Chamber and committees

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 Scottish Government has not had any discussions to date, relating to the introduction of a national garden waste tax.

Decisions on local service provision and charges are for local authorities to make. However we want to make sure that the best choice for the environment is also the easy choice for households and will be consulting in May on a new set of measures to achieve our waste and recycling targets to 2025 and beyond.

These matters are at an early stage and we understand that the UK Government is currently considering next steps. We are aware, however, that MG ALBA is making preparations for a possible media bill and will be meeting the Minister for State at DCMS to discuss these matters soon. We are also aware of what MG ALBA would hope to see included in a bill and the Scottish Government will support MG ALBA with its requests to ensure greater equity between minority indigenous languages across the UK and to defend and strengthen public service broadcasting in Scotland.

This data is not centrally available.

PHS are developing a patient level dataset, Child, Adolescent and Psychological Therapies National Dataset (CAPTND) and the Scottish Government has commissioned Directors of eHealth in NHS Boards, working with others, including PHS , to work to improve the Child and Adolescent Mental Health Services (CAMHS) digital infrastructure. This will enable the recording and extraction of the full CAMHS and Psychological Therapies (PT) National Dataset (CAPTND), which will allow improved reporting on patient characteristics.

The Scottish Government does not hold this information centrally. While we provide guidance for NHS Boards on the management of maternity and neonatal services during COVID-19 to aid local service planning, NHS Boards are responsible for undertaking local risk assessments to evaluate whether antenatal sessions can take place virtually or in person.

Throughout the pandemic we have provided bespoke advice, information and support to help protect the approximately 180,000 people on Scotland’s Highest Risk List.

While we will continue to ensure people at highest risk know where to turn if they need further guidance, clinicians and GPs are the primary source of advice for those on the Highest Risk List. They best know the personal circumstances and conditions of each individual and can advise them on what, if any, precautions to take as they would have before the pandemic, and can provide tailored information and support.

There is strong evidence that people's risk from Covid-19 has significantly changed as a result of the vaccination programme and the time is now right for us to consider who still needs to be on the Highest Risk List. In the meantime, we will:

? continue to respond to scientific and clinical advice regarding COVID treatments, making sure that those who we know will benefit most from them are able to access them; and,

? continue to look at ways to identify people who may be at highest risk, taking emerging evidence into account.

? work with our Clinical Advisory Group to provide support to those who no longer need to be on the list where the evidence indicates that they are no longer at highest risk

Our aim is to ensure that people who have been on the Highest Risk List are supported, empowered, and included throughout this calmer period into a more normal way of living. It has been nearly two years since we asked people to shield, and it is crucial that they are now supported to benefit from the lifting of restrictions as much as everyone else.

In addition to taking forward a National Conversation on rail, we will be consulting specifically on women’s safety when using public transport.

Specific timescales will be outlined following the discussion underway with relevant representative groups on the preferred approach for carrying out this engagement.

We have already made initial contact with Engender. We will also engage with groups who represent women working on our public transport network to capture the views of female staff.

As the First Minister set out on 17th March we have a testing transition plan which will ensure that Scotland continues to have a proportionate and effective testing response as we learn to live with covid.

Where the Government recommends that testing should continue to take place these tests will be provided free of charge.

We published our NHS Recovery Plan on 25 August 2021, which sets out our ambition of increasing NHS capacity by at least 10% as quickly as possible in order to address the backlog of care and meet the ongoing healthcare needs for people across Scotland.

Backed by over £1 billion of funding, the Plan will support an increase in inpatient, daycase, and outpatient activity to address the backlog of care, which will be supported by the implementation of sustainable improvements through new models of care.

Health Boards’ elective activity is being actively monitored through daily and weekly returns to the Scottish Government and support provided where required.

This process is currently underway. Health Boards have been asked to submit 22-23 plans linked to activity trajectories and requests for funding, which will be used to allocate resources to address orthopaedic surgery waiting lists.

Additionally, as part of our 100 days commitments, we published an NHS Recovery Plan in August 2021. This sets out our plans for health and social are over the next 5 years. Backed by over £1 billion of funding, the Plan will support an increase in inpatient, daycase, and outpatient activity to address the backlogs of care in orthopaedics and other areas, supported by the implementation of sustainable improvements and new models of care.