Chamber and committees

The Scottish Government Reducing Risks in Schools guidance contains a range of mitigations, such as use of face coverings, distancing requirements in schools and on school transport, and guidance for visitors and in-school events. This guidance is currently under active review, with input this week from the COVID-19 Education Recovery Group and the Advisory Sub-Group on Education and Children's Issues . A new version will be published this week. The guidance will remain under regular review and, where the scientific advice supports it, mitigations will be enhanced or removed as appropriate.

Resilience structures in Scotland are designed to be adaptable and responsive to a wide range of risks.

Ministers regularly receive briefing on specific risks or emergencies throughout the year and the Scottish Government’s resilience arrangements constantly monitor for emerging issues and threats.

In the autumn of 2021, recognising the heightened risk of concurrent events – including COVID, winter weather, and supply chain issues – additional reporting and monitoring arrangements were put in place to ensure Ministers retain a close oversight of the complex and overlapping risk picture. Since 30 September, this has included daily reporting and weekly meetings of SGORR, with assessments on the key concurrent risks facing Government and planning activity being taken.

Scotland’s resilience response structures involve very well established mechanisms for coordinating clear public communications during emergencies, and organisations involved in the response will work together to ensure swift and accurate advice is provided across a range of media.

The specific emergency alert system in place in other countries, used for example to warn of earthquakes, utilises a technology known as Cell Broadcasting. Activating this capability on the UK telecoms network is a matter reserved to the UK Government, and we note that the introduction of this technology, initially anticipated for summer 2021, is now scheduled for early 2022. Scottish Government officials are working with their counterparts in the UK Government to ensure that the deployment of any such capability reflects the devolved responsibilities of our responder organisations.

he Scottish Government’s Chief Scientist Office has funded nine research projects designed to improve our understanding of the longer term effects of the COVID-19 infection, or long COVID. Three projects focus on the prevalence and symptoms of long COVID. All started in early 2021 and will run for two years.

LTE2015.pdf (scot.nhs.uk) ‘Developing and validating a risk prediction model for long COVID-19’. Undertaken by the University of Edinburgh, in collaboration with Public Health Scotland, this research builds on the EAVE II study, originally funded by the Medical Research Council ( An Introduction to EAVE II | The University of Edinburgh ). EAVE II has used a pseudonymised patient dataset to track the COVID-19 pandemic as it unfolded across Scotland. This dataset will now be used to develop a model which will identify people at greatest risk of developing long COVID. In the course of developing that model, the research will generate data about the number of people in Scotland diagnosed with long COVID and their use of health services. This project will cover the population as a whole, including children.

lte2006.pdf (scot.nhs.uk) ‘Defining and understanding the longer-term effects of COVID-19: a mixed methods study exploring the frequency, nature, and impact of ‘long COVID’ in the Scottish population’. Undertaken by the university of Glasgow, this study will identify how many people continue to be unwell, their symptoms, and how it affects their lives. Scottish adults who had a positive COVID-19 test, and a negative test comparison group, will be sent an SMS message inviting them to take part in the study. If they agree, they will answer questions about their health before and after COVID-19, and any effect on their lives, with the questions repeated at regular intervals. This project will cover people aged 16+.

LTE2008.pdf (scot.nhs.uk) ‘COVID-19: Tracking Persistent Symptoms in Scotland (TraPSS)’ – undertaken by the University of the West of Scotland. This project aims toimprove our understanding of long COVID in the Scottish population, and particularly in people whose original symptoms were relatively mild. The current evidence describing the types of symptoms other studies have reported will be reviewed, and people will be surveyed at different stages of recovery to find out what kinds of persistent symptoms they have. The project will survey adults aged 18+.

Currently the best source of estimated long COVID prevalence data for Scotland is the monthly Office for National Statistics (ONS) reporting on ‘Estimates of the prevalence of self-reported long COVID and associated activity limitation, using UK Coronavirus (COVID-19) Infection Survey data’.The most recent report is here.

Prevalence of ongoing symptoms following coronavirus (COVID-19) infection in the UK - Office for National Statistics (ons.gov.uk) This showed that, over the four-week period ending 31 October 2021, an estimated 99,000 people (95% confidence interval: 89,000 to 109,000) in the private residential population in Scotland (1.87%; 95% CI: 1.68% to 2.07%) reported experiencing long COVID of any duration. Detailed estimates by age group and symptoms are available for the UK, but this detail is not available for Scotland.

The new statutory National Concessionary Bus Travel Scheme for Young People currently covers bus travel only, as does the existing statutory National Concessionary Travel Scheme for Older and Disabled People. The schemes do not extend to other modes of travel.

The COVID-19 Scientific Advisory Sub-Group on Education and Children’s Issues published a summary report of the evidence on children, schools, early learning and childcare settings and transmission from COVID-19 on 12 August 2021. This included a brief summary of available evidence on Long-COVID in children and young people , along with a list of references to relevant evidence which may also be of interest. Public Health Scotland also provide a regular review of evidence for the sub-group in relation to COVID-19 and children and young people.

The Sub-Group continues to review the evidence on acute and prolonged health effects of COVID-19, and will update their advice if required in light of new findings.

In addition, the UK wide clinical guideline on managing the long-term effects of COVID-19 produced by the National Institute for Health and Care Excellence (NICE), the Scottish Intercollegiate Guidelines Network (SIGN) and the Royal College of General Practitioners (RCGP) is continuously reviewed and updated in response to emerging evidence.

For the November 2021 update, the evidence for children and young people was reviewed. A full overview of this evidence reviewed can be found on page 37 of the clinical guideline, accessible at Guideline COVID-19 rapid guideline: managing the long-term effects of COVID-19 (nice.org.uk)

The Staff Governance Standard, which has legislative underpinning, requires all health Boards to demonstrate that they are ensuring that staff are appropriately trained and developed and that resources, including time and funding, are appropriately allocated to meet local training and development needs taking into account the current priorities of both the service and service users.

Boards are expected to have systems in place to identify areas that require improvement and to develop action plans that will describe how improvements will be made. The Scottish Government also seek assurance from all Boards that they are meeting the Standard through the annual Staff Governance Monitoring exercise.

Safety is at the heart of everything we do and the Scottish Government wants everyone in Scotland to receive the best possible care and treatment from our health and care services. Along with NHS Scotland, the Scottish Government has a shared vision for an open and learning culture and we want to learn when there has been dissatisfaction or harm and encourage organisations to identify improvements.

Our commitment to this is strongly demonstrated in the development of our approach to openness and learning in the introduction of the statutory Organisational duty of Candour legislation, and in our commission to Healthcare Improvement Scotland and NHS Education for Scotland to work together on a Joint Commission to make this a reality.

A number of reviews and processes are in scope for the Joint Commission, which will seek to take a human factors/ safety science approach to minimising duplication and reducing variation in review processes as well as supporting and upskilling staff in leading and taking part in these.

NHS Health Boards are responsible for delivering safe, effective, person-centred care at a local level, which includes leading on learning and improvement in areas of challenge and to drive quality; creating an environment that values staff and supports them when concerns are raised; and monitoring and improving the quality of health care which is provides to individuals. The Scottish Government and NHS Health Boards work closely together to ensure local policies and processes are implemented and improved in line with national policy and frameworks.

This information is publically available on the Scottish Adoption Register’s Website in the Annual Report for 2021-21

The Annual Report on the COPFS Victims' Right to Review Scheme for 2020-21 has been published today on the COPFS website. It is available to view at the following link:

Victims Right to Review Annual Report 2020-21.pdf (copfs.gov.uk)