Chamber and committees

Sports sponsorship entails a range of alcohol advertising and promotional activity, which we know is seen by children and young people across Scotland. The findings of this report undertaken by researchers at the University of Stirling highlight just how much children and young people are exposed to alcohol marketing in a sports context.

We know this exposure creates positive attitudes towards drinking alcohol and can encourage them to start drinking alcohol or to drink more alcohol.

Whilst recognising the impact Covid-19 has had on the sporting sector as well as the importance of sponsorship income, we would encourage sports teams and organisations to diversify sponsorship away from alcohol brands. We applaud Scottish Women’s Football for the stance they have taken not to accept sponsorship from the alcohol or gambling industries.

We have committed to publicly consulting on a range of potential alcohol marketing restrictions to protect children and young people in Scotland. We are considering all methods of alcohol advertising and promotion in developing proposals for the public consultation which will be published in 2022.

National Records of Scotland (NRS) publish deaths by cause in their vital events reference tables, including stroke, available under cerebrovascular disease, table 6.04: https://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-events/general-publications/vital-events-reference-tables

Background information on how NRS record deaths can be found at:

Deaths - Background Information | National Records of Scotland (nrscotland.gov.uk)

Deaths with an underlying cause of stroke (identified as ICD-10 codes I61, I63 and I64), by location of death, showed that in 2018, 698 deaths occurred in a non-hospital setting, in 2019, this figure was 682, and in 2020 it was 847. This includes deaths which are categorised as taking place in a Care Home, Home /non-institution or Other institution.

Discussions on vaccine certification are conducted via the night time sector and wider hospitality’s trade representatives at a national level, the most recent of which took place with Ministers on 12 October 2021.

The Scottish Government advises anyone who has experienced domestic abuse to report crimes committed against them. Domestic abuse is a heinous crime and we remain absolutely committed to working with justice partners to ensure that they have the most effective tools at their disposal to ensure that perpetrators receive a robust response and are held to account for their actions.

The Domestic Abuse (Scotland) Act 2018 (the ‘Act’) came into effect in April 2019 and provides the police with additional powers to take action against those who abuse their partner or ex-partner. As highlighted in the publication, in 2020-21, 1,581 charges were reported under the Act, with 95 percent resulting in court proceedings being raised.

Lastly, as part of the Programme for Government, we will invest £100 million over the next three years to support frontline services so that women and children can safely access the support they need and to focus on prevention of violence against women and girls from school onwards.

We remain on track to increase the number of GPs working in Scotland by at least 800 by 2027. We have taken a number of actions, including increasing the number of medical places at universities, and taking steps to encourage medical graduates to choose general practice. To that end, between 2015-16 and 2021-22 the Scottish Government will have increased the annual intake of medical places in Scottish universities from 848 to 1117 (269 places, a 32% increase). The majority of these new places are focused on general practice.

By increasing the amount of undergraduate curriculum that is delivered in general practice to 25%. We are confident increased exposure to general practice will encourage more students to train as GPs. With an increase of 89 GPs in 2019/20 we are now confident we are starting to see the positive impact of these actions.

Number of GPs working in Scotland since 2017

Table 1, a copy of which has been placed in SPICE (bib 62727), highlights data from NHS Education Scotland and Scottish Funding Council showing both the recommended and actual intakes to pre-registration nursing and midwifery programmes, broken down by institution from 2007 to 2020. Figures for 2021 have not been published yet.

Our Detect Cancer Early (DCE) Programme is aimed at increasing early diagnosis rates of Scotland’s most common cancers while reducing health inequalities. DCE launched a new overarching campaign – Survivors - in September 2018 to reduce fear of cancer and empower people to act early if they notice any possible signs of cancer.

An interactive symptom-checker tool has been developed on DCE’s website (getcheckedearly.org) to help raise awareness of key symptoms, including those associated with leukaemia (fatigue, weight loss, recurrent infections). The NHS Recovery Plan, published 25 August 2021, commits a further £20 million investment to the DCE Programme, which will include additional public awareness campaigns.

A clinical refresh of the Scottish Referral Guidelines for Suspected Cancer ( Scottish referral guidelines for suspected cancer - gov.scot (www.gov.scot) )has been completed, with revised guidelines published in January 2019. The Guidelines support primary care clinicians in ensuring those with symptoms suspicious of cancer are put on the right pathway at the right time. The Scottish Government continues to support Cancer Research UK’s Clinical Engagement Team to raise awareness of symptoms and best referral practice for all cancer types across NHS Scotland.

Scotland’s first three Early Cancer Diagnostic Centres (ECDC) are live, providing primary care with a new referral pathway for patients with non-specific symptoms i.e. fatigue, nausea, weight loss – this can often include patients with Haematological cancers.

Ambulance services around the UK, as well as the wider NHS, are experiencing unprecedented demand – largely because of COVID but also due to a combination of increasingly complex cases, staffing challenges and exceptionally busy emergency departments.

That is why we have already taken significant action both prior to and since the pandemic to put in place measures to ensure all Health Boards including NHS Lothian and our Ambulance service have a full range of support.

In July, NHS Lothian received their share of the additional £12 million provided to Health Boards to support non-COVID emergency care. This funding will be utilised to boost staffing and capacity levels to reduce waiting times for urgent and emergency treatment.

To address the unacceptable ambulance waits, we announced an additional package of support for the Scottish Ambulance Service, backed by an additional £20 million, which will help increase capacity and improve response times and staff wellbeing - this includes assistance from over 100 military personnel.

We continue to be in daily contact with NHS Lothian to support improvement work within the Board and the Health & Social Care Partnerships to minimise delays for patients no matter where they are in the system.

The requested level of data on individuals who Do Not Attend (DNA) vaccination appointments is not currently held. While we can show the number of people who did not attend a scheduled appointment, or who have cancelled or rescheduled, we don’t know all the reasons why they may have done so.

The Public Health Scotland COVID-19 Statistical Report published on 16 June 2021 contains information on DNAs from 1 Feb to 6 June 20201.

We introduced the scheme on 1 October 2021, at which point all people aged 18 or over had had the opportunity to be fully vaccinated. In addition we gave a month’s notice of the intention to bring the scheme into place. We recognise there may be a small number of people who caught Covid during this period and whose second vaccination has therefore had to be delayed. Those people will be able to obtain a vaccine certificate once they have been fully vaccinated.