotland’s interpreting profession. Queen Margaret University offers a module in BSL interpreting in healthcare settings; more details can be found in the BSL Progress Report 2021 .

The Scottish Government is committed to the establishment of a National Care Service (NCS), and that work is continuing on schedule, ensuring that the design and delivery of the NCS has human rights embedded throughout. We will continue to engage with the real experts – people with lived experience of the service whether they are people accessing care and support, their families, care workers or providers – to improve future services and make things better for everyone. We have established a Social Covenant steering group, made up of people with lived experience, to ensure the new service is designed around the needs of care users and supports the needs of care workers.